A 2016 study evaluated the effects of CBD on a 10 year old girl with pediatric anxiety and post traumatic stress disorder. “Pharmaceutical medications provided partial relief, but results were not long-lasting, and there were major side effects. A trial of CBD oil resulted in a maintained decrease in anxiety and a steady improvement in the quality and quantity of the patient's sleep. CBD oil, an increasingly popular treatment of anxiety and sleep issues, has been documented as being an effective alternative to pharmaceutical medications. This case study provides clinical data that support the use of CBD oil as a safe treatment for reducing anxiety and improving sleep in a young girl with post traumatic stress disorder.”
@gailb, where did you purchase the CBD. I also have been curious about the product, but there are lots of sellers on Amazon, but I hate to purchase a supplement that I don't know anything about the seller. Most of them you can find some pretty good lists of sellers that have good reputations. If you could give a brand name that you used and liked, I would appreciate it. If that is something that needs to be a PM, that will be fine. Thank you, Gary
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.

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It should be noted that ipsapirone and CBD may attenuate anxiety similarly by altering 5-HT1A receptor signaling.  Perhaps a greater dose (than 400 mg) would’ve attenuated anxiety before, during, and after the simulated public speaking task.  Furthermore, although Valium is an effective anxiolytic, it is clearly not optimal for public speaking as it increases sedation which may impair cognition and/or speech delivery.
I was expecting CBD to work like a sleeping pill, in that it would put me to sleep almost instantly. It did not do that. And while it didn't seem to have any wild effects on how long it took me to get to sleep, the quality of my pre-sleep bedtime was way more relaxed than that of the week before, when I would lie awake thinking about deadlines, to-dos, and the way I really wish I had responded to that text. (Did I mention I'm Type A?) 

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@gailb, where did you purchase the CBD. I also have been curious about the product, but there are lots of sellers on Amazon, but I hate to purchase a supplement that I don't know anything about the seller. Most of them you can find some pretty good lists of sellers that have good reputations. If you could give a brand name that you used and liked, I would appreciate it. If that is something that needs to be a PM, that will be fine. Thank you, Gary


Withdrawal: It is unclear as to whether there are any withdrawal symptoms ensuing following discontinuation of chronic CBD oil administration. It is apparent that there are marijuana withdrawal symptoms – it took years for these to receive legitimate scientific attention in the literature.  Though most would speculate that CBD is unlikely to cause discontinuation effects, withdrawal symptoms cannot be ruled out among long-term, chronic users.
CBD inhibited escape responses in the ETM and increased DPAG escape electrical threshold [68], both proposed models of panic attacks [95]. These effects partially depended on 5-HT1AR activation but were not affected by CB1R blockade. CBD was also panicolytic in the predator–prey model, which assesses explosive escape and defensive immobility in response to a boa constrictor snake, also partially via 5-HT1AR activation; however, more consistent with an anxiogenic effect, CBD was also noted to decrease time spent outside the burrow and increase defensive attention (not shown in Table ​Table1)1) [75, 86] . Finally, CBD, partially via CB1Rs, decreased defensive immobility and explosive escape caused by bicuculline-induced neuronal activation in the superior colliculus [89]. Anticompulsive effects of CBD were investigated in marble-burying behavior, conceptualized to model OCD [96]. Acute systemic CBD reduced marble-burying behavior for up to 7 days, with no attenuation in effect up to high (120 mg/kg) doses, and effect shown to depend on CB1Rs but not 5-HT1ARs [71, 74, 88].
Former Denver Broncos quarterback Jake Plaummer takes a dose of cannabidiol in Colorado in 2016. CBD oil, often dispensed under the tongue with a dropper, has been regulated as a supplement in the U.S., not a medicine. So strength and purity may vary from brand to brand, or even bottle to bottle, scientists say. Aaron Ontiveroz/Denver Post via Getty Images hide caption
According to the National Eczema Association, “Cannabinoids represent an exciting prospect for the future of AD therapy. With measurable anti-itch, anti-pain, anti-microbial and anti-inflammatory properties, the effect of cannabinoids in patients with AD has already begun to be demonstrated.” (10) Cannabinoids can be found in both cannabis oil and CBD oil.
Just saw this now. I use the first one on this list. I’ve tried five different brands, some worked better than others. I have found that my sleep is also connected to the food I eat of a night time. So I’ve cut back on sugary, fatty foods. I take a few drops in the evening, always 2 hours before I go to sleep and try to relax. That’s what works for me. Hope it helps
A syrup is also absorbed sublingually, and I took Shunney's advice of swishing CBD Living's Sleep Aid ($26; cbdlivingwater.com) around my mouth for a minute before swallowing to promote absorption. One tablespoon contains 15mg of CBD plus 2mg of melatonin, and the cherry flavor tasted like Nyquil, which I kind of liked. Again, I could feel the effects of the CBD working through my system after about 40 minutes or so, but I didn't think I actually fell completely asleep any early than the other nights. (Related: Will Melatonin Really Help You Sleep Better?) 
Cost: For high quality, unadulterated CBD – you’re going to pay a hefty price. Assuming you don’t want a product with pesticides, herbicides, fertilizers, and/or other chemical additives, you’ll likely end up paying a significant amount for just a few doses.  Until scientists figure out a way to enhance CBD’s bioavailability, regular users of oral CBD may feel as if the supplement is too costly.  Fortunately, there are other ways to administer cannabidiol such as vaporizing the oil – which will likely save consumers money.

