Cannabis use linked to anxiety diagnoses, worsened anxiety disorders
globalnews.ca
globalnews.ca
Others are way better at judging a study's methodology but this immediately caught my eye. Shouldn't we also look at cannabis users who didn't visit an ER? And what else was in those people's blood at the time? THC vs CBD?
Obviously no link to the actual study so it's hard to judge really.
NIH says:
> An estimated 19.1% of U.S. adults had any anxiety disorder in the past year.
https://www.nimh.nih.gov/health/statistics/any-anxiety-disor...
That's pretty high already, and I imagine the base rates for anxiety developing among "people who have to be hospitalized for any reason" are much higher than the general pop.
The advice was to go call an ambulance anyway for someone having a serious panic attack. But for what it's worth, that advice was given somewhere where calling ambulances won't cost you.
I had a random episode of afib about 10 years ago and my EKG has been known to make doctors nervous (I've been told that its strange but apparently its "normal" for me). After the afib episode, I became very paranoid about my heart rhythm and I think the paranoia exacerbated a previously latent anxiety issue. One day the paranoia became so bad that I thought I was having another afib episode but I wasn't 100% sure. I was self aware enough to know that I was mild hypochondriac and that it was likely that nothing was wrong. It was a Sunday so I went an urgent care. I figured they would check my heart, tell me everything was fine and it would put my mind at ease. They gave me and EKG and when urgent care doc saw it, he told me to go to the hospital immediately.
Long story short. The ER doctor thought everything was fine and was going to release me until my troponin levels came back elevated. I was put in ICU, given an ECG, and hearth cath. They didn't fine anything and released me. My anxiety became a lot worse after that. A few days later I went back to the ER. They checked my troponin levels and they elevated again (they dropped over the course of the first hospital stay) so I was admitted again. This time I did a full heart MRI. They didn't find anything. No signs of heart attack or heart damage (which high troponin is supposed to be an indicator of).
My anxiety was almost debilitating after that. Took me years to recover.
I even had a little scare about a decade ago when a little transient tachycardia showed up during a sleep study.
Yeah, anxiety has not returned to baseline. COVID has certainly not helped. I haven’t caught it - but I am medically… complicated and a lot of my stuff is respiratory. I mask when I can, which helps but one can only do so much. At least I have a sympathetic GP so I have Ativan for when things are bad now.
It’s a hell of a feedback loop. When I’m super anxious - surprise surprise - my HR and BP are way up (and if I’ve had to use my asthma meds… oh lawd.) thus they want to keep you because you’re not “normal”. Want that stuff to come down? Gimme something nice to relax me, and let me sleep for 5 or 6 hours without a bunch of leads on or someone waking me up every minutes to stick a thermometer under my tongue.
Just some guesses.
Someone who has never taken cannabis before, accidentally not realizing they've consumed too much, not knowing how to handle it, and wondering if they're okay, and calling 911 or going to the ER, is not an unfamiliar story.
- psychosis
- green out/being absolutely ripped, and found by others, who in turn will take you to the ER.
?
Also the ER is the first line of treatment for many individuals.
The study isn't establishing a direct link between cannabis and anxiety, it's looking very specifically at anxiety diagnoses following an ER visit. The findings are interpreted in the study as the following: "ED visits for cannabis use were associated with an increased risk of having an incident healthcare visit for an anxiety disorder, particularly in young males."
What exactly that means on the broader context of cannabis use isn't the focus of the study, but it invites further research to explore the implications of their findings.
A more accurate headline might read: People with anxiety disorders who take cannabis may unnecessarily visit the ER.
Twenty or thirty years ago, I'd have agreed with you on this, but potency that's normal today wouldn't even have been a dream back then. If you think that makes no difference, I'm here to tell you you are wrong.
If you are not anxious, this is no story, this won't bulge even after decades of copious consumption (some very close folks fall here and only here, no exception ever heard of).
