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Depression, Anxiety, and Medical Cannabis
- 1. Delivery Methods and Dosing: Making the most of your medicine Depression, Anxiety, and Medical Cannabis Presenters: Becky DeKeuster, M.Ed, Director of Education Carey Clark, PhD, RN, AHN-BC, RYT Producer: Ben Gelassen, Marketing Associate
- 2. Depression & Anxiety: It’s a Cycle Stress Anxiety Depression Pain Changes in mobility Medical appointments Finances/work performance Self-care Caring for family Sleep disruptions Sexual changes Fear Anger & frustrationWorry/panic attacks/insomnia Obsessive thoughts/feeling “stuck” Hopelessness Apathy Procrastination Fatigue Changes in appetite Difficulty sleeping
- 3. Depression: A Silent Companion Silent = we don’t talk about it Silent = not on the list of qualifying conditions Silent = side effect of many ailments on the qualifying conditions list
- 4. Neurochemistry in Action Blood pressure up Obsessive thoughts Apathy Fatigue Lots of “cross-talk” and reinforcement
- 5. Cannabis Can Help: Scientific Support Chronic stress reduces production of endocannabinoids in animal models, leading to depression-like behavior. “Using compounds derived from cannabis—marijuana—to restore normal endocannabinoid function could potentially help stabilize moods and ease depression.” Dr. Samir Haj-Dahmane, lead researcher, University of Buffalo’s Research Institute on Addictions (Feb. 4, 2015) Source: http://www.buffalo.edu/news/releases/2015/02/004.html
- 6. Delivery Methods and Dosing: Making the most of your medicine But… Doesn’t cannabis make depression and anxiety worse, not better?
- 7. The Role of THC THC blocks GABA protein, increasing dopamine levels Source: http://thebrain.mcgill.ca/flash/i/i_03/i_03_m/i_03_m_par/i_03_m_par_cannabis.html Result: increased enjoyment, motivation, memory and attentiveness
- 8. The Role of THC THC also mimics the effect of our bodies’ natural endocannabinoid, anandamide “Ananda” is Sanskrit for “bliss” Both molecules were discovered by Dr. Raphael Mechoulam Photo sources: Erowid.org (top); www.jpost.com (bottom)
- 9. Finding the Right Strain MOB Blue Dream Chocolope Anecdotal evidence only. Each user will have a unique reaction.
- 10. Potential Side Effects Cannabis Benzodiazepenes SSRIs Image source: www.inspiremalibu.com Image source: www.yourspine.com
- 11. Delivery Methods and Dosing: Making the most of your medicineMany people self- medicate for depression and anxiety with alcohol. Why is cannabis a better choice?
- 12. Cannabis v. Alcohol Not lethal Protects cells & neurons Antidepressant Anti-nausea, anti-emetic Potentially lethal Damages cells & neurons Depressant May cause nausea/vomiting No proven physical addiction Physically addictive
- 13. Start Low. Go Slow. Use less than recommended starting dose (5-10 mg) Stay focused on effects Do 15-minute check ins when trying a new strain/delivery method Keep a cannabis journal
- 14. Care for Your Whole Self Meditate • Exercise • Affirm your Self • Drink a glass of water • Call a friend • Observe a natural object closely • Color • Journal for 5 minutes • Get a haircut • Exercise • Affirm your Self • Drink water • Call a friend • Complete one small task • Take a deep breath • Take a nap • Get offline • Stretch
- 15. Recognize When You Need Help Using cannabis to avoid social situations Escapism: Using cannabis as a way to avoid self-reflection Overindulging/overdosing regularly
- 16. Delivery Methods and Dosing: Making the most of your medicine Thank you for your time and attention! What are your remaining questions & concerns? www.mainewellness.org @wellconnectme www.facebook.com/mainewellness Instagram: @mainewellness
Editor's Notes
- Becky: Recent federal developments are promising, but not enshrined in law. They are communicated via memos like these. This is quite frustrating for patients, physicians, and providers because memos provide flimsy defense if an agency chooses to change its mind. For example, our new Attorney General who replaced Eric Holder has made clear that she is not a fan of cannabis, but she’s said she won’t use agency funds to undermine well-regulated programs/she will uphold the Cole memo. But she could change her mind.
