{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/anxiety/10","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_10244-markdown","title":"For anxiety, is a CBD-only formula preferable to one that contains some THC? ","slug":"for-anxiety-is-a-cbd-only-formula-preferable-to-one-that-contains-some-thc","content":"\"My doctor recommended a high CBD strain cannabis product; CBD:THC (30:1 to 5:1). I'm wondering why I would want any THC at all. Is it better to have no THC, or does a small amount of THC enhance the ability of the cannabis to decrease my anxiety in some way? \"\n_____________________\nClinical trials investigating the use of CBD to treat social anxiety have used 99% pure CBD. The dosages have ranged from 100-900 mg per day in the studies I've read. These are large doses, and expensive. I have patients that report that 15 mg of CBD is effective for their anxiety, but this is purely antecdotal. Some patients report that low doses of THC attenuate their anxiety, while others report any dose of THC is anxiogenic (Creates anxiety). Be your own guide. If you use THC, start w/ a small dose (e.g. < 5 mg).\n\ncmce\n_____________________\nThe THC is ok to use but your doctor may be protecting you since hopefully, your doctor knows you well. Typically you do not experience the psychoactive effect with cannabis as long as you keep the ratio at 8:1,  CBD:THC, or higher CBD but if you lower the CBD from \n8:1, or increase the THC, you likely will experience the psychoactive affect. Please, consider asking your doctor why he/she does not want you to have any THC. \nFor your question, \"I'm wondering why I would want any THC at all.\", You may want to review the information on our website about the entourage effect of cannabis, the CBD's work better if there is some THC included, it is considered whole plant medicine.\n\ndrolson\n_____________________\nI've been using Cannabis to augment my Anxiety treatment.   Your best bet is to start with your Dr.'s recommendation for rations.  How I was told to start is to pick different CD/THC ratios and different delivery methods (edible, tincture/sprays, vape, flower) \nSo start with say a 5:1 (or as close to that as you can get) and find it in all  delivery methods available.  Then use each for 3 days and take notes on how you feel and how effective they are.  Then change dosages.  Go slow on the dose, you cannot un-ring the bell so to speak.  You will eventually find what works best.   \n\nI also recommend you spend time on leafly.com reading up on various strains.  they have a whole Anxiety page full of strains.  Learn the ones that are 1) available in your area 2) have the ratios your looking for and 3) have low paranoia/anxiety ratings.  \n\nI'm big on know the strain(s) used in anything I take, I don't just like a CBD:THC ration.   I've seen produces tht mix Hemp CBD and some unknown strain for THC into an edible.  If the THC strain causes anxiety, you are not going to help yourself.  \n\nStrains that  have worked great for me are:  Harlequin, Harle-Tsu, Pennywise, CBD Shark,  Goji D.C.  Blackjack.\n\nmetalgeek","image":null}},{"node":{"id":"Question_10223-markdown","title":"I started taking a cbd 20:1 tincture for anxiety and depression.","slug":"i-started-taking-a-cbd-20-1-tincture-for-anxiety-and-depression","content":"\"I'm not noticing any difference, it's been 2 weeks. I take several drops several times a day. The drops seem like such a tiny amount. I want to feel uplifted, should I try a higher thc/cbd ratio? I'm new to this and really have a lot to learn\"\n_____________________\nWell my first question is, are you taking enough of the CBD? Usually when it is a tincture and it says 20:1, usually the dosage is a larger dose than just a couple drops so please look on your bottle, maybe you're supposed to be taking a teaspoon, I don't know what your bottle says. Most tinctures also encourage you to increase your dosage every 2 to 3 days until you obtain the desired effect. You could try a lower dose of CBD with a higher ratio of THC if you feel that's what you need, your gut instinct could be correct.\nPlease, search and review the article 'CBD 101' on our website and you may also want to review 'Cannabis 101' to learn more about your medicine.\n\ndrolson","image":null}},{"node":{"id":"Question_10222-markdown","title":"Will cannabis help sleep and anxiety issues?","slug":"will-cannabis-help-sleep-and-anxiety-issues","content":"\n_____________________\nYes cannabis is very helpful for sleep and anxiety. These conditions are often closely related and treating one often helps the other. A whole plant tincture with CBD and THC is a good place to start.\n\nandrewvanmd","image":null}},{"node":{"id":"Question_10219-markdown","title":"Should I take CBD daily to manage anxiety or just when I feel it is getting worse?","slug":"should-i-take-cbd-daily-to-manage-anxiety-or-just-when-i-feel-it-is-getting-worse","content":"\"I have anxiety issues. Is a sustained dosage of CBD tincture more effective at controlling my anxiety, or should I just take it when I feel more anxiety?\"\n_____________________\nI would go with a sustained dose of CBD while tirtrating (increasing or decreasing) until optimal effect is achieved, especially if your anxiety is severe or on a daily basis.