Now if you are completely clueless or just a (again clueless) kid and say eat 5 space cakes to show off, yeah this will not be a nice story. 5-10 hours of catatonic despair will leave some mark, but this id self-inflicted harm due to stupidity, many wonderful harms and deaths have been caused by very same thing and if we want bans due to that, alcohol should be the first in line by huge margin.
Educate from childhood, regulate (age, potency, how much daily, optimize for harmless consumption of quality products without impurities), but otherwise let folks do their thing. Anything else leads long term to worse results for whole society, any gut feeling is easily beaten by long term statistics.
I don't advocate a ban; Prohibition is a salutary example and it would be worse today for all involved. But I also don't like to see anyone talk about any drug, and certainly not this one, as entirely benign.
It’s called self medication, and people have a sense of when something is wrong with them without a doctor telling them (or for that matter, believing them). Neurodivergent people know this especially well, since “all in your head” was the ultimate dismissal of medical complaints up until the last decade.
Might as well study hospitalizations for stimulants and tendency to impulsiveness and intrusive thoughts. People with ADHD have been self-medicating with stimulants since the trade routes brought tea and coffee ( and probably with beer and wine before that).
I maintain that the original motto for Coca Cola (with real coca leaves) was a nod to high functioning ADHD customers. The Thinking Man’s Drink. Most measurable gains in cognitive ability from mild stimulants are enjoyed by the neurodivergent. But if we are 10% of the human population, that’s a demographic even Apple could love.
You mean the same episode where he claimed that something like 25% of pregnant mothers use Cannabis without providing any sources?
I'm not saying Huberman has to be right about everything, but I think he just cherrypicks too many studies, sometimes overestimates the value of animal research, and, once in a blue moon, just completely makes up stats to fit his narrative.
His on wikipedia page even says,
> Huberman has promoted anti-sunscreen views on his podcast, saying he's "as scared of sunscreen as I am of melanoma", and claiming that sunscreen molecules can be found in neurons 10 years after application; without providing any evidence.
I think his intentions are good, but I sometimes question his intentions when he never fails to mention that you can also use the code Huberman to get 25% off your first order of Athletic Greens.
Let me know if you are having trouble finding the full video. I do not want to search it at work, so I cannot link it now.
When you take it, everything is great, the next day there is the leftover that makes it a "chill" day but then it slowly goes away and anxiety comes back stronger the following days. At 3-4 days you deal with withdrawal a bit depending on how much you consumed which may increase anxiety or not depending on factors (experience, current situation, etc). I would say you get back to baseline after about 5 days to a week, which is quite long!
Cannabis probably doesn't cause anxiety on its own, but definitely do not really help the case for anxious people, in the long term. Unless you want to consider being "high" every day and for quite long. So, using cannabis to treat anxiety is a pretty bad idea but from my point of the view the biggest problem is the cognitive performance penalty you get from using cannabis and the problem is largely compounded by the fact that you do not feel that way at all when you are under influence or after (up to 2 full days after in my experience). Yet I can attest that the impact is very real, and it is quite easy to demonstrate if you have high level activities where you can collect stats (video games are great for that).
Cannabis and anxiety definitely have a relation, but it is really not the principal concern to have. I wish it would be legal everywhere so people could talk about it openly...
It's probably both.
Anecdotally, the only people I know that ended up in ED due to weed either took it unknowingly or have Cannabinoid hyperemesis syndrome from heavy heavy usage. Surely someone with a tendency for anxiety is more likely to seek medical help.
I know cannabis smokers who have anxiety issues, but it isn't obvious whether their tendency for anxiety leads them to smoking. I'm ignoring temporary anxiety. Disclosure: not a pot smoker.
What this study says to me is that emergency rooms cause the anxiety disorders. If you visit the ER and mention you have consumed any illegal substance, that information is entered into your medical record and can be used against you by the government later. ER's also try to force people into "treatment" and social programs that they cannot participate in if they use cannabis.
It got to the point where I asked myself why I was even doing it if it was no longer fun or relaxing in any way.
