{"componentChunkName":"component---common-build-question-tags-template-js","path":"/question-tag/anxiety/19","result":{"data":{"allQuestion":{"edges":[{"node":{"id":"Question_10661-markdown","title":"performance anxiety","slug":"performance-anxiety","content":"\"What is good for people in entertainment that suffer from performance anxiety\"\n_____________________\nEveryone reacts to cannabis differently, so there is no magic anxiety cure-all. However, through trial and error you should be able to find a strain, and/or product that works to decrease anxiety and also allows to perform at your peak ability. I would start with a CBD-dominant tincture or a hybrid strain. You should experiment with the ratios, starting with a very high CBD:THC ratio (30:1 to 10:1). Take a very small dose and titrate up as needed. CBD has excellent anti-anxiety properties, with only a slight dissociative effect. Many people find indica helps with anxiety, but is a bit too sedating, while sativa can cause an increase in anxiety. Your best bet is a low dose of a hybrid strain (and CBD) and some meditative conscious breathing. I highly recommend a regular meditation practice, and cannabis can be helpful in allowing one to relax enough to begin this practice. \n\nandrewvanmd","image":null}},{"node":{"id":"Question_10659-markdown","title":"What is a good resource to find if a strain causes anxiety or paranoia?","slug":"what-is-a-good-resource-to-find-if-a-strain-causes-anxiety-or-paranoia","content":"\"My friend uses cannabis for anxiety, but I use it for muscle pain. I find that some of the strains that I use will give her some uneasy feelings, while I normally don't experience the negative aspects she gets from these strains. Where is a good place to find if certain strains can cause anxiety?\"\n_____________________\nIt can be difficult to gauge what percentage of THC in a flower strain will activate the fight flight sympathetic nervous system to trigger symptoms of hyperarousal that can include paranoia, \"unease\"', nausea, headache and even mania. I have evaluated responsible professional people who report using high THC strains that triggered symptoms of florid mania. Fortunately the duration of action of inhaled cannabis is only four hours and the peak effect is only 30 minutes. The rapid onset within five minutes creates a \"bolus\" drug effect that many people find pleasurable. It can lift the mood, enhance creativity and promote a positive mental attitude. In my professional opinion I believe the sympathetic hyperarousal symptoms that are most unpleasant are seen in strains greater than 20% THC. When I authorized my first patients in 2007 I was taught that it was not possible to find THC strains with greater than 20% THC! Times have changed.\r\n     My professional belief is that delicious, nutrition grade, low dose edibles in doses as low as 5 to 10 mg THC offer the most pleasant and long acting effect on mood, pain and muscle tension. In very low doses THC relieves anxiety but does not trigger the adverse effects seen in high dose THC edibles and flower strains. Low dose edibles are far and away the most cost effective way to use cannabis for chronic anxiety or pain. \n\ndrsumchai","image":null}},{"node":{"id":"Question_10641-markdown","title":"What's the Correct CBD Ratio for Anxiety","slug":"whats-the-correct-cbd-ratio-for-anxiety","content":"\"If I'm only trying to get the CBD benefits for anxiety what is the ratio I should look for? Last night I had part of a gummy that was supposedly pure CBD and it worked well. But I got another type of gummy that is 10:1 CBD to THC so I'm wondering if that has too much THC. I don't want to have the psychoactive effects or feel high from it. Thanks!\"\n_____________________\nCareful with edibles. The absorption is very unpredictable and if you are sensitive to the THC and ingest too much, you may have an unpleasant 8-10 hours. Best to try, and adjust the doses of, new strains by tincture or vapor. It's much easier to titrate. Start low and go slow! That being said, most patients are able to tolerate CBD:THC ratios as high as 1:1 without anxiety or psychoactivity, so I would not expect 10:1 to exacerbate your symptoms. \n\ndrfrye","image":null}},{"node":{"id":"Question_10638-markdown","title":"What marijuana is good for treating insomnia? I have heard it might help me.","slug":"what-marijuana-is-good-for-treating-insomnia-i-have-heard-it-might-help-me","content":"\"I am not a smoker but I am interested in trying anything that may help me get a better night's sleep. I am not sleeping well as I get older but I also think I have a low grade sense of anxiety. My one concern is that marijuana might make me more anxious and therefore I really won't sleep.