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  • by Nicola Boulton September 02, 2023 10 min read

    Discover the potential of CBD in managing anxiety. Explore its benefits, dosage recommendations, safety considerations, and real-life success stories in this in-depth article.

    Anxiety disorders affect millions of people worldwide, and finding effective treatments can be a challenging journey. In recent years, there has been growing interest in using CBD (cannabidiol) as a natural remedy for anxiety. This article aims to provide you with a comprehensive guide to understanding CBD's potential in alleviating anxiety, including its benefits, dosage recommendations, safety considerations, and real-life success stories.

    Understanding Anxiety

    Before delving into CBD's potential for anxiety relief, it's crucial to understand what anxiety is and how it can affect individuals. Anxiety is a common emotional response to stress, but when it becomes chronic and overwhelming, it can be classified as an anxiety disorder. Common types of anxiety disorders include generalized anxiety disorder (GAD), social anxiety disorder, panic disorder, and specific phobias.

    Generalized Anxiety Disorder (GAD)

    GAD is characterized by excessive, uncontrollable worry and anxiety about various aspects of life, such as work, relationships, and health. People with GAD often experience physical symptoms like restlessness, muscle tension, and difficulty concentrating.

    Social Anxiety Disorder (SAD) or Social Phobia

    According to Caouette et al (2014), SAD involves an intense fear of social situations and performance-based interactions. People with SAD may avoid social gatherings, public speaking, or any situation where they feel they are being judged or scrutinized. This can severely impact their daily lives.

    Panic Disorder

    Panic disorder is characterized by recurring and unexpected panic attacks. These attacks involve sudden and intense feelings of fear, accompanied by physical symptoms like a racing heart, sweating, trembling, and a sense of impending doom.

    Specific Phobias

    Specific phobias involve intense and irrational fears of particular objects or situations, such as heights, spiders, flying, or enclosed spaces. These fears can lead to avoidance behavior.

    Obsessive-Compulsive Disorder (OCD)

    OCD is characterized by obsessive, intrusive thoughts and compulsive behaviors or rituals performed to alleviate anxiety caused by these thoughts. It can significantly disrupt daily life.

    Post-Traumatic Stress Disorder (PTSD)

    According to Bisson et al (2015), PTSD occurs following exposure to a traumatic event, such as combat, sexual assault, or a natural disaster. Symptoms include intrusive thoughts, nightmares, flashbacks, hypervigilance, and emotional numbness.

    Separation Anxiety Disorder (SAD)

    SAD is often associated with children but can also affect adults. It involves excessive anxiety when separated from a caregiver or loved one, leading to avoidance of separation or significant distress when separated.

    Agoraphobia

    Agoraphobia involves fear and avoidance of places or situations where escape might be difficult or where help might not be available in case of a panic attack or other anxiety symptoms.

    What is CBD?

    According to Amin et al (2019), CBD, short for cannabidiol, is a natural compound found in the cannabis plant. Unlike its counterpart, THC (tetrahydrocannabinol), CBD does not produce psychoactive effects or the sensation of being "high." Instead, it interacts with the endocannabinoid system in the body, which plays a role in regulating various bodily functions, including mood, sleep, and stress response.

    The Potential Benefits of CBD for Anxiety

    Reducing Anxiety Symptoms

    Several studies suggest that CBD may help reduce anxiety symptoms by interacting with receptors in the brain that regulate fear and anxiety-related behaviors.

    Improving Sleep

    Anxiety often leads to sleep disturbances. CBD may promote better sleep quality by alleviating anxiety and reducing symptoms of insomnia.

    Enhancing Serotonin Levels

    Pelz et al (2017) established that CBD binds to serotonin receptors, which can promote feelings of well-being and happiness. Low serotonin levels are often associated with anxiety and depression.

    Anti-Inflammatory Effects

    Chronic inflammation has been linked to various mental health conditions, including anxiety. CBD's anti-inflammatory properties may contribute to anxiety relief.

    Minimal Side Effects

    Unlike many traditional anxiety medications, CBD is generally well-tolerated and has fewer side effects.