People who love cannabis think it's the cure for everything. While I don't doubt its medicinal uses, it's definitely not for everyone.
Also, quitting caffeine cut my anxiety in half.
I suffer from bouts of anxiety and depression. I also like to partake in cannabis. If I'm feeling depressed, anxious, sad - WARNING - don't do cannabis!! It amplifies the feeling. I would never use it for an escape from bad stuff. If I'm feeling good, then go for it!
It's a mind altering substance. If your mind isn't in a great place to begin with, what do people think cannabis is going to do?
And yeah, cut down on caffeine and sleep some more.
Set and setting do matter just like other drugs. If I’m sitting at my back garden then I feel very at peace high. If I’m downtown then I’ll feel anxious from the sensory overload
Angry people are even angrier drunks. Smoking weed doesn't chemically do anything to correct depression and will reinforce the very behaviors that lead to it. Even amphetamines don't correct depression, they just make you fixate on it until the comedown is 3x as bad as you started.
One simple solution-- capsaicin. Masochism will tickle your pain receptors and suppress mental anguish. I recommend a spicy burrito/kimchi and a brisk walk as a home remedy for shitty days.
Oh, that's the flavor of anxiety I get too! That's a very precise description.
If you (anyone) aren't fortunate enough to have a wide selection of lab tested ratios in your locale, consider mixing whatever THC is available along with product that is CBD "hemp," which, at least in the US is legal in most places and legal to ship online from out of state. Many users intentionally mix like this because the latter is often cheaper from the market saturation.
This isn't guaranteed to be the reason behind your issues, but seems to be for many people who stumble into this info.
~100% THC, no CBD, is objectively wrong for almost all uses of cannabis.
The market is morally bankrupt, ran by non-cannabis people, and prioritizing addiction over wellness.
I don't and nobody I know who uses cannabis thinks that either. False generalizations don't help anybody.
- ignorance of what the different compounds are capable of, especially when isolated and concentrated.
- thinking all cannabis consumers light it on fire.
- more
Contaminants are still very common, and so is not having broad or full spectrum of compounds.
If you're interested in a great recommendation, happy to help.
Then I started up again, and I VERY CAREFULLY measure my dosage. 2.5mg THC and 20mg CBD takes the edge off nicely, is zero calorie, and works up my appetite even when I'm sick of eating ( I do a ton of weight lifting and the protein intake can be annoying ).
I've abandoned flower and use a little dropper of low octaine 4-1 CBD to THC tincture.
sparkling water also works.
Cannabis has caused anxiety in me before, but I had anxiety problems prior fwiw. In a weird way, I kind of used the anxiety from Cannabis as "training."
What I mean, is that when I would get anxious from cannabis, I would try and talk myself down, remind myself that nothing bad was going to happen, and then kind of intentionally try to refrain my thoughts in order to force myself to enjoy the experience.
I learned that the more I did this, the better I was at being able to do this in other situations where I would be inappropriately anxious about something (even without Cannabis).
It's not perfect, but has seemed to work better than anything else I have tried. So, my point is that I learned the only way I can apparently beat anxiety is to charge it head on.
It didn't 100% solve my anxiety but it put me on the path to finally seek out a legitimate and effective solution because I had enough reference to compare to.
And, well, I think that anxiety is deserved? It's objectively true and a literal life and death matter. For me it's less I have anxiety in general because I am very good at not being honest with myself while not high, but that the anxiety I sometimes get really is constructive, because otherwise I ignore it. A recent shift in my eating habits for the better was directly brought on by a particularly bad bout of anxiety around all of this while very high, and I would consider that to be a good thing.
Most of the time when I get stoned I don't deal with any sort of anxiety, though.
It seems absolutely insane to me that our pop culture pushes this stuff as at worse benign, but usually beneficial.
The best I can describe is: pretend there's a murderer right outside of your window, he's coming to kill you and tapping on the glass. Your heart rate is spiked, your body is flooding you with adrenaline, fight or flight is in full kickoff mode; you need to either *run* away, or fight.
