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September 2023 — MHCE Newsletter

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26 | <strong>MHCE</strong> - News www.mhce.us SEPTEMBER <strong>2023</strong> EDITION<br />

Marijuana Is Not the Solution for PTSD<br />

A growing number of states have identified post-traumatic<br />

stress disorder (PTSD) as an approved condition for<br />

medical marijuana. According to Colorado's Medical<br />

Marijuana Registryopens in a new tab or window, there<br />

are 70,533 patients as of February <strong>2023</strong> with an active<br />

medical marijuana registration in the state, and 10,734 of<br />

them indicate PTSD as the reason they are using medical<br />

marijuana. This is despite the lack ofopens in a new tab<br />

or window any high-quality, randomized, controlled<br />

studies proving that marijuana helps PTSD in the longterm.<br />

Because of this lack of evidence, the American<br />

Psychiatric Association adopted a policyopens in a<br />

new tab or windowin 2019 opposed to using medical<br />

cannabis treatment for PTSD.<br />

While many people find that cannabis seems to initially<br />

help PTSD symptoms, it likely does this by providing<br />

some temporary relief, numbing the individual and<br />

disconnecting them from the traumatic emotions.<br />

However, to keep the symptoms at bay, the individual<br />

often needs to use daily, sometimes multiple times a day,<br />

which can then set them up for significant consequences<br />

associated with daily cannabis use, such as cannabis<br />

use disorder (CUD), psychotic symptoms, cognitive<br />

problems, suicidal ideation, worsening depression and<br />

anxiety, and cannabinoid hyperemesis syndrome.<br />

Outcomes of Marijuana Use for PTSD: A Review of<br />

the Literature<br />

The problems with regular cannabis use in those with<br />

PTSD were demonstrated by a 2020 studyopens in a new<br />

tab or windowfrom Canada in which anonymous data was<br />

obtained from a phone app, Strainprint. In the study, 404<br />

medical cannabis users, self-identified as having PTSD,<br />

used the app to track symptoms of intrusive thoughts,<br />

flashbacks, irritability, and anxiety. The users would then<br />

indicate the strain of cannabis they were about to use and<br />

the effects on their symptoms. The results indicated that<br />

acute cannabis intoxication provided temporary relief<br />

from intrusions, flashbacks, irritability, and anxiety.<br />

However, baseline PTSD symptom ratings did not<br />

change over time, and the researchers detected evidence<br />

that people used higher doses over time to manage<br />

anxiety, indicating the development of tolerance to the<br />

drug. They concluded that while these results indicate<br />

that cannabis may reduce PTSD symptoms in the shortterm,<br />

it may not be an effective long-term remedy for the<br />

disorder.

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