\"\n_____________________\nSurprising to most people is the fact that the relatively short duration of action of inhaled Cannabis methods renders them less than ideal in promoting a deep and restorative nights sleep...especially when sleep is disturbed by extreme anxiety, chronic multipoint pain and/or circadian rhythm sleep disorders due to travel, shift work, blindness or a brand new baby!\n     Delicious, nutrition grade Cannabis infused edibles in low calorie preparations offer a nutritional boost to a deep, long and restorative nights sleep lasting over eight hours.\n     The pharmacokinetics of Cannabis edibles via the GI tract in an edible containing no more than 20mg THC support their celebrated role in reducing pain and anxiety and muscle tension contributing to both the depth and duration of sleep.\n     Most Cannabis edibles are formulated with Delta 9 THC. THC has biphasic effects on anxiety. In low doses it is anxiolytic- in high doses it can activate the fight flight symathetic nervous system to worsen anxiety and even trigger hypo-mania.\n     Edibles high in fiber, protein and oil naturally traverse the GI tract more slowly and are delivered to the liver and metabolized to 12- Hydroxy THC-when disseminated to the brain and tissues there is a deeply sedating effect that contributes to the depth of sleep and it's duration.\n     In closing, I would also like to clarify the little known fact that the unique cannabinoid CBN-or Cannabinol, is most researched and proven effective for anti-insomnia benefits. The research suggesting an important role for CBN in the treatment of TSD centers on it's critical role in promoting sleep. CBN is a breakdown product of THC. It also acts to suppress muscle spasms and relieve pain.\n\ndrsumchai","image":null}},{"node":{"id":"Question_10635-markdown","title":"Frequency of medicating?","slug":"frequency-of-medicating","content":"\"After years of therapy and taking various prescription medications, I've recently turned to MMJ to supplement the treatment of my anxiety and depression.  Since I am new to this, I was wondering if you have any recommendations as to the frequency or dosage when medicating myself.  For example, would it be more beneficial to medicate when I feel a panic attack beginning or when I have a particularly down day, or to medicate regularly (i.e. daily, like taking my daily antidepressant)? Thank you! \"\n_____________________\nThis is a question that we see frequently. It really depends an the type of method that you are suing to consume cannabis.\nSmoking or vaping may be more appropriate when feeling a panic attack coming on since the effect takes place almost immediately. The effect last 2-4 hours which may be enough time for a panic attack to subside. \nA tincture will take about 20-30 to take effect and can last about the same time\nA capsule can take about the same time to take effect or maybe slightly longer and can last shout the same amount of time. \nEdibles can take 1-2 hours to start and can last 3-6 hours depending on your metabolism.\n\nWith any of these methods, and for any medical condition, we suggest starting with a low dose and going slow to increase the dose. Every one reacts differently to cannabis and what works for one person might not fwork for another. When you visit your dispensary, describe to the bud tender there what your medical condition is and what they carry to help treat it. They will also help you decide on the best way to use he cannabis in terms of time to take effect and how long it will last.\n\nPerry Solomon, MD","image":null}},{"node":{"id":"Question_10620-markdown","title":"I have heard of teenagers successfully using cannabis for anxiety.","slug":"i-have-heard-of-teenagers-successfully-using-cannabis-for-anxiety","content":"\"Feels like there could risk of some cross-over usage here for this age group. What is the best way to evaluate whether a teenager is a good fit for cannabis, as an alternative to what feels like a long term pharma solution?\"\n_____________________\nCannabidiol (CBD), a non-psychoactive component of the plant is a potent anxiolytic and has very few potential side effects (it can interfer with sleep if taken too late in the day and it is an appetite suppressant).  