- Becky: Recent federal developments are promising, but not enshrined in law. They are communicated via memos like these. This is quite frustrating for patients, physicians, and providers because memos provide flimsy defense if an agency chooses to change its mind. For example, our new Attorney General who replaced Eric Holder has made clear that she is not a fan of cannabis, but she’s said she won’t use agency funds to undermine well-regulated programs/she will uphold the Cole memo. But she could change her mind.
- Becky: Recent federal developments are promising, but not enshrined in law. They are communicated via memos like these. This is quite frustrating for patients, physicians, and providers because memos provide flimsy defense if an agency chooses to change its mind. For example, our new Attorney General who replaced Eric Holder has made clear that she is not a fan of cannabis, but she’s said she won’t use agency funds to undermine well-regulated programs/she will uphold the Cole memo. But she could change her mind.
- Becky: Recent federal developments are promising, but not enshrined in law. They are communicated via memos like these. This is quite frustrating for patients, physicians, and providers because memos provide flimsy defense if an agency chooses to change its mind. For example, our new Attorney General who replaced Eric Holder has made clear that she is not a fan of cannabis, but she’s said she won’t use agency funds to undermine well-regulated programs/she will uphold the Cole memo. But she could change her mind.
- Becky: Recent federal developments are promising, but not enshrined in law. They are communicated via memos like these. This is quite frustrating for patients, physicians, and providers because memos provide flimsy defense if an agency chooses to change its mind. For example, our new Attorney General who replaced Eric Holder has made clear that she is not a fan of cannabis, but she’s said she won’t use agency funds to undermine well-regulated programs/she will uphold the Cole memo. But she could change her mind.
- Becky: Recent federal developments are promising, but not enshrined in law. They are communicated via memos like these. This is quite frustrating for patients, physicians, and providers because memos provide flimsy defense if an agency chooses to change its mind. For example, our new Attorney General who replaced Eric Holder has made clear that she is not a fan of cannabis, but she’s said she won’t use agency funds to undermine well-regulated programs/she will uphold the Cole memo. But she could change her mind.
- Becky: Recent federal developments are promising, but not enshrined in law. They are communicated via memos like these. This is quite frustrating for patients, physicians, and providers because memos provide flimsy defense if an agency chooses to change its mind. For example, our new Attorney General who replaced Eric Holder has made clear that she is not a fan of cannabis, but she’s said she won’t use agency funds to undermine well-regulated programs/she will uphold the Cole memo. But she could change her mind.
- Becky: Recent federal developments are promising, but not enshrined in law. They are communicated via memos like these. This is quite frustrating for patients, physicians, and providers because memos provide flimsy defense if an agency chooses to change its mind. For example, our new Attorney General who replaced Eric Holder has made clear that she is not a fan of cannabis, but she’s said she won’t use agency funds to undermine well-regulated programs/she will uphold the Cole memo. But she could change her mind.
- Becky: Recent federal developments are promising, but not enshrined in law. They are communicated via memos like these. This is quite frustrating for patients, physicians, and providers because memos provide flimsy defense if an agency chooses to change its mind. For example, our new Attorney General who replaced Eric Holder has made clear that she is not a fan of cannabis, but she’s said she won’t use agency funds to undermine well-regulated programs/she will uphold the Cole memo. But she could change her mind.
- Becky: Recent federal developments are promising, but not enshrined in law. They are communicated via memos like these. This is quite frustrating for patients, physicians, and providers because memos provide flimsy defense if an agency chooses to change its mind. For example, our new Attorney General who replaced Eric Holder has made clear that she is not a fan of cannabis, but she’s said she won’t use agency funds to undermine well-regulated programs/she will uphold the Cole memo. But she could change her mind.
- Becky: Recent federal developments are promising, but not enshrined in law. They are communicated via memos like these. This is quite frustrating for patients, physicians, and providers because memos provide flimsy defense if an agency chooses to change its mind. For example, our new Attorney General who replaced Eric Holder has made clear that she is not a fan of cannabis, but she’s said she won’t use agency funds to undermine well-regulated programs/she will uphold the Cole memo. But she could change her mind.
- Becky: Recent federal developments are promising, but not enshrined in law. They are communicated via memos like these. This is quite frustrating for patients, physicians, and providers because memos provide flimsy defense if an agency chooses to change its mind. For example, our new Attorney General who replaced Eric Holder has made clear that she is not a fan of cannabis, but she’s said she won’t use agency funds to undermine well-regulated programs/she will uphold the Cole memo. But she could change her mind.