But now imagine you get all of those physical sensations, but there is no killer outside and you know it. You feel the fight or flight, but you don't have any idea what it is in response to.
Trying to slow down is difficult, and you can feel sortof uncoordinated when walking around (your body is screaming to run, so walking feels off somehow).
Unfortunately it's hard to describe. It is definitely not psychological concern about something, though, and this is where some frustration when talking about it comes from. There's nothing to reassure yourself of or calm down from, because you're not having the psychological effects of anxiety, just the physical ones.
The problem is, you and tons of folk like you didn't read the fine print, because... who knows, ignorance? Fok ya all attitude of young? Even though all info is few clicks away at most.
It has been said 10 thousand times here and everywhere else, including quite a few posts by me - just don't do any mind altering drugs if you are not balanced +-happy person. There is no clear definition or dividing line, each of us is unique and should know how stable/unstable they are, if they have unresolved long term issues and so on. If folks can't be even honest in such things with themselves, well, life will be a tough walk in many aspects thats for sure.
For all those folks, if you do such things, you take tremendous risk, you may end up off better despite issues, but that's your Russian roulette with your own mind, don't complain that you risked massively and lost a huge gamble. These cases are not reference, unless say 50% of US population is by default anxious.
Healthy people have heart attacks. Healthy people can mistake depression or budding mental issues as "work stress" or the pressures of life.
You're essentially saying "yeah cannabis can cause issues but it's your fault for not knowing your in a 100% happy place" which is dismissive on several levels.
I say this as someone who likes THC edibles and also can see how it causes anxiety for people prone to it. I also think age can be a factor, anecdotally. Alcohol was something easy for me to overconsume, and now my hangovers cause nebulous anxiety the next day which cannot be explained by any specific thing.
Neurodegeneratives be neurodegenerating?
but messing with the nervous system using alcohol can often damage digestion, damaging nutrition, damaging mental health.
This can indeed happen acutely/be experienced in less than a day.
It was (and sometimes is) really bad!!
It took 4+ months of therapy to get back to "manageable", and over 2 years later I felt back to normal and in control. I've now stopped any intoxicants (alcohol included) almost entirely. I sometimes will participate with a good group of friends, but I'm far more cautious of any intoxicant.
I'll also point out that:
1. TONS of people have undiagnosed anxiety disorders, and blaming it on smoking a plant years go is neither scientific or productive.
2. If you are consistently experiencing anxiety, there are a TON of resources you can tap into. Even outside of medication, there is CBT and mindfulness that can keep you in the moment and prevent you from spinning out.
Not saying cannabis can't be an issue, however i'd imagine a LOT of these reports of "cannabis made me anxious", are actually "i was anxious, tried cannabis, and now i'm just even more anxious", the fact is a lot of medical especially mental situations are under or NOT diagnosed and people attribute the feels to the last thing they did.
I'll admit that I'm not as "plugged in" to what pop culture is pushing these days, so can't speak to that, but my own experience with cannabis puts it in a different light for me (which, given your experience, I bet you're not that eager to hear, but maybe others might be).
For me, cannabis fits between opioids and over the counter pain killers - neither of which I can take for pain that I get from nerve damage from a pretty severe injury from a few years ago. Cannabis is very effective at taking the edge off that pain so I can sleep. It doesn't make it go away, it just makes it less intense. Cannabis is by no means benign - anything that can do what it does to my pain isn't "safe". I treat it with the same respect and responsibility I would with other medications. It's not perfect, and has its own risks, but in my case, it's beneficial.
Again, I really am sorry for you. Not so much because you can't enjoy cannabis, but because of what you have to deal with now.
I suffered from intense bouts of nausea often lasting days (and my last time a whole week), I learned of CHS and stopped my use immediately, finally stopped the pain
The pain and nausea was so bad, it was honestly the worst i've ever felt
There's also the very common issue of people new to cannabis using far, far too much—which generally results in a feeling of intense anxiety. Anyone who hasn't had any cannabis before should be extremely careful and use as little as possible.
