Overall, preclinical evidence supports systemic CBD as an acute treatment of GAD, SAD, PD, OCD, and PTSD, and suggests that CBD has the advantage of not producing anxiogenic effects at higher dose, as distinct from other agents that enhance CB1R activation. In particular, results show potential for the treatment of multiple PTSD symptom domains, including reducing arousal and avoidance, preventing the long-term adverse effects of stress, as well as enhancing the extinction and blocking the reconsolidation of persistent fear memories.

I will say that it was pretty awkward trying to not swallow for 90 seconds – it’s a totally unnatural feeling, and you feel like you’re going to start drooling all over yourself. You’ll have to fight the instinct to swallow just a little bit, but it’s really not that bad (also, it says on the bottle that you can hold for 60 seconds instead of the full 90 if you want to). I did take a nice big swig of cold water after I swallowed the oil, though, just to get the slightly bitter-ish vanilla flavor out of my mouth (but again, the flavor really is not bad).
Figuring out how much CBD oil to take can feel like trying to navigate through a complicated maze. The sheer volume of CBD brands on the market can create confusion for consumers, and when you take a closer look, it’s not difficult to understand why. Not only do vendors use different source materials (CBD-rich cannabis vs. industrial hemp, different strains, etc.), but they also implement different extraction techniques .
Stephanie, generally, I have patients take 20 to 150mg a day for sleep +/- anxiety. Start low and go slow. Know the dosages of your product. Usually 2/3 to 3/4 of the daily dose is 1-2 hours before bedtime, and the other portion is upon waking (to improve wakefulness during the day). Other factors such as stress, hormone replacement, other meds & medical conditions, etc. play a role along with individual differences. I own a compounding pharmacy, so we see a lot of unique needs. I can't give more specific advice in this forum, but there is help!
In order to manage sleep disorders, we recommend ingesting full spectrum CBD oil daily in the form of Tinctures or Gel Capsules. The ingredients in the two products are the same, the only difference between the two is the form factor and dosage – pills vs. sublingual tinctures. The time at which you should ingest the CBD oil will vary based on your specific sleeping disorder. Meaning those with insomnia should ingest a few hours before bed and those with excessive daytime fatigue should consume when waking in the morning. 
As it turns out, healthy sleep-wake cycles are extremely dependent on our state of “alertness” during the day. If you are a victim of insomnia, for example, you (along with millions of other individuals) are likely drowsy, fatigued, and generally “out-of-sorts” during the afternoon. As you might imagine, this wreaks havoc on your sleep-wake cycle as it makes it nearly impossible to enter and maintain the non-REM sleep that you need at night.

