Cannabis and Your Mood
by RUSSELL H. CASHIN, PhD
Of the few conditions for which a patient may obtain a medical Cannabis recommendation in Utah regarding our psychological health, only PTSD is specifically covered. Conditions such as anxiety and depression or other related mood disorders are not on Utah’s “Qualifying Conditions” list.
Additionally, those seeking to use Cannabis for PTSD have an added burden in that they are required to be “treated and monitored by a mental health therapist” and “diagnosed by a healthcare provider” when seeking a recommendation (Utah Department of Health, 2019).
A historical foundation, as well as recent clinical reporting, indicates that Cannabis helps with stress and anxiety as well as other mood-related symptoms. Historians report that Cannabis was widely used in India some 3000 years ago, where it was celebrated as one of “five kingdoms of herbs … which release us from anxiety.”
It is essential to understand the impact this plant has on mood, especially given the high comorbidity (where two or more diseases exist simultaneously) with affective disorders that often occur in patients with long-term pain, cancer, seizures, or other medical conditions.
This means for those patients who are using Cannabis for any covered condition who also experience stress, anxiety, or other mood-related disorders, attention needs to be given to the type of plant profile one chooses to treat the primary condition. While each cultivar (“strain”) has differing amounts of the various cannabinoids and terpenes, it is easiest to just refer to Sativa, Indica, or Hybrid’s main subspecies when determining which to use.
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Sativa is known for its energizing effects, which often include a cerebral “high” if the THC is ingested in a sufficient dose. For example, this may help those who need the medicinal benefit of the plant for pain and suffer from low-mood or energy and require help to get their day started. However, if you have anxiety and pain, then Sativa is probably not for you due to its energizing properties.
Indica is primarily known for its relaxing and even sedating effects. Indica is considered helpful for those who have a covered condition that also adversely affects sleep by either helping them get to sleep or stay asleep. However, Indica is too sedating during the day and therefore best taken in the evening.
Hybrids are a variety of Cannabis that are crossbred cultivars of Sativa and Indica, which offer the dominant characteristic of either the energizing Sativa or relaxing Indica and provide some benefits of both. In other words, an Indica dominant hybrid will be less sedating than a pure Indica, which helps those wanting to relieve pain during the day and suffer from stress or anxiety and need to decrease the unpleasant feelings without being overly sedated.
Therefore, when considering which plant or extract to use, be aware of the mood-altering effects of the source plant’s profile by choosing one that will help with your primary condition AND your mood.
Russell H. Cashin, PhD
Nutritional Psychology
Dr. Cashin teaches an Intro to Medical Cannabis Course through Dixie State University’s Continuing Education program.
This article was originally posted on TRUCE.
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