Cannabis update: Anxiety disorders and post-traumatic stress disorder.
Amy L Haycraft
Journal of the American Association of Nurse Practitioners May 1, 2023 DOI: 10.1097/jxx.0000000000000864 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Review Peer reviewed |
|---|---|
| Population | Adults with anxiety disorders and PTSD |
| Topics | Anxiety Cannabis PTSD |
| Key findings | The authors conclude that evidence supports a relatively safe profile for medical cannabis in adults with anxiety disorders and PTSD, but that conclusive scientific evidence of its therapeutic properties is limited, leaving the product unstandardized and without FDA approval. They note that cannabis may beneficially affect neural circuitry involved in fear regulation. |
Abstract
The development of anxiety disorders and post-traumatic stress disorder (PTSD) is complex. Both delta-9-tetrahydrocannabinol (THC) and cannabidiol (CBD) are of potential therapeutic use. Evidence suggests that cannabis has a beneficial effect on neural circuitry involved in fear regulation. In the United States, cannabis is considered either medical or recreational and can contain pure THC or CBD or any combination thereof. The numerous cannabis compounds of various administration routes, with variable pharmacokinetics, further affect the cannabis conundrum. Despite being federally unregulated, medical cannabis has received increased attention socially, and at present, 37 states, four territories, and the District of Columbia have legalized medical cannabis for use in specific health conditions. Patients are increasingly inquiring about cannabis, and clinicians must educate themselves with reliable cannabinoid information for patient education. In adults with anxiety disorders and PTSD, evidence supports a relatively safe profile for medical cannabis; however, conclusive scientific evidential support of its therapeutic properties is limited, resulting in a lack of standardization and Food and Drug Administration approval.
Comparable studies
Other narrative reviews on cannabis for anxiety, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Cannabidiol, a Cannabis sativa constituent, as an antipsychotic drug | 2006 | Review | |
| Mitigation of post‐traumatic stress symptoms by Cannabis resin: A review of the clinical and neurobiological evidence 19-year-old male patient with severe PTSD | 2012 | Review | |
| Partydrogen im Überblick Party drug users | 2026 | Review | |
| The Use of Illicit Drugs in Therapy: an Introduction | 2023 | Review | |
| Cannabis and psychosis: is there a role for Cannabidiol in the treatment of psychosis in young cannabis users? | 2020 | Literature review |
Citations in the library
Cites 4
- MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study. Nature Medicine June 1, 2021
- Medicinal cannabis for psychiatric disorders: a clinically-focused systematic review BMC Psychiatry January 16, 2020
- The short-term impact of 3 smoked cannabis preparations versus placebo on PTSD symptoms: A randomized cross-over clinical trial PLoS One March 17, 2021
- Cannabinoid treatments for anxiety: A systematic review and consideration of the impact of sleep disturbance. Neuroscience & Biobehavioral Reviews December 2022