Is Cannabis a Remedy for Anxiety?

While cannabis can help relieve stress in some people, it’s not suitable for everyone

Anxiety and related disorders are among the most prevalent mental health conditions in the U.S. While antidepressant and anti-anxiety medications can be effective, they also come with significant side effects. As a result, some individuals are turning to alternative treatments, such as cannabis. But using cannabis comes with its own set of risks. “While it can be used as an alternative treatment for certain types of stress and anxiety, cannabis is not a one-size-fits-all solution and may not be suitable for everyone,” says psychiatrist Dr. Amanda Kingston.

There are multiple factors to consider before using cannabis as a treatment for anxiety—learn more about how the different components can affect you.

THC versus CBD: what’s the difference?

Cannabis and marijuana are terms that are often used interchangeably, but they do have slightly different meanings. Cannabis is a type of plant that contains two main components: THC and CBD. THC, or tetrahydrocannabinol, is the primary psychoactive component that makes a person feel “high.” CBD, or cannabidiol, does not cause the “high-inducing” effect that THC does.

Marijuana is a specific category of cannabis that contains high levels of THC, which can have varying effects on stress levels depending on the dose. “While THC can reduce stress at lower doses, higher doses can induce panic, paranoia and anxiety,” explains Dr. Kingston. “CBD, on the other hand, has been shown to decrease feelings of stress and anxiety at all doses.”

CBD on its own is not considered marijuana, which is why it’s legal to sell online and in stores. “CBD has been proven to have positive effects on stress and anxiety, and in the majority of cases is a better alternative than marijuana for someone looking to get relief from their stress and anxiety,” says Dr. Kingston.

Is marijuana suited for everyone?

While many people report positive effects from using marijuana to cope with stress and anxiety, it’s not recommended for everyone. Individuals with diagnosed psychiatric disorders, such as depressionanxiety or bipolar disorder, or those with a family history of psychosis should not use marijuana, particularly products especially high in THC, as it can exacerbate symptoms or induce risky decision-making. “Marijuana can also be risky for people taking certain psychiatric medications, specifically benzodiazepines, as marijuana can exacerbate side effects like sedation,” Dr. Kingston advises.

However, for those dealing with social anxiety or stress related to life events, CBD may be a viable option. “Marijuana is really only recommended for people experiencing chronic stress and, even then, it may not work for you,” says Dr. Kingston. “CBD, however, is a proven remedy for almost everyone and it’s a much safer option.”

How can I safely use marijuana and CBD?

To find what works for you, Dr. Kingston recommends starting slow and experimenting with small doses, especially for products containing THC. Speak to your primary care provider about your risks and how you can safely and effectively use marijuana.

“It’s important to remember that, like therapy, safe usage of marijuana and CBD can be another tool in your toolbox to help you address your stress,” says Dr. Kingston. “But it isn’t a catch-all solution. No matter what, be open with your doctor about your usage and ask them for resources if you need more help.”

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