The cannabinoids found in both CBD and THC oil mimic the endocannabinoids that our bodies naturally produce. Endocannabinoids are compounds that regulate vital functions such as internal stability, homeostasis, pain regulation, and immune system functioning. Whether they’re produced by the body or obtained from the cannabis plant, cannabinoids facilitate communication on a cellular level between cells to trigger various bodily processes. Therefore, a deficiency of cannabinoids can result in a system thrown out of balance, manifesting in unwanted symptoms and other health complications.
Hey Chris. Thanks for your inquiry. I completely understand why you would like to get off what you’re taking. I’d say a good place to start is with the serving size of the product you buy. A typical range for CBD is 10 – 20 mg of oral doses. CBD products are not very strain focused, so people typically just look at the mg of CBD when making a decision. Any other question, please free to ask away. Here to help 🙂
Relevant studies are summarized in Table ​Table3.3. In a SPECT study of resting cerebral blood flow (rCBF) in normal subjects, CBD reduced rCBF in left medial temporal areas, including the amygdala and hippocampus, as well as the hypothalamus and left posterior cingulate gyrus, but increased rCBF in the left parahippocampal gyrus. These rCBF changes were not correlated with anxiolytic effects [102]. In a SPECT study, by the same authors, in patients with SAD, CBD reduced rCBF in overlapping, but distinct, limbic and paralimbic areas; again, with no correlations to anxiolytic effects [104].
American veterans have been vocal in the discourse regarding medical marijuana. Scientists found that people with Post Traumatic Stress Disorder (PTSD) are deficient in endocannabinoids. They also found that CB1 receptors signal the deactivation of traumatic memories. PTSD is increasingly popping up on states’ lists of qualifying conditions for medical marijuana. In June 2017, Colorado added PTSD to its list making it the ninth and most recent qualifying condition. New York added PTSD to its tightly controlled program this year after pressure from veterans groups made its way to the governor. Those affected by PTSD often suffer from extreme anxiety, drastically impacting their life and ability to interact with others.
One of the most common reasons given by people who use cannabis daily is that they want to improve their sleep. Though, the study findings show occasional use doesn’t disrupt sleep, heavy use or daily use can be associated with sleep difficulties. The effect of daily use on sleep patterns seems to mimic that of alcohol use, in the sense that daily use worsens sleep while intermittent use improves sleep continuity. Neurologist and somnologist, Dr Hans Hamburger explains,
"We still don't fully understand all of the mechanisms involved in CBD's actions," says Marcel Bonn-Miller, Ph.D, who studies CBD and its effects, primarily on PTSD. "We know some pieces but definitely not the whole story at this point. A lot of our understanding of the many potential benefits of CBD is rooted in work either on the cellular level or in preclinical models with rodents."
In the United States, cannabidiol is a Schedule I drug under the Controlled Substances Act.[60] This means that production, distribution, and possession of CBD is illegal under federal law. In addition, in 2016 the Drug Enforcement Administration added "marijuana extracts" to the list of Schedule I drugs, which it defined as "an extract containing one or more cannabinoids that has been derived from any plant of the genus Cannabis, other than the separated resin (whether crude or purified) obtained from the plant."[61] Previously, CBD had simply been considered "marijuana", which is a Schedule I drug.[60][62]

Well, apart from day to day anxiety that most of us suffer with, anxiety is actually a very complex disorder, which can be at times extremely paralyzing and debilitating. According to recent data published by the National Institute of Mental Health, Anxiety disorders affect 19.1% of adults in the United States in any given year. Furthermore, it is estimate that 31.1% of American adults experience any anxiety disorder at some time in their lives.
In the past few years, just such a cure has seemingly presented itself. Amid the less common remedies that can be found on the internet—special diets, meditation, biofeedback, surgical implants—a new product has recently gained prominence: CBD oil (sometimes known simply as “hemp oil”), so named for its chief chemical compound, cannabidiol, which occurs naturally in cannabis plants. In online forums and news articles, CBD has been hailed as a new frontier in epilepsy treatment, with parents testifying that it managed to stop their children’s seizures when nothing else could.
CBD may help reduces REM behavior disorder in people with Parkinson’s disease. REM behavior disorder is a condition that causes people to act out physically during dreaming and REM sleep. Typically, during REM, the body is largely paralyzed, a state known as REM atonia. This immobilization keeps sleepers from reacting physically to their dreams. In REM behavior disorder, this paralysis doesn’t occur, leaving people free to move—which can lead to disruptive sleep and to injuring themselves or their sleeping partners. Cannabis may also work to reduce pain and improve sleep quality in people with Parkinson’s disease.
CBD is available in oils, or it can be added to creams, ointments and beauty products. It can also be used in a vape pen or even consumed through food like CBD gummies. Joel Greengrass, CEO of Theramu, a company that creates non-THC CBD oil, said he has observed a huge increase in interest and popularity of CBD for skin and wellness complaints, as well as for the treatment of a range of anxiety conditions.

CBD exerts several actions in the brain that explain why it could be effective in treating anxiety. Before we dive in, it’s important to note that most research describing how CBD works is preclinical and based on animal studies. As the saying goes, “mice are not men” — and, results from animal studies don’t always neatly transfer to human therapies. However, preclinical studies provide insights that move us in the right direction:

Selective Serotonin Reuptake Inhibitors (SSRIs) like Celexa, Lexapro, and Zoloft, are primarily prescribed to treat depression. They work by preventing serotonin from being absorbed by the brain, increasing its availability. SSRIs are popular antidepressants that can be used long-term and are commonly prescribed to those who suffer from anxiety as well.

People who smoke cannabis often smoke it to get high and for its calming qualities, using cannabis specifically cultivated for very high amounts of THC content. Strains such as skunk are bred to contain as much of the psychoactive compound as possible, with THC levels increasing dramatically over the last few decades due to the popularity of THC’s effects for recreational users.