    CBD Products

    CBD Oil/Tinctures

    CBD oil is one of the most common and versatile forms of CBD. It consists of CBD extract mixed with a carrier oil, such as MCT oil or hemp seed oil. Tinctures come with a dropper, making it easy to control dosage.

    Benefits

    Precise dosing with the dropper.

    Rapid absorption when placed under the tongue.

    Can be easily incorporated into food or beverages.

    Considerations

    Some people find the taste of raw CBD oil earthy or bitter.

    Requires sublingual absorption, which may not suit everyone's preference.

    CBD Capsules

    CBD capsules are pre-measured, making them a convenient option. They offer a consistent dosage and are easy to incorporate into daily routines.

    Benefits

    Precise dosing with each capsule.

    No taste or odor.

    Easy to transport and discreet.

    Considerations

    Slower onset of effects compared to tinctures or vaping due to digestion.

    CBD Edibles

    CBD-infused edibles include gummies, chocolates, beverages, and more. They provide a tasty way to consume CBD, but dosing may be less precise than with other forms.

    Benefits

    Discreet and convenient.

    Variety of flavors and options available.

    Longer-lasting effects due to slower digestion.

    Considerations

    Dosage can vary between products, so pay attention to label instructions.

    Effects may take longer to kick in compared to tinctures.

    CBD Topicals

    CBD-infused topicals include creams, balms, and salves designed to be applied directly to the skin. They are primarily used for localized relief from pain, inflammation, or skin conditions.

    Benefits

    Targeted relief for specific areas.

    No systemic absorption, so no risk of psychoactive effects.

    Considerations

    Limited efficacy for generalized anxiety as CBD doesn't enter the bloodstream when applied topically.

    CBD Vaping Products

    Vaping CBD involves inhaling vaporized CBD oil using a vape pen or vaporizer device. It offers rapid onset of effects but may not be suitable for everyone.

    Benefits

    Fast-acting, with effects felt within minutes.

    Precise control over dosage.

    Considerations

    Potential health risks associated with vaping.

    Not recommended for individuals with respiratory issues or concerns about lung health.

    Full-Spectrum vs. Broad-Spectrum vs. Isolate

    CBD products can be categorized into three main types based on their cannabinoid content:

    Full-spectrum has all cannabinoids, including a small amount of THC (usually less than 0.3%).Broad-spectrum ontains multiple cannabinoids but no THC while CBD isolate products have only pure CBD with no other cannabinoids.

    Benefits

    Full-spectrum products offer the entourage effect, where multiple cannabinoids work synergistically.

    Broad-spectrum provides a similar effect without THC.

    Considerations

    Some individuals may prefer isolate or broad-spectrum if they want to avoid even trace amounts of THC.

    Dosage Recommendations

    Determining the right CBD dosage for anxiety can be challenging, as it varies from person to person. Factors such as body weight, metabolism, and the severity of anxiety symptoms play a role in dosage considerations. It's advisable to start with a low dose and gradually increase it until you find the optimal level of relief. Consulting with a healthcare professional experienced in CBD use can also be beneficial.

    Safety Considerations

    While CBD is generally considered safe, there are some important safety considerations to keep in mind:

    Interaction with Medications

    CBD may interact with certain medications, so it's crucial to consult with a healthcare provider if you are taking other drugs.

    Quality Matters

    Ensure you purchase high-quality CBD products from reputable sources to avoid potential contaminants and ensure accurate labeling.

    Side Effects

    Although rare, some people may experience side effects such as dry mouth, dizziness, or changes in appetite. If you experience any adverse effects, consult your healthcare provider.

    Legal Status

    Check the legal status of CBD in your region, as regulations vary worldwide.

    Real-Life Success Stories

    Many individuals have shared their success stories of using CBD for anxiety relief. These anecdotal accounts can provide valuable insights and inspiration for those considering CBD as a potential treatment.

    Comparing CBD to Other Treatments

    Comparing CBD to other treatments for anxiety gives you valuable insights into the strengths and weaknesses of various approaches. As a result, you will make informed decisions about whether CBD is a suitable option for their specific needs. Here's a breakdown of how CBD compares to traditional anxiety treatments:

    Pharmaceutical Medications (e.g., Benzodiazepines and SSRIs)

    CBD

    Pros

    Generally considered safe with fewer side effects compared to some pharmaceuticals.