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The first time I decided to take BioCBD+ was on a whim.  I had just finished work and didn’t have much to do the rest of the day.  I had been reviewing the literature on cannabidiol and talked myself into trying an extremely low dose.  I popped one capsule of BioCBD+ at 10 mg and continued on with some household chores including: dishes, cleaning, and folding laundry.
Sample sizes: As was already mentioned, the sample sizes used to test the effects of CBD for anxiety were relatively small-scale. Although the results from these small-scale studies may be accurate, larger-scale trials (with larger sample sizes) are warranted to confirm preliminary outcomes.  A therapeutic effect found in just 10-20 patients may not hold up in a group of several hundred.
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]
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.
On the other hand, Hemp-based CBD is taken from 100% lawful industrial hemp plants that contain under 0.3% THC. On the off chance that you will be purchasing oils for anxiety from an online vendor, for instance, at that point, you will probably be obtaining an item that has been sourced from hemp, instead of marijuana. This is impeccably good. However, even though industrial hemp does not have the mind-altering THC compound, it is infinite with CBD. Hemp oil for anxiety can be similarly as powerful regarding therapeutic treatment as other marijuana-based oils for anxiety — that is, whether they have been separated and prepared appropriately.
Rather, it appeared as though CBD attenuated anxiety induced by THC via alternative mechanisms.  It was noted that various effects resulting from CBD appeared to be opposite of those associated with THC.  This study published in the early 1980s provided initial evidence that CBD (rather than THC) promotes relaxation and is capable of attenuating drug-induced anxiety.
Following cloning of the endogenous receptor for THC, namely the CB1R, endogenous CB1R ligands, or “endocannabinoids” (eCBs) were discovered, namely anandamide (AEA) and 2-arachidonoylglycerol (reviewed in [22]). The CB1R is an inhibitory Gi/o protein-coupled receptor that is mainly localized to nerve terminals, and is expressed on both γ-aminobutryic acid-ergic and glutamatergic neurons. eCBs are fatty acid derivatives that are synthesized on demand in response to neuronal depolarization and Ca2+ influx, via cleavage of membrane phospholipids. The primary mechanism by which eCBs regulate synaptic function is retrograde signaling, wherein eCBs produced by depolarization of the postsynaptic neuron activate presynaptic CB1Rs, leading to inhibition of neurotransmitter release [23]. The “eCB system” includes AEA and 2-arachidonoylglycerol; their respective degradative enzymes fatty acid amide hydroxylase (FAAH) and monoacylglycerol lipase; the CB1R and related CB2 receptor (the latter expressed mainly in the periphery); as well as several other receptors activated by eCBs, including the TRPV1 receptor, peroxisome proliferator-activated receptor-γ, and G protein-coupled 55 receptor, which functionally interact with CB1R signaling (reviewed in [21, 24]). Interactions with the TRPV1 receptor, in particular, appear to be critical in regulating the extent to which eCB release leads to inhibition or facilitation of presynaptic neurotransmitter release [25]. The TRPV1 receptor is a postsynaptic cation channel that underlies sensation of noxious heat in the periphery, with capsacin (hot chili) as an exogenous ligand. TRPV1 receptors are also expressed in the brain, including the amygdala, periaqueductal grey, hippocampus, and other areas [26, 27].
Various strains of "medical marijuana" are found to have a significant variation in the ratios of CBD-to-THC, and are known to contain other non-psychotropic cannabinoids.[58] Any psychoactive marijuana, regardless of its CBD content, is derived from the flower (or bud) of the genus Cannabis. Non-psychoactive hemp (also commonly-termed industrial hemp), regardless of its CBD content, is any part of the cannabis plant, whether growing or not, containing a ∆-9 tetrahydrocannabinol concentration of no more than three-tenths of one percent (0.3%) on a dry weight basis.[59] Certain standards are required for legal growing, cultivating and producing the hemp plant. The Colorado Industrial Hemp Program registers growers of industrial hemp and samples crops to verify that the THC concentration does not exceed 0.3% on a dry weight basis.[59]
Among the company’s many offerings is Real Scientific Hemp Oil, which it sells through its subsidiary HempMedsPx, also based in Poway. On its web site, HempMedsPx describes how its hemp “is grown in northern European microclimates, without the use of any pesticides, herbicides or chemical fertilizers.” The company promises that it “continuously scrutinizes and improves the processes to meet all regulations and exceeds quality standards.”
CBD Oil for Anxiety. Each of us has had reason to be scared in a certain situation before. This reaction to a particular situation is normal and natural. However, when fear takes over and can be triggered by seemingly harmless everyday situations, panic attacks, deep feeling of fear, sweating, one speaks of anxiety. Many are wondering what to do about it and can CBD help with anxiety?
“For those patients who have tried and failed with prescription anti-anxiety medications or want another option for other reasons, CBD is a potential alternative with a good safety profile that offers fewer negative side effects and fewer contraindications with other substances,” Pearson said. “While it won’t work for everyone, it offers a gentler alternative that I have seen work for many people.”