Most acutely, the discomfort and stiffness I’d felt for months from a meniscus tear (confirmed by MRI) went away. The occasional twinges I had been getting on runs stopped. More significantly, what had been the tear’s near-constant presence in daily life, such as when getting up from sitting, has disappeared. For now I’ve postponed surgery on the tear. It’s impossible to know if CBD was the key factor in any of these changes. Still, at the end of the month I decided to keep taking CBD daily.

Since THC and Cannabis oils contain a higher percentage of THC, it still causes users euphoric and psychoactive reactions, similar to the feelings when people take marijuana recreationally. Besides the high that you experience, the oil delivers a long list of short-term effects, which are similarly present when you smoke or ingest marijuana. Each person’s reaction may vary in the symptoms it causes and their degree.
If he had his way, what Mechoulam regards as the often irresponsible silliness of recreational pot culture would give way to an earnest and enthusiastic embrace of cannabis—but only as a medical substance to be strictly regulated and relentlessly researched. “Right now,” he complains, “people don’t know what they’re getting. For it to work in the medical world, it has to be quantitative. If you can’t count it, it’s not science.”

A study published in 2008 indicated that CBD injections into the dorsolateral periaqueductal gray area of rats reduced anxiety via 5-HT1A receptor interaction.  Researchers noted that the 5-HT1A receptors were more involved than cannabinoid receptors (e.g. CB1) in reducing anxiety.  The study concluded that cannabidiol interacts directly with 5-HT1A receptors to yield an anxiolytic response.
Despite these limitations, this is the first controlled study to evaluate the effects of CBD on sleep architecture using polysomnography. Although the absence of interference with the sleep cycle is not sufficient for concluding that sleep is not affected, the results obtained contribute for the understanding of the effects of CBD in the modulation of sleep in humans.
Relevant studies in animal models are summarized in chronological order in Table ​Table1.1. CBD has been studied in a wide range of animal models of general anxiety, including the elevated plus maze (EPM), the Vogel-conflict test (VCT), and the elevated T maze (ETM). See Table ​Table11 for the anxiolytic effect specific to each paradigm. Initial studies of CBD in these models showed conflicting results: high (100 mg/kg) doses were ineffective, while low (10 mg/kg) doses were anxiolytic [59, 60]. When tested over a wide range of doses in further studies, the anxiolytic effects of CBD presented a bell-shaped dose–response curve, with anxiolytic effects observed at moderate but not higher doses [61, 90]. All further studies of acute systemic CBD without prior stress showed anxiolytic effects or no effect [62, 65], the latter study involving intracerebroventricular rather than the intraperitoneal route. No anxiogenic effects of acute systemic CBD dosing in models of general anxiety have yet been reported. As yet, few studies have examined chronic dosing effects of CBD in models of generalized anxiety. Campos et al. [66] showed that in rat, CBD treatment for 21 days attenuated inhibitory avoidance acquisition [83]. Long et al. [69] showed that, in mouse, CBD produced moderate anxiolytic effects in some paradigms, with no effects in others.
"CBD increases the circulating levels of your natural endocannabinoids, which, in turn, interact with your cannabinoid receptors," Bonn-Miller says. "CBD has also been shown to interact with serotonin receptors, and that may be part of why it has some beneficial effects on anxiety. It also interacts with some pain receptors, which may be why we're starting to see effects on pain and inflammation."
In 1992 Mechoulam’s quest for quantification led him from the plant itself to the inner recesses of the human brain. That year he and several colleagues made an extraordinary discovery. They isolated the chemical made by the human body that binds to the same receptor in the brain that THC does. Mechoulam named it anandamide—from the Sanskrit for “supreme joy.” (When asked why he didn’t give it a Hebrew name, he replies, “Because in Hebrew there are not so many words for happiness. Jews don’t like being happy.”)
While we don’t normally think of anxiety as desirable, it’s actually a critical adaptive response that can help us cope with threats to our (or a loved one’s) safety and welfare. These responses help us recognize and avert potential threats; they can also help motivate us to take action to better our situation (work harder, pay bills, improve relationships, etc.). However, when we don’t manage these natural responses effectively, they can become maladaptive and impact our work and relationships. This can lead to clinically diagnosable anxiety-related disorders. We’ve all heard the saying, “stress kills.” It’s true!
With that said, I'm definitely intrigued enough by the subtle effects to continue taking the oil and possibly even to up the dosage to the recommended two full droppers of the 30mL bottle per day for a week or so. Plus, I take comfort in knowing that it's an all-natural treatment for anxiety that's responsibly grown on family farms in Colorado. Something that's safe, legal, requires no prescription, and makes me less anxious, less scatterbrained, and more focused? I'm definitely on board.
Since THC and Cannabis oils contain a higher percentage of THC, it still causes users euphoric and psychoactive reactions, similar to the feelings when people take marijuana recreationally. Besides the high that you experience, the oil delivers a long list of short-term effects, which are similarly present when you smoke or ingest marijuana. Each person’s reaction may vary in the symptoms it causes and their degree.
Until 2017, products containing cannabidiol that are marketed for medical purposes were classed as medicines by the UK regulatory body, the Medicines and Healthcare products Regulatory Agency (MHRA) and could not be marketed without regulatory approval for the medical claims.[82] CBD oil with THC content not exceeding 0.2% was legalized throughout the UK in 2017.[citation needed] Cannabis oil, however, remained illegal to possess, buy and sell.[83]
Hi I've had rsd over 25 years now and in stage 3 I take cbd I'mor nong 6 weeks now and it's helped tons w my depression,sleep,constipation as well as energy. I take 2 drops under tounge every morning and Rick spson oil 3 xs day.It's bern beyond life changing for me look into the rs oil w the cbd. It works.. I still take 1 opiad a day have taken 2 a day only 3 times in almost 2 months when I was in bad flare ..