\n\ntatiananp\n_____________________\nThere is good clinical evidence of CBD being helpful in reducing anxiety, but not much regarding the issue of taking it all the time versus just when calming is needed.  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4604171/   In view of CBD's lack of toxicity there is no practical reason not to give it a try and keep some kind of diary to see if over a few weeks time if it has been helpful.\n\ndrelkind","image":null}},{"node":{"id":"Question_10207-markdown","title":"Do I need a medical marijuana card to buy pure CBD?","slug":"do-i-need-a-medical-marijuana-card-to-buy-pure-cbd","content":"\"I live in Nevada where marijuana is both medically and recreationally legal. I'd like to get a prescription so I could buy pure CBD to help treat anxiety and depression. \r\n\"\n_____________________\nThere are strict manufacturing requirements for approved medical marijuana products. I would recommend obtaining a medical marijuana card from your medical provider in order to receive a proper treatment recommendation to treat your anxiety and depression.\n\ntatiananp","image":null}},{"node":{"id":"Question_9972-markdown","title":"Can you develop a tolerance to CBD?","slug":"can-you-develop-a-tolerance-to-cbd","content":"\"I started vaping CBD April 12, 2017.  It's 550mg/15 mL.  It worked wonders for my anxiety right away.  It even helped me sleep.  All of a sudden, around the 23rd, it stopped working!  I started to rock and pace again like I did before.  What can I do?  \"\n_____________________\nI might wonder if you have change something in your medication treatment plan that has tied up your receptor sites. You may need to take a cannabis holiday for 1 to 7 daysTo make sure your receptor sites are clean to except the cannabis. If you have added a new medication that actually maybe blocking your receptor sites. Have you tried an oral CBD spray? How much THC are you using? Did you change your THC intake level? I personally have not seen resistance or tolerance to CBD but that certainly doesn't mean it doesn't exist.\n\ndrolson","image":null}},{"node":{"id":"Question_9958-markdown","title":"What do we really know about the risks of cannabis for psychological issues?","slug":"what-do-we-really-know-about-the-risks-of-cannabis-for-psychological-issues","content":"\"I search through medical journals with regularity searching for consensus on this issue. Often within the very same search, I can find a well-vetted journal paper that espouses the benefits of cannabis for issues such as anxiety and PTSD, yet ten minutes later there will be a paper with fairly severe warnings about possible long-term psychological impacts (psychosis/schizophrenia/etc). \n\nThis is frightening, and makes it very difficult to enjoy the benefits of this plant, knowing that researchers seem to conflict so heavily on such a basic topic. Additionally, whenever I ask this question, people seem to get their \"dog in the fight\" over it rather than helping to either assuage or confirm my fears.\n\nPersonally, I've had great relief for anxiety from cannabis. But I've also had some of the most intense and severe panic, lingering for days afterward from cannabis as well. I hear \"use high-CBD strains!\", and yet they seem to be hit or miss. I hear \"use indicas over sativas\", yet I can have a wonderful sativa experience one day, and indicas can throw me into panic the next.\n\nThere seems to be no rhyme or reason, and the medical literature seems to confirm this fact. So how can one safely use this medicine without worry of severe anxiety (and the threat of further mental illness)?\n\"\n_____________________\nI am not a medical expert but I do have this to say, which is something that I honestly question because I truly don't understand:\n\nHow does smoking or ingesting thc cause schizophrenia, a disorder known to be genetic??\n\nNot sure if that's helpful or just more confusing, but the actual advice I suggest when comparing two seemingly equally reputable and valid sources with scientific information about the effects of marijuana:\n\n1) Check the date of the source publication. There's new information coming out all the time and anti-drug campaigns that site studies done in 1995.\n\n2) Check who is backing the publications or who published the study. Sadly our government is not the best source when it comes to practically any kind of statistic.\n\n3) Consider the agenda of the publisher. Even the WHO and CDC answer to someone. Think of the consequences of what they proclaim to be true; you can't un-ring a bell but you can say that new findings suggest your previous, more cautionary statements may not be true.\n\n4) Go with your instincts. \nIt sounds like you've had your own experiences to guide you. If something seems off to you then it's probably worth looking into. If your gut says something is a lie, it probably is. \n\nAnyway, good luck. \nLCP\n\nlily_coyote_paw\n_____________________\nNo, I don't believe we know what causes the risk of psychological problems in cannabis users because there are far too many factors that have to be controlled for good clinical trials. Most of the information we have regarding cannabis use and the potential positive or negative effects are anecdotal stories not clinical trials. Clinical trials are typically paid for by pharmaceutical companies but they have a vested interest in seeing that their clinical trials have the outcome the drug company, or the Universities funded by the drug companies, wants to see.