Finally, regular users who have developed a tolerance for certain cannabinoids may find it difficult to relax without them. Anyone regularly using a substance like cannabis should be on the lookout for this, and change their behavior accordingly.
Two hours later, I was having my biggest panic attack in years. If I didn’t grow up having panic attacks all my life, I would probably have called 911 or got someone to drive me to the ER.
If there’s an easy fix for anxiety out there, I’d love to know about it. I’ve been fighting this for decades and it doesn’t get better as I get older. What kind of helps in the meantime is therapy, slow exposure to stressors (being careful to prevent flooding), and mindfulness meditation. None of this fixes my anxiety, but it makes it a little bit more manageable.
As someone younger than you quite possibly suffering with the same thing, that’s saddening to hear. Is there anything you did that you wish you’d done sooner? Have you tried any (pharmaceutical) medication?
I have a few things I wish I'd done sooner if you'd indulge my ranty and highly personal list:
* Moving out of the city and into the country. I know this one is not feasible for most people, but it helped me to get out of the hustle and bustle and back to an environment similar to where I grew up.
* Reducing caffeine and increasing water intake. I limit myself to one cup of coffee in the morning and no caffeine afterward.
* Quitting my high-stress job in favor of a job at a startup and taking more breaks.
* Daily cardio exercise for at least 30 minutes.
* Talking about how I'm feeling with my partner. It seems simple and silly, but this one is crucial for me. I tend to lock up when I'm feeling crappy and lash out. Overcoming that and talking about how I'm feeling has helped enormously.
* Going to therapy.
These are all helping me cope, so I still have panic attacks, but not as often as a decade or so ago.
Not ranty at all; very helpful in fact!
It’s interesting you say cutting down on caffeine helped… I feel the opposite would be true for me. For some reason it seems to have a calming effect.
Anyway… good luck to you. I hope it continues to gradually improve.
Highly, highly recommend trying it. They say it's for "stage fright", which can be offputting because "stage fright" (at least to me) seems almost wholly unrelated to the type of anxiety I suffer from.
It's a miracle from my perspective. If you suffer from generalized anxiety, please ask your doctor about it.
Just to really hammer this home: I had doctors recommend this drug to me for years, and I always more or less ignored them. I have taken xanax for quite some time, and took this recommendation as them being apprehensive about prescribing it (which i understand, since many people abuse it).
Propanolol seems to have the same type of calming effect, but with none of tired/disassociative feelings that xanax gives (which I don't like). The first time I took it I almost wanted to cry. It really was just like a switch that turned the anxiety off. It does take about 60-90 minutes to fully kick in, though.
I'll take it before I need to go do something which might have triggered an attack, but the long term benefit here is that doing those activities without getting triggered lessens the sensitivity to the trigger (if that make sense).
So lately I haven't taken any in weeks, but when I was first prescribed it I took it every day.
The good thing about propranolol is that since it does not have meaningful addiction or tolerance potential it’s reasonable to take long term. It’s relatively safe in otherwise healthy people, so it’s overall low risk, with depressed heart rate and BP leading to syncope the main one. It historically was a blood pressure medication, but oral beta blockers are poor first line BP meds. Few PCPs have qualms prescribing it if there are no contraindications.
Personally I found it useful.
When I first started smoking, 0.01g (yes, one hundredth of a gram - a barely visible layer on top of some tobacco) was enough to get a whole room of students incredibly high for a few hours. I used to buy 0.2g and that lasted 5 people the entire weekend.
And that was before all of this lamp-grown craziness with 10% and more THC content. If you used more than 0.1g of these medical dispensary strains, it's really no wonder you had a crazy panic attack. I'd have too and I'm an experienced smoker.
I know some people using weed to treat anxiety. They smoke so little they don't feel high at all. One gram might last them a month.
I don't do "vapes". That stuff is so highly concentrated that it makes me cough with even a tiny sip. Same with "gummies". I can't really know how the dose will affect me and I don't want to get "stoned".
