While these are not stand-alone qualifying conditions in Maine, they accompany many serious illnesses. Join us for an in-depth conversation with special guest, Dr. Carey Clark, about how medical cannabis can aid with stress, anxiety, and depression.
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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
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.
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?
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Notas del editor
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.