    May offer a more natural alternative.

    Less risk of dependency or withdrawal symptoms.

    Cons

    Effects may be subtler and take longer to manifest compared to pharmaceuticals.

    CBD may not be as effective for severe or acute anxiety episodes.

    Pharmaceutical Medications

    Pros

    Can provide rapid relief for severe anxiety.

    May be covered by insurance.

    Extensive clinical research supports their effectiveness.

    Cons

    Often associated with side effects like drowsiness, sexual dysfunction, and weight gain.

    Risk of dependency and withdrawal symptoms with some medications.

    Not suitable for long-term use in some cases due to side effects or potential tolerance.

    Psychotherapy (e.g., Cognitive-Behavioral Therapy or CBT)

    CBD

    Pros

    Can be used in conjunction with psychotherapy to enhance the therapeutic effects.

    May provide additional relief from physical symptoms of anxiety.

    Cons

    Not a substitute for therapy; it should complement other treatments.

    Effects can vary from person to person.

    Psychotherapy

    Pros

    Addresses the root causes of anxiety and equips individuals with coping strategies.

    Long-lasting benefits, as it aims to change thought and behavior patterns.

    No side effects.

    Cons

    Requires time, effort, and consistent attendance.

    May not provide immediate relief during acute anxiety episodes.

    Lifestyle Changes and Self-Care

    CBD

    Pros

    Can be easily incorporated into a self-care routine.

    May provide relief from anxiety symptoms without significant lifestyle changes.

    Cons

    Should be part of a holistic approach to anxiety management.

    Lifestyle Changes and Self-Care

    Pros

    Promotes overall well-being.

    Addresses the root causes of anxiety, such as stress and poor sleep.

    Cons

    Requires commitment and consistency.

    May not be sufficient as a standalone treatment for severe anxiety disorders.

    Exercise and Diet Modifications

    CBD

    Pros

    Can complement a healthy lifestyle focused on exercise and nutrition.

    Cons

    Should not be relied upon as a sole solution for anxiety management.

    Exercise and Diet Modifications

    Pros

    Promotes physical and mental health.

    Can reduce anxiety symptoms and improve overall mood.

    Cons

    May require significant lifestyle changes for noticeable effects.

    Not an immediate solution for acute anxiety episodes.

    Mindfulness and Meditation

    CBD

    Pros

    Can be used alongside mindfulness and meditation practices.

    Cons

    Not a substitute for mindfulness techniques.

    Mindfulness and Meditation

    Pros

    Proven to reduce symptoms of anxiety and stress.

    Can be learned and practiced without external substances.

    Cons

    Requires consistent practice for noticeable benefits.

    May not provide immediate relief during acute anxiety episodes.

    Legality of CBD

    Federal vs. State Laws

    In many countries, including the United States, CBD legality can be complex due to the interplay between federal and state laws. At the federal level, CBD derived from industrial hemp with less than 0.3% THC content is typically legal. However, individual states may have different regulations.

    Key Points

    Federal legality is determined by the 2018 Farm Bill in the United States.

    Some states have stricter regulations on CBD, while others may allow broader use.

    International Variability

    CBD's legal status can vary significantly between countries. Some countries have embraced CBD, allowing its sale and use, while others have strict regulations or even outright bans.

    Key Points

    Research and understand the legal status of CBD in your specific country or region.

    Traveling with CBD internationally can be complicated due to varying regulations.

    THC Content Limits

    Many regions set a THC content limit for CBD products to distinguish them from marijuana. For example, in the United States, CBD products must contain less than 0.3% THC to be classified as hemp-derived and legal.

    Key Points

    Be aware of THC content in CBD products; products with higher THC levels may be subject to different regulations.

    Full-spectrum CBD products contain trace amounts of THC, but they are generally legal as long as they stay below the THC limit.

    Regulation and Quality Control

    Legal CBD products are often subject to quality control measures and regulations to ensure they are safe and accurately labeled. Reputable CBD companies adhere to these regulations.