I do think that if you're wanting weed to help with anxiety you should probably look into CBD too. That probably works better for anxiety.
- psychedelic therapy (1-4 times a year, over 6 years, turned me into a functional person in social contexts)
- strong chammomile flower tea (depresses my nervous system to a normal baseline -- this has been the most dramatic way to ease physiological symptoms of anxiety for me)
I’m not judging, I’ve been treated for anxiety myself. Just quite curious about how different the conversations are.
Now that it is much more widely available and many more people have actually tried it for extended periods of time, the narrative has shifted.
Intelligence itself seems to correlate with anxiety, i.e. being able to construct and focus on abstractions, as opposed to your immediate environment, on demand increases likelihood of fixation on abstractions.
Combine that with a lack of forced grounding in computer-based professions, i.e. little human interaction, and you're a heck of a lot more likely to be in your own head, then add weed on top and you're even more likely.
there's no particularly major evidence that it's highly correlated but I've heard anecdotal theories along the line before.
It’s been common in my circles as we have aged. In our now mid 30s most have ceased its usage other for that reason other than myself who took it up following a spinal cord injury. For what it’s worth, it did seem to give me anxiety at first but time (and mixing with a cbd strain) seems to have solved that.
edit
We do all work in IT for the most part so…maybe that is something.
But it does make perfect sense to me that the effects of cannabis on someone who has been a longtime user are quite different and that it isn't great generic advice to tell people to try cannabis for their anxiety. I definitely think this current vogue of trying to apply cannabis to every problem is misguided and an artefact of the commercial environment around cannabis being increasingly legal, not our medical understanding of it.
Not all cannabis has THC, high THC (the anxiety-inducing part, for most).
Nor should it!
Eg, I've seen people smoke large amounts of weed and concentrates and then go off and do something productive, and I've seen people take a single hit or gummy and have a panic attack.
Someone I know tried a CBD product to see if it would help their anxiety (to be clear, they didn't consult with me on this, this was of their own volution). They somehow had gotten the impression that they wouldn't feel high, and were alarmed when they did. In that case, there wasn't any lasting harm, they simply didn't try it again. I know another person who would have a lot of anxiety on CBD gummies. Again, no lasting harm, they just stopped taking them. But I don't believe that there is no cause for caution with CBD products.
I see CBD gummies advertised for just about everything, from helping you sleep to helping you feel awake and helping you feel aroused. These are all plausible effects for someone to experience, but I don't believe we have it down to such a science that these experiences can be bottled and productized. There's clearly a lot of snake oil out there.
To be clear I think it's broadly good that cannabis is being slowly legalized in the US and that people have the opportunity to experiment and see if it's helpful to them. I've just had a respect for mind-altering substances ingrained in me, so I'm not uncomfortable with how casually people sometimes recommend these products.
Well, it's disappointing that you are more interested in being snarky than engaging seriously, I just hope you don't hurt anybody. And I hope if you do, you're in a position to know that it happened and to learn from it.
I'd like to leave you with this thought experiment. You probably wouldn't feel comfortable telling a stranger on the Internet they should be taking sertraline, right? Why should you feel more comfortable telling them to take a CBD product? Do you really feel you have the context to prescribe drugs to strangers? Is that a rational belief?
Nobody said anything about making a health recommendation to a stranger - almost always a mistake.¹
I make recommendations to people I have taken time to know well, who are struggling and ask for help. I also tell them I'm not a doctor - and to read!
¹Which is why doctors, with no true context, offering a psychiatric diagnosis (and prescription!) after an 11 minute appointment is often also ridiculous, ineffective - and potentially harmful.
That's my last word on the matter. Have a good day.
which ask us to assume the most charitable interpretation of what's written.
The day was okay.
I am comfortable with how casually people recommend CBD, especially if that replaces any % of the casual Xanax or SSRI recommendations I hear.
You don't have any proof that this is true or not, yet you state it as fact. Lazy thinker.