Regardless of age, CBD is a highly effective medicinal for the treatment of anxiety. Cannabis use leads to illegal drug use and dependence the same way eating French fries leads to overeating and obesity. Most obese people ate French fries in adolescence but most adolescents who eat French fries do not become obese. I am a board-certified pediatrician with a strong background in developmental pediatrics, and in assessing patients with behavior and school problems. I've treated hundreds of patients with anxiety with CBD and am far more comfortable with it than using pharmaceuticals like benzodiazepines, antidepressants, and gaba analogs. I would have zero concerns about using a high CBD variety cannabis for the long term treatment of anxiety in adolescents. And I might add that the neurodevelopmental changes that occur in the developing brain are associated with THC, not CBD. THC would not be my choice for treating anxiety in adolescents or adults.\n\ndrfrye","image":null}},{"node":{"id":"Question_10614-markdown","title":"My husband just returned from serving overseas and is very anxious. The doctor's are treating him for PTSD.","slug":"my-husband-just-returned-from-serving-overseas-and-is-very-anxious-the-doctors-are-treating-him-for-ptsd","content":"\"He doesn't like the drugs they are prescribing. The side-effects are horrible! Some of his friends are using marijuana and having great results. Do you recommend this? Should he smoke it? What strains are best for PTSD? I'll do whatever I need to do to help him feel better and to get my \"old\" husband back.\"\n_____________________\nI have treated several patients suffering from PTSD that have found cannabis to be helpful for their condition. As you state that he is very anxious due to his condition, I would recommend indica strains. Indica tends to be sedating and relaxing and is also helpful for sleep.  If your husband has depression as a component of his PTSD, an indica dominant hybrid containing some sativa may be helpful.\n\nI discourage smoking cannabis, as the products of combustion (carbon monoxide, tar, carcinogens) contain compounds that may be harmful to one's health. Vaporizing is a great shorter acting alternative to smoking as are oral tinctures. Edibles are much longer acting and are therefore helpful for patients also suffering from insomnia.  \n\ndredmunds","image":null}},{"node":{"id":"Question_10565-markdown","title":"Does using marijuana increase or decrease levels of anxiety?","slug":"does-using-marijuana-increase-or-decrease-levels-of-anxiety","content":"\"I am interested in trying marijuana for my low grade anxiety. My concern is that it may increase my anxiety.\"\n_____________________\nThe short answer is that (strangely) it really can do both. There are plenty of people that use cannabis to ease their anxiety, and there are those that avoid it entirely due to the fact that it makes them paranoid. \n\nTo understand this phenomenon better, read this article on the subject: https://www.hellomd.com/health-wellness/56bb95b8d3bdcc000c00004b/the-connection-between-marijuana-and-anxiety\n\nYour selection of products and to some degree, strains is also impactful in this process. For example, you could start with a high CBD strain or extract to start, with very small levels of THC. This is unlikely to cause to you to be anxious, and most people find it to be calming. Gradually work your way to stronger levels of THC if you feel you can manage it. As with all marijuana products, we advise going slowly and to start with small doses until you have a good handle on the effects of each different product. \n\nmark\n_____________________\nCannabidiol (CBD) is the major non psychoactive cannabinoid in cannabis. It is a potent anxiolytic and is very effective in reducing anxiety and the frequency of panic attacks. Tetrahydrocannabinol (THC) can reduce anxiety at low doses. At high doses, however, it can exacerbate anxiety and cause paranoia and panic attacks. People respond differently to cannabis and what is a high dose to one person, may not be to another. In my opinion, because CBD is so effective in reducing anxiety, it might be best to forego the THC. CBD varieties like ACDC, Charlotte's Web, and Jackson's Courage have very small amounts of THC (CBD:THC ratios are usually around 20:1) and are used to treat conditions such as anxiety, depression, mood instability, and psychosis.  However, never go by the names alone. Insist on seeing independent, 3rd party testing results of your product because the cannabinoid profiles can be wildly unpredictable.\n\ndrfrye","image":null}}]}},"pageContext":{"limit":12,"skip":216,"numPages":19,"currentPage":19,"id":4953,"name":"Anxiety","slug":"anxiety","country":"US"}},"staticQueryHashes":["3949754563","4179947113","4202924991"]}