“By smoking weed, you suppress the REM sleep, and with that you also suppress a lot of important functions of that REM sleep. One of those functions is reliving the things you have experienced and coming to terms with them, as it were. Processing all kinds of psychological influences is something you do in REM sleep. You also anticipate the things that will happen the next day or the days after that. While you're sleeping, you already consider those and make decisions in advance."
On multiple occasions I’ve taken orally formatted CBD as a test to determine whether it would lower my anxiety.  The first occasion involved utilizing an extremely low dose which yielded a slightly noticeable psychological relaxation effect.  The second time I administered CBD, I ingested a substantially greater dosage than the first occasion, but was also stressed prior to taking it.
I have been riddled with anxiety and panic for 9 months now (no clue why)….. but then again, do any of us really know “why?” 🙄 Anyway, I went to the doctor and he put me on Zoloft. Holy Sh*t! Just awful! I weened myself off with the help of CBD oil. I too was scared to try it but the reality was I was scared either way (anxiety makes me scared!) LIFE CHANGING! So much so that my husband goes out of his was to buy me things that contain CBD (gummies, vapes, etc) I started on Prime my body hemp but it was very, very, expensive. I recently switched to PureKana mint and so far so good for half the price. My advice to anyone who is scared to try it, DO IT. I’m a natural born scaredy-cat! I tried it out of pure desperation and I’m so happy that I did! No high, no zoned out feeling, no floating, just a natural sense of relaxation. Brings your brain back down to reality. Good luck!
CBD’s potential usefulness in treating certain conditions is yet another argument in favor of legalizing the entire cannabis plant. Removing cannabis from the federal list of Schedule I narcotics that are illegal under the Controlled Substances Act would allow scientists to research its full medical potential and pharmaceutical companies in the United States to develop marijuana-based drugs and submit them for FDA approval. Government-regulated labs could test products like CBD oil to ensure safety and quality. Doctors could prescribe marijuana- based medicines with full knowledge of potential side effects and drug interactions, and without fear of losing their medical licenses or being thrown in jail.
A review published in 2017 in the journal Frontiers in Pharmacology described how CBD may work to protect the hippocampus — the part of the brain responsible for several important functions, such as learning, memory and navigation — during times of stress, and may also help prevent brain-cell destruction that results from schizophrenia. Another 2017 review published in the journal Annals of Palliative Medicine summarized a handful of studies that suggest cannabis oils containing THC or CBD, or both, may help with chronic pain management, but the mechanism is unclear.

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