Again, not saying there's no causation the way they imply, but basic experimental principles should tell you to try to control for this somehow, for example by looking at overall anxiety rates before and after it becomes commonly available in a given community, or comparing similar sized communities in different areas with different availability.
I also say that over those years there have been long spells of time when I couldn't get any weed, and again, never had issues with that either. No "withdrawal" issues or anxiety issues at all.
The only weed induced anxiety I've ever experienced was caused by knowing I could get arrested for possession, but that's never happened, and where I live now it's legal, so I don't have to worry about that anymore.
Personally, I think that the social stigma associated with "refer madness" may be related to weed induce anxiety.
But there are studies that indicate THC does affect people differently and that genetics may have something to do with that. For example, those who suffer with psychoses may have issues with weed triggering psychotic episodes, but I recently read that CBD may reduce those events.
I think it would be interesting to hear from those dealing with anxiety if CBD relieves that.
I also have a lot of friends with the the same story where it was fun at first, but later just anxiety, paranoia and over thinking things. Looks like in this thread there a lot of similar stories as well.
Now with edibles I can eat a very small dose (2-4mg) and just skate under the threshold for freak-out, but its a far cry from when I used to eat gummies by the mouthful and have goofy fun for hours afterwards.
However, once I was older (late 20s), and perhaps my brain was better formed, I never had this issue again.
They ended up dropping the charges on my case because the police didn't read me my rights before questioning me. I'd told them "I smoke weed and I'm not going to stop." The last question they asked me was "You were read your rights, right?", and I told them "No". A woman officer standing behind them looked at me and grinned and nodded her head up and down a bit. When I went to court a month or so later the prosecutor told I could go home because the case was dismissed.
But, for quite a few years after that every time I heard a helicopter hovering nearby I'd get a panic attack. It wasn't a vicious one, but I sure felt it.
Regular smokers for years, at some point something changed, after that point almost any amount of smoking caused enough paranoia and anxiety that they decided to stop smoking entirely.
About once a year, I think, "I'll take a quarter of an edible and watch this movie at home". 9 times out of 10 I end up having an awful night due to anxiety.
I feel so much sharper now, and the fog of "war" has cleared. My work output has increased dramatically. I'm waking up earlier and feeling much more confident. I'm not against cannabis, I think in moderation can be nice, relaxing, and of course has valid medical uses.
I never did that. I've always taken tiny puffs because I don't like coughing, so I got called a "buzz kill" quite a few times back then.
I've really never been able to handle it. I've experienced anxiety/paranoia but even in the absence of that, it makes me beyond stupid. My version of a little high is similar to someone knockdown, drag-out drunk.
I live where it's legal and I come in contact with it all the time. I usually regret accepting that gummy. I'm not sure there's anything I can do to better tolerate marijuana or whether the juice would at all be worth the squeeze.
As a Swede I can confirm. It really feels like an 1984 situation when you sneak outside around the house blocks, knowing the angles that reduce the risk of possible "witnesses", understanding wind directions and speeds. Mostly just weed-induced paranoia, but having friends got caught really puts one on edge.
As Bill Murray put it more succinctly: "I find it quite ironic that the most dangerous thing about weed is getting caught with it." which is most definitely the case here.
Sounds like saying "I've drank every day for 15 years but I'm not an alcoholic."
Since then I've also found out that I probably have increased genetic likelihood of developing schizophrenia. I'll never touch anything with significant THC concentration again, just way too risky.
Now, I knew before taking them how potent they were, I was licked the mixing spoon the night before, just a tiny bit here and there, and even that little bit was enough to make me relatively high. But when my friends saw how tiny the doses were, they thought I was being crazy and we all ended up getting each other to take waaaay to many, especially me, the host, which was an especially bad idea because within an hour I'd gone into my room, gotten into bed, and put on some youtube video to calm me down. Well, not very long after getting into bed I had this feeling of immense warmth and comfort, and I got super blissed out and my friends would come in to check up on me and I just gave them a thumbs up with a massive grin on my face. At some point one of my friends joined me in my room, and then sometime later I rejoined the party, which was getting along fine without me, and then we dispersed after we started to sober up.