\r\nWhen I see patients with psychological imbalances, I cautioned them to not go high with their THC which could aggravate anxiety, anger, panic attacks and increased pain. CBD will tend put those symptoms in remission but when a person has a psychological problem they need stability with their medication. I also don't usually recommend smoking bud because there's too much variability and Tinctures or vape pens maybe a much better way to utilize the cannabis for more consistent dosing. If you have psychological problems it maybe best to keep your dose of CBD : THC, higher in CBD since it is the CBD that tend to calm and relax the body relieving stress and anxiety and the CBD is not psychoactive as long as your \r\nCBD: THC ratio is greater then 8:1.  If you experience anxiety on a lower dose CBD with equal or higher THC then you need to add in more CBD's.\r\nI highly encourage you to eliminate Sativa Cannabis until you have learned how to control your anxiety and other symptoms with CBD and lower THC.\r\nKeep in mind, my advice is only a suggestion, you must find out how your body responds to cannabis and maybe in the future we will actually have some honest clinical trials that may help to guide us along the way.\r\nSince imbalance in the neurotransmitters causes psychological problems  including schizophrenia, I do encourage that all people with psychological problem consider having their genetic chart mapped for their methylation defects and see a practitioner who can help them with their Methylation Defects called snps (Single nucleotide polymorphism)and that practitioner should be able to provide a Nutritional roadmap around the methylation defects in order to balance the neurotransmitters helping the patient obtained a higher degree of stability in their emotional life. \r\n\n\ndrolson\n_____________________\nHello there!  Having pored over many of the papers that you describe, I think I can answer your question.   The clinical trials that you mention ( i.e. the randomized controlled trials using cannabis for PTSD) are performed in a controlled setting with low,  pre-set doses of cannabis.   However, when you read papers detailing the possible long-term psychological impacts of cannabis use, they all deal with  patient population that has HEAVY cannabis use (defined as daily, mult- times a day usage).  I always tell my patients about this apparent dichotomy;   cannabis seems to have , in pharmacologic terms, what is known as a  biphasic response curve.  At lower doses,  cannabis can have an anxiolytic (anxiety-fighting) effect but at high doses, it can actually worsen anxiety, mood swings. \n       As to your next question, how can one safely use this medicine, I use the following observations over the years treating patients with mental health issues.  There is always the risk with medications designed to help pts with mood and anxiety that things could go south.  I've had patients on Wellbutrin for years suddenly develop psychosis.  I've had patients take benzodiazepines develop a paradoxical anxiety attack.  Your mental state, factors like the amount of sleep you've had, stress levels from work and personal life; these are all factors that might have contributed to the variable responses you've had from cannabis products in the past.   I have a system that I've used with patients that might be helpful for you.  I tell patients to keep it \"low and slow\" with cannabis products:  low indicating a low starting dose of the cann. products used and slow referring to the slow speed in terms of redosing.\n                I understand your concerns and fears.  If you are dealing with mental health issues, I would highly suggest what I suggest to all my mental health patients;  make sure you are using a multi-modal treatment approach that not only only involves cannabis.   Are you part of a behavioral therapy program w/ regular talk sessions?  Are you exercising regularly?  Are you incorporating mindfulness/ meditation in your daily regimen.   Utilizing all these techniques will not solve all problems but I guarantee it will make a difference if you haven't used them yet.  It will give you additional tools to help manage vicissitudes of mood and anxiety.  Also check out the ADAA.org site from the Anxiety/ Depression Association or America.  Learning more about your conditions can help out.  If you have further questions, come on by for a consultation and we can talk further. Good Luck!\n\ndrpark","image":null}},{"node":{"id":"Question_9910-markdown","title":"What product do you recommend for anxiety depression and at what daily dose.","slug":"what-product-do-you-recommend-for-anxiety-depression-and-at-what-daily-dose","content":"\n_____________________\nHi there! Cannabis has proven to be very helpful in alleviating symptoms of anxiety as well as depression. Please check out our articles listing some of our favorite strains used for treatment!