    Key Points

    Look for third-party lab testing results to verify the quality and potency of CBD products.

    Avoid products from unregulated sources, as they may not meet safety standards.

    Prescription vs. Over-the-Counter (OTC)

    Some regions may classify CBD differently based on its intended use. For example, in certain places, CBD may be available over-the-counter as a wellness product, while in others, it may require a prescription for medical use.

    Key Points

    Understand whether CBD products in your region are available OTC or require a prescription.

    Consult a healthcare professional for guidance on using prescription CBD products.

    Changes in Legislation

    CBD's legal status can change over time as laws evolve and adapt to new research and societal attitudes. Stay informed about any legislative changes in your region.

    Key Points

    Be aware that CBD laws may change, potentially affecting the availability and legality of CBD products.

    Personal Responsibility

    Even if CBD is legal in your region, it's essential to use it responsibly and in accordance with local laws. Ensure you are following all regulations and guidelines.

    Key Points

    Check the legality of CBD in your area before purchasing or using any products.

    Be a responsible consumer and adhere to local laws and regulations.

    Conclusion

    CBD's potential for anxiety relief is an exciting area of research and personal exploration. While it may not be a one-size-fits-all solution, many people have found relief from anxiety symptoms through the use of CBD. If you are considering incorporating CBD into your anxiety management strategy, it's essential to consult with a healthcare professional, start with a low dose, and monitor its effects carefully. By doing so, you can make an informed decision about whether CBD is a suitable option for your anxiety-related concerns.

    References

    Amin, M. R., & Ali, D. W. (2019). Pharmacology of medical cannabis. Recent advances in cannabinoid physiology and pathology, 151-165.Top of Form

    Bisson, J. I., Cosgrove, S., Lewis, C., & Roberts, N. P. (2015). Post-traumatic stress disorder. Bmj351.

    Caouette, J. D., &Guyer, A. E. (2014). Gaining insight into adolescent vulnerability for social anxiety from developmental cognitive neuroscience. Developmental cognitive neuroscience8, 65-76.

    Pelz, M. C., Schoolcraft, K. D., Larson, C., Spring, M. G., &López, H. H. (2017). Assessing the role of serotonergic receptors in cannabidiol's anticonvulsant efficacy. Epilepsy & Behavior73, 111-118.

    What is CBD?

    CBD, or cannabidiol, is a natural compound found in cannabis plants, known for its potential therapeutic effects, including for anxiety.

    How does CBD help with anxiety?

    CBD is believed to interact with serotonin receptors in the brain, which can help regulate mood and reduce feelings of anxiety and stress.

    Is CBD legal for treating anxiety in the UK?

    CBD is legal in the UK as long as it contains less than 0.2% THC and is sold as a food supplement without medical claims. It can be used for anxiety management.

    What forms of CBD are available for anxiety?

    CBD for anxiety is available in various forms, such as oils, capsules, edibles, and vapes, offering flexibility in how it can be consumed.

    How do I use CBD for anxiety?

    CBD for anxiety can be used by taking it orally (oils, capsules, edibles) or by inhalation (vaping), depending on personal preference and the desired onset of effects.

    Are there any side effects of using CBD for anxiety?

    While CBD is generally well-tolerated, some users may experience side effects such as dry mouth, drowsiness, changes in appetite, or diarrhoea.

    How long does it take for CBD to work for anxiety?

    The time it takes for CBD to alleviate anxiety symptoms can vary among individuals and depends on factors like dosage, method of consumption, and personal response.

    Can I use CBD alongside other anxiety medications?

    Consult your doctor before combining CBD with other anxiety medications to ensure safety and avoid potential interactions that may affect effectiveness.

    What is the recommended dosage of CBD for anxiety?

    There is no standard dosage for CBD for anxiety as it varies based on individual factors. It's recommended to start with a low dose and adjust gradually based on your response.

    Is there scientific evidence supporting CBD's effectiveness for anxiety?

    Some studies suggest that CBD may help reduce anxiety symptoms, but more research is needed to fully understand its potential benefits and long-term effects.

    Nicola Boulton
    Nicola Boulton


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