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Several studies assessed CBD using contextual fear conditioning. Briefly, this paradigm involves pairing a neutral context, the conditioned stimulus (CS), with an aversive unconditioned stimulus (US), a mild foot shock. After repeated pairings, the subject learns that the CS predicts the US, and subsequent CS presentation elicits freezing and other physiological responses. Systemic administration of CBD prior to CS re-exposure reduced conditioned cardiovascular responses [63], an effect reproduced by microinjection of CBD into the BNST, and partially mediated by 5-HT1AR activation [79]. Similarly, CBD in the prelimbic cortex reduced conditioned freezing [70], an effect prevented by 5-HT1AR blockade [87]. By contrast, CBD microinjection in the infralimbic cortex enhanced conditioned freezing [70]. Finally, El Batsh et al. [80] reported that repeated CBD doses over 21 days, that is chronic as opposed to acute treatment, facilitated conditioned freezing. In this study, CBD was administered prior to conditioning rather than prior to re-exposure as in acute studies, thus further directly comparable studies are required.

Regardless of how CBD oil induces hippocampal neurogenesis, the growth of new brain cells may be enough to decrease anxiety.  A report published in 2015 documented that increasing adult neurogenesis (regardless of the modality) is sufficient enough to decrease anxiety.  Therefore, it could be that CBD is an effective anxiolytic predominantly through mechanisms implicated in neurogenesis.


The side effects and risks involved with consuming marijuana-based products aren't clear, either, Bonn-Miller said. It's important to "determine cannabinoids that are useful therapeutically while understanding and using cannabinoids that are associated with less risk," he said. At least with CBD, he said, it doesn't appear to have the potential for addiction. That's different from THC, which has been associated with addiction, he said, and negative side effects, including acute anxiety.
Currently, studies suggest that CBD attaches to the cannabinoid receptors, CB1 and CB2, within the body, which works to maintain homeostasis in the body. CB2 receptors were found in much higher amounts in the joints of arthritis sufferers and when CBD was introduced into the body, it was found to interact with these receptors, promoting analgesia in the affected area. It also suggested that it was unlikely that CBD users would build up an eventual resistance, and so could be used without gradual reuptake.
Certain individuals may be more prone to anxiety than others as a result of mu-opioid receptor expression and/or activation.  Research indicates that mu-opioid receptors participate in the modulation of anxiety based on the specific region of the brain in which they are stimulated.  What’s more, a report published in 2015 indicated that the neural circuitry associated with the DOR (delta opioid receptor) can induce OR inhibit anxiety.
I’m 48 and have been diagnosed with anxiety disorder, depression, ptsd and have had panic attacks that have lead me to the ER 3 or 4 times. My psychiatrist put me on wellbutrin and klonopin for the anxiety and depression… I’m taking very low dosages of each but from what I’ve read when you come off of the klonopin it has physical side effects. I’m wanting to come off of both and my psychiatrist doesn’t think good things about cannabis and says that it interferes with the GABA receptors in the brain. I’m trying to find a doctor than can explain to me face to face how CBD and THC work on the brain and what he/she would recommend I do to get off the big pharma train. I’m in Puerto Rico.
In 31 states and the District of Columbia cannabis is legal for some medical uses, and a majority of Americans favor legalization for recreational use. Other countries are rethinking their relationship to pot too. In Uruguay and Canada the drug is legal. Portugal has decriminalized it. Israel and the Netherlands have medical marijuana programs, and in recent years numerous countries have liberalized possession laws.
Do you have a medical marijuana card? I would suggest finding some indica edibles (they will have THC and maybe some CBD). Start with 7 to 10 mg’s of THC and slowly increase dosage on your next try if nothing happens. Whenever I have an indica strand edible, I sleep like a rock. Maybe even a separate dose of CBD could be beneficial to the THC edible. Everyone reacts different, so it’s best to start slow and gradually increase your dose until you find what works for you.
The exclusion criteria for the trial were: (i) presence of organic brain syndromes; (ii) use of psychoactive drugs, including nicotine; (iii) presence of general medical conditions, assessed by the patient’s report during the interview and/or through physical examination; (iv) presence of psychiatric disorders (assessed with the SCID-IV); (v) pregnancy; (vi) previous history of any sleep disorder (based on the Pittsburgh Sleep Quality Index - PSQI); and (vii) recent changes in sleep time (variation of more than 2 h in the last 7 days, measured through the sleep log). Thus, the volunteers were all non-smokers and had not taken any medications for at least 3 months before the study. Moreover, none of them had used marijuana more than five times in their lives (no use in the last year) and none had ever used any other illegal drug. All subjects gave their written consent to participate after being fully informed about the research procedures, which were approved by the Hospital das Clínicas de Ribeirão Preto of University of São Paulo ethics committee (HCRP No. 17912/2013).
Cannabidiol can be taken into the body in multiple different ways, including by inhalation of cannabis smoke or vapor, as an aerosol spray into the cheek, and by mouth. It may be supplied as an oil containing only CBD as the active ingredient (no added THC or terpenes), a full-plant CBD-dominant hemp extract oil, capsules, dried cannabis, or as a prescription liquid solution.[1][3]

Human trials are few and far between. The lone 2016 CBD and sleep-related study was restricted to a single adolescent suffering from PTSD and resulting insomnia. Although, the conclusions indicate the poor girl was sleeping better and on the road to recovery with a low sublingual spray dose of CBD. We must disclose that GW Pharmaceuticals founded the Cannabinoid Research Institute that carried out the research.
“I just felt good,” he adds. “But I wasn’t high at all.” Joliat’s anecdotal experience with CBD is a common one. Some informal polling suggests a lot of people today are at least vaguely familiar with cannabidiol, and have either used it themselves or know someone who has. But even some people who use it don’t seem to know exactly what it is or whether there’s any hard science out there to back up its benefits.

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