\n\nTop Marijuana Strains for Depression\nhttps://www.hellomd.com/health-wellness/top-marijuana-strains-for-depression\n\nTop 10 High-CBD Marijuana Strains for Anxiety\nhttps://www.hellomd.com/health-wellness/top-10-high-cbd-marijuana-strains-for-anxiety\n\nVeronicaB","image":null}},{"node":{"id":"Question_9871-markdown","title":"Am I extra sensitive to THC?","slug":"am-i-extra-sensitive-to-thc","content":"\"I have been using Rick Simspon oil every day for 9 weeks, for migraine, major depressive disorder and anxiety. CBD has been excellent for treating severe pain. However the THC appears to be better for anxiety. The plan was to habituate to the THC by gradually increasing the dose. However despite daily use I still feel very effected i.e. spaced out, depersonalised and lethargic and have not been able to up the dose at all.  Am I extra sensitive to THC? (I take quite a big dose of CBD oil along side it, to try and minimise effects of THC)\"\n_____________________\nThere are alot of people like yourself that hit a plateau with the oil and cannot take a higher dose...I was going to suggest taking a higher dose of CBD, but you said that you already take CBD with it. There is a natural supplement that you can get at a health food store that is called Citicoline, which can help neutralize the uncomfortable effects of the THC oil. Also, there are a few natural foods that can also help counteract the effects, this info is from Dr. Ethan Russo. Cold lemonade, peppercorns, pine nuts and calamus root. They all contain terpenoids that help counteract the unwanted effects...hope this helps!!\n\nPiantaTinta","image":null}},{"node":{"id":"Question_9855-markdown","title":"What are the best terpenes for anxiety and depression?","slug":"what-are-the-best-terpenes-for-anxiety-and-depression","content":"\"What are some strains that have these terpenes? \"\n_____________________\nHere is a link to an article that talks about terpenes, anxiety and depression and also a you tube video on terpenes...\n\nhttps://cannabisnow.com/alleviating-anxiety-cannabis/\nhttps://youtu.be/bN3QRSjCnS8\n\nPiantaTinta","image":null}},{"node":{"id":"Question_9853-markdown","title":"Can smoking marijuana cause bloating?","slug":"can-smoking-marijuana-cause-bloating","content":"\"Hi, I've had my MM rec for almost 5 years now, and have used it off and on for pain, anxiety, stress, you name it.. but recently, I've experienced SEVERE bloating in my abdomen every time I use it (especially if I smoke it). It's  like my stomach swells up like a balloon and feels like it's gonna pop. I'm feeling the pressure in my chest now too. I usually use the vape pens, and I make my own cannabis infused coconut oil, that I use to make edibles. The swelling is less with those. When, or IF, I try to smoke any flowers, I don't do a lot.. but I wonder why I'm having this reaction to it. Anyone know what could be going on? \n\n\"\n_____________________\nIt sounds as if you are having some of the cannabis smoke entering your stomach, in essence \"swallowing\" the smoke. This may result is some burping as you release it. With the other methods you spoke of, the amount of smoke that enters your stomach may be less. Other then that I cannot think of a reason why that stomach bloating would occur.\n\nPerry Solomon, MD\n_____________________\nI have similar symptoms that you described and there are possibilities -- that do not include \"swallowing smoke\", especially since you said it also happens more mildly with edibles.  Consider that it might be a mild form of Cannabinoid Hyperemesis Syndrome.  Its seldom documented medically unless patients present at ER with non-stop vomiting that is oddly only relieved by hot showers. Like you, the only symptoms I have are extreme bloating. If I stop smoking, within about 24-48 hours the bloating subsides and I look and feel as though I lost 30 lbs.\n\nvch881\n_____________________\nI have the same issue as vch881. I have trouble with marijuana and I am trying to reduce consumption. When I smoke daily, I end up with a bloated feeling in my stomach a sort of swolen throat feeling. It is not painful but there is a constant feeling like there's something stuck in my throat and I need to swallow. I also feel the need to drink a lot of water when I am smoking marijuana so that contributed to the bloated stomach. If I stop consuming marijuana for a day or two it all subsides and my stomach and throat feel fine again. This is just a personal anecdote from my experience with marijuana over the years. \n\nRedwhite85","image":null}},{"node":{"id":"Question_9753-markdown","title":"Cbd cream for tight throat?","slug":"cbd-cream-for-tight-throat","content":"\"Can based creams can relax my throat muscles and make it not tighten up? I have anxiety and I often have a tight throat making it hard for me to breathe. My throat muscles tighten up so much it stresses me out. Help \"\n_____________________\nI have have found a lot of success with topical's and their ability to help muscles relax. I personally have some TMJ issues being fixed by braces currently, though sometime's the pain can be excruciating on bad days. When my jaw is really locked up, rubbing a topical salve on my upper jaw does a great deal to alleviate my pain. \n\nI have not used this on my neck, but I would guess that the topical would have a similar affect if it your muscles that are causing the restriction. Topicals are very low risk and do not show up on a drug test or cause you to feel \"high.\"\n\nryan","image":null}}]}},"pageContext":{"limit":12,"skip":108,"numPages":19,"currentPage":10,"id":4953,"name":"Anxiety","slug":"anxiety","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}