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:


All of this makes CBD remarkably difficult for even the most dedicated health care providers to manage safely. Dr. Kelly Knupp, an associate professor of pediatrics and neurology at the University of Colorado, and the director of the Dravet Syndrome program at Children’s Hospital Colorado, said families of epileptic children have tried to bring CBD oils to the hospital for testing. “They’re just concerned that they don’t know exactly who’s growing [the hemp],” Knupp said. “They know it’s not being regulated.” But because CBD is a Schedule I controlled substance, high-tech, regulated laboratories, like those at the University of Colorado, can’t accept, store, or test CBD oils, lest they risk prosecution. “There is no such lab that can take that product,” Knupp said, which leaves any testing up to the unregulated testing centers that cater to the cannabis industry.


Like Elixinol, CBD Essence has been around for quite a few years and they definitely know a thing or two about hemp oil. The owner Don has actually been around the pharmaceutical industry for some years, and therefore knows how to deliver a quality and effective product. All of their oils are created using CO2 extraction methods, which have been known to be safer and more effective than solvent-based extraction. They avoid CBD isolates, and they always disclose lab test results to ensure there are no heavy metals or contaminants in the oil.
In a study whose findings have not yet been published, he and a colleague, Daniel Friedman, found that patients receiving CBD in addition to their usual medicines had 39 percent fewer convulsive seizures than patients who remained on their normal drug regimen. Given that the study included only the most treatment-resistant patients, this is an “excellent response,” Devinsky says.
When exposed to air, warmth and light (especially without antioxidants), the oil loses its taste and psychoactivity due to aging. Cannabinoid carboxylic acids (THCA, CBDA, and maybe others) have an antibiotic effect on gram-positive bacteria such as (penicillin-resistant) Staphylococcus aureus, but gram-negative bacteria such as Escherichia coli are unaffected.[26]
However, I have always been extremely wary of using drugs to treat my condition – no matter how bad it is. I have seen therapists and medical doctors on several occasions for anxiety-related issues (including insomnia and panic attacks), and have been prescribed Xanax once, but I have never actually used a prescription medication to treat my condition. In fact, the one Xanax prescription that was prescribed for me, I never even got filled.
Stephanie Kahn, who with her husband, Jeffrey, runs the Takoma Wellness Center, a medical marijuana dispensary in Northwest Washington, says that about half of her 1,200 patients use CBD-rich products. Her dispensary offers several strains of high-CBD cannabis as well as CBD oil, with different ratios of CBD and THC, each of which she recommends for particular conditions. “We get questions about it every day,” she says. “A lot of our patients get relief with this, and a lot of times this works better than pharmaceutical drugs.”
Hi, I had ovarian cancer stage 2 and went to do chemotherapy for 16 times in 2014. It came back last year 2016 but I did not do chemotherapy or radiation therapy as suggested by the doctor. I am taking hormone therapy at the moment. I would like to use cannabis oil but which one and how much CBD and how much THC should I take for ovarian cancer? Can anyone give some idea?. Thank you very much.
“This is a really powerful compound,” says Mikhail Kogan, the medical director of the George Washington University Center for Integrative Medicine. “I’ve seen it work for a lot of my patients.” He prescribes high-CBD strains of cannabis regularly for such illnesses as epilepsy, post-traumatic stress disorder, anxiety, autoimmune disorders, autism and insomnia.
Anxiety disorders are the most common mental health concern in the United States. An estimated 30 percent of adults in the United States (that's 66 million people) and an estimated 25 percent of teenagers and preteens are affected by anxiety. As a functional medicine practitioner, I see many people who struggle with anxiety and panic attacks, and from these statistics, it should be no surprise. But just because something is common doesn't make it normal. Fortunately, new insights into the cause of anxiety may help with the development of more effective treatment options.
Hague joined Colorado’s green revolution nearly at the beginning. When the U.S. Justice Department announced in 2009 that it would not focus on prosecuting people who complied with state medical marijuana laws, he looked at his wife and said, “We’re moving to Denver.” Now he runs one of the world’s most prominent “grows,” where more than 20,000 cannabis plants thrive.
Dr. Will Cole, leading functional-medicine expert, consults people around the world via webcam at www.drwillcole.com and locally in Pittsburgh. He specializes in clinically investigating underlying factors of chronic disease and customizing health programs for thyroid issues, autoimmune conditions, hormonal dysfunctions, digestive disorders, and brain problems.Dr. Cole was named one of the top 50 functional-medicine and integrative doctors in the nation and is the author of Ketotarian in which he melds the powerful benefits of the ketogenic and plant-based diets.