So, all in all, it was a good experience. But I got super fucking high and I was literally starting to lose touch with reality before I sequestered myself, and my heart was beating out of my chest so hard I thought I was actually going to have a heart attack and die. I think it was easier for me to handle since I've had experience with fairly high doses of psychedelics in the past. I suppose alls well that ends well.
Cannabis lowers blood pressure and can cause tachycardia and has a statistically significant association with the development of heart failure in some users. In my own personal life, I had an episode of moderate autonomic dysfunction after taking it several times with seemingly no issue. While in the hospital the attending ER doctor told me I should probably stay away from it. That was the last time I had it. He was lighthearted and put a joke diagnosis of toxic encephalopathy on the discharge notes.
I've been going through various prescription changes, and I'm usually ok, but I've had some really bad days over the past few months. So, after doing a lot of reading, trying to sift out the anecdata, I started an experiment where I added to my pill set, a 10 mg gummies of CBD each morning for the past month or so, and it's been a very pleasant experience.
I don't get stoned. I don't dread work. I'm generally productive with my code, and I'm not feeling overwhelmed.
It's not perfect, and I still have a bad day here and there, such as this weekend, but it's manageable now. I've actually been feeling somewhat normal, and it's good.
That's one of the reasons why theres a black box warning for Lexapro about the risk of suicide.
I'm told the reason behind this is a significantly anxious and depressed person may indeed be suicidal, but because of their condition are unable to effectively plan and execute the plan. Once lexapro enters the system, the individual can now plan and execute. This is why lexapro should be paired with close monitoring by a psychatrist, and individuals taking lexapro should be made aware of the risk.
Lexapro has been a life saver for me.
But ~5-8mg of gummy is amazing as a sleep aid (which is largely, for me, about shutting down anxiety hard) and ~3mg (as needed, and rarely, for me) to take the edge off daytime anxiety. Lower doses are quite effective if it’s “full spectrum” and not just isolated THC. The higher (ha, ha) end of that range does “get me high” but in a pretty mild way, like having a really solid alcohol buzz but not being an unfortunate level of inebriated.
Meanwhile, I’ve given myself a very unpleasant half-hour with a single too-large puff on a strong vape pen.
When I was first getting used to it, 5mg sent me straight to bed, do not pass go, hope you didn’t have any other plans, and was a little too much.
I wonder how much of this is from people using it to get very high on purpose, or from novice medicinal users dosing too high.
Many people who end up in the hospital because of cannabis convince themselves they're dying, but really they're having what's closer to a bad trip. Edibles are especially prone to this because people often are impatient and end up eating too much because they don't think it's working.
Many drugs (including alcohol!) are multipliers. People need to be especially careful if they have preexisting mental illnesses, especially if they've ever experienced psychosis.
A lot of people blame poor behavior on whatever they took, but that's always a little bit of a personality tell because often they're just talking about lowered inhibitions. If that makes you a total asshole, then maybe consider why... because drugs aren't giving you new personality traits.
From personal experience, using cannabis when you’re not anxious is a pretty un pleasant experience. It causes a slight euphoria followed by severe tiredness, and nausea.
Everyone I know who used cannabis past their thirties does it out of self medication for anxiety/sleep problems.
This does not match my experience, which of course will vary. I don’t get any nausea for a start, and am often ingesting to assist with nausea.
Most people in their 30’s I know avoid it as it triggers their already existing anxiety. I took it up in my 30s in combination with other drugs following a spinal cord injury and it’s done nothing to assist with anxiety sadly, and has triggered some bouts, though is quite good for helping me eat.
I imagine it’s tripped my anxiety as I’ve been quite anxious since the injury and surgeries to begin with. I managed to reduce those instances by mixing with a CBD heavy strain (my THC strains are all 25% plus which is recommended for my circumstances).