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Key documentation elements When assigning the ICD 10 code for cannabis dependence, clinicians should document: Clear criteria supporting dependence (e.g., loss of control, continued use despite harm) Absence of physiological complications like withdrawal Functional consequences attributable to cannabis use Relevant history, including prior use patterns and attempts to reduce or stop Example documentation might describe: Client reports cannabis use daily for 2+ years, unsuccessful efforts to cut down, priority given to use over work obligations, and continued use despite notable academic and interpersonal problems

Another limitation was the potential recall bias within the two former smokers within our sample, which may have affected the reliability of their accounts 21

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