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.

TRPV1 receptor: The TRPV1 (transient receptor potential cation channel subfamily V member 1) receptor is a “vanilloid receptor” associated mostly with the modulation of body temperature and nociception.  Cannabidiol is believed to act as a TRPV1 receptor agonist, thereby stimulating the receptor which may reduce sensations of pain and lower inflammation.  It is possible that the nociceptive effect associated with TRPV1 agonism also reduces anxiety.


Epidemiological studies of various neuropsychiatric disorders indicate that a higher CBD content in chronically consumed cannabis may protect against adverse effects of THC, including psychotic symptoms, drug cravings, memory loss, and hippocampal gray matter loss [115–118] (reviewed in [119]). As THC acutely induces anxiety, this pattern may also be evident for chronic anxiety symptoms. Two studies were identified, including an uncontrolled retrospective study in civilian patients with PTSD patients [120], and a case study in a patient with severe sexual abuse-related PTSD [121], which showed that chronic cannabis use significantly reduces PTSD symptoms; however, these studies did not include data on the THC:CBD ratio. Thus, overall, no outcome data are currently available regarding the chronic effects of CBD in the treatment of anxiety symptoms, nor do any data exist regarding the potential protective effects of CBD on anxiety potentially induced by chronic THC use.
The apparatus used for the polysomnography exams consisted of different devices including electroencephalogram with the international 10–20 system (to rule out the occurrence of epileptic seizures), electrooculogram, electromyogram of chin muscles and upper and lower limbs, nasal pressure cannula, oral thermistor, thoracic and abdominal respiratory inductive plethysmography straps, pulse oximetry, electrocardiogram, and snoring and body position sensors. Video and sound were also recorded during the exam.
No medication seemed to provide a great deal of relief for Harper’s symptoms. But in 2013, three years after their trip to Boston, Penny and Dustin caught an installment of CNN’s medical marijuana documentary and began researching what they could obtain in Texas, where medical marijuana is illegal. Their internet searches soon led them to HempMedsPx and Real Scientific Hemp Oil. The company sent Penny a vial of hemp oil, which she administered to Harper that September.
CBD Isolates/Concentrates: Anyone familiar with smoking hash or other cannabis concentrates like wax and BHO will be no stranger to this delivery method. Simply sprinkle some into a vaporizer or water pipe, ignite, inhale, and enjoy! We find that this option is useful for individuals looking to elevate their regular consumption of CBD-rich cannabis flowers or other smokable herbs.
McGuire doesn’t advise buying CBD products. You need to differentiate, he says, between the extremely high doses of pharmaceutical-grade pure CBD that participants in the handful of successful studies were given and the dietary supplements available over the counter or online. “These may contain quite small amounts of CBD that might not have large enough concentrations to have any effects,” he says. “It’s the difference between a nutraceutical and a pharmaceutical.” These supplements aren’t allowed to make claims of any effects. “If you’re making creams or sports drinks with CBD, you can say anything you like as long as you don’t say it will do such and such,” he says.

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Medical Disclaimer: Statements in any video or written content on this site have not been evaluated by the FDA. If you are pregnant, nursing, taking medications, or have a medical condition, consult your physician before using this product. Representations regarding the efficacy and safety of CBD oil have not been evaluated by the Food and Drug Administration. The FDA only evaluates foods and drugs, not supplements like these products. These products are not intended to diagnose, prevent, treat, or cure any disease. The material on this site is provided for informational purposes only and is not medical advice. Always consult your physician before beginning any supplement program.

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