{"id":5517,"date":"2021-07-27T17:34:43","date_gmt":"2021-07-27T21:34:43","guid":{"rendered":"https:\/\/www.santecannabis.ca\/?p=5517"},"modified":"2023-01-23T13:32:01","modified_gmt":"2023-01-23T17:32:01","slug":"anxiety-and-cannabinoid-based-treatments","status":"publish","type":"post","link":"https:\/\/www.santecannabis.ca\/en\/anxiety-and-cannabinoid-based-treatments\/","title":{"rendered":"Anxiety and Cannabinoid-based treatments"},"content":{"rendered":"<h2><span style=\"font-weight: 400;\"><span style=\"color: #636466;\">ANXIETY AND THE PANDEMIC<\/span><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">It would be difficult to deny the impact of the COVID-19 pandemic on anxiety and anxiety disorders in the population. Whether there are new anxiety symptoms or an exacerbation of existing ones, most of us know people who have been affected, if not ourselves.\u00a0<\/span><\/p>\n<p><strong>Reasons for increased anxiety in 2020\/2021?\u00a0<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Social isolation, monetary stress, sudden major changes, uncertainty about the future, sensation of losing control, fear of illness, etc. Some people have been in extremely close contact with COVID-19: people who have been infected, people who have lost loved ones or who have feared losing them, essential workers and, of course, healthcare professionals in many areas.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to a <\/span><a href=\"https:\/\/www.canada.ca\/en\/public-health\/services\/publications\/diseases-conditions\/symptoms-anxiety-depression-covid-19-pandemic.html\"><span style=\"font-weight: 400;\">\u00a0survey<\/span><\/a><span style=\"font-weight: 400;\"> by <\/span><a href=\"https:\/\/www.canada.ca\/en\/public-health\/services\/publications\/diseases-conditions\/symptoms-anxiety-depression-covid-19-pandemic.html\"><span style=\"font-weight: 400;\">Statistics Canada <\/span><span style=\"font-weight: 400;\">and <\/span><\/a><span style=\"font-weight: 400;\">the Public Health Agency of Canada conducted between September and December 2020 and published in March 2021, 7 out of 10 Canadians have been negatively affected by the pandemic and 2 out of 5 have experienced distress related to it.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A survey was also conducted by the University of Sherbrooke on the psychosocial impacts of the pandemic:\u00a0<\/span><\/p>\n<p><em><span style=\"font-weight: 400;\">&#8220;What we see today is that levels of depression and anxiety in Quebec are currently considerably higher than what was observed pre-pandemic. These numbers are similar to the levels observed in the community of Fort McMurray, 6 months after the 2016 forest fires&#8221; <\/span><\/em><span style=\"font-weight: 400;\">(<\/span><a href=\"https:\/\/www.usherbrooke.ca\/actualites\/nouvelles\/sante\/sante-details\/article\/43540\/\"><span style=\"font-weight: 400;\">Dr M\u00e9lissa G\u00e9n\u00e9reux, septembre 2020<\/span><\/a><span style=\"font-weight: 400;\"> &#8211; Link available in french)<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-5524\" src=\"\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety.jpg\" alt=\"Woman holding her chest as she's experiencing anxiety\" width=\"1000\" height=\"500\" srcset=\"https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety.jpg 1000w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety-300x150.jpg 300w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety-768x384.jpg 768w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety-479x240.jpg 479w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety-767x384.jpg 767w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety-570x285.jpg 570w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety-600x300.jpg 600w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<h2><span style=\"font-weight: 400;\"><span style=\"color: #636466;\">WHAT IS ANXIETY?<\/span><\/span><\/h2>\n<p><a href=\"https:\/\/www.apa.org\/topics\/anxiety\"><span style=\"font-weight: 400;\">Anxiety<\/span><\/a><span style=\"font-weight: 400;\"> is an emotion characterized by feelings of tension, worry and physical changes such as increased blood pressure.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Although this emotion can be useful to us, it sometimes takes on magnitudes that have a negative impact on our ability to function, our quality of life and on our interpersonal relationships. It can even have a significant impact on our long-term health. The effects that anxiety and anxiety disorders can have on a person are real, undeniable and deserve our attention.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to <\/span><a href=\"https:\/\/www.anxietycanada.com\/learn-about-anxiety\/anxiety-in-adults\/\"><span style=\"font-weight: 400;\">Anxiety Canada<\/span><\/a><span style=\"font-weight: 400;\">, there are 11 categories of anxiety disorders in adults: Agoraphobia, Separation Anxiety, Health Anxiety, Body-Centred Repetitive Behaviours, Specific Phobia, Generalized Anxiety Disorder, Compulsive Hoarding Disorder, Social Anxiety Disorder, Post-Traumatic Stress Disorder, Obsessive Compulsive Disorder and Panic Disorder.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to considering the impact of anxiety on a person, specialists also evaluate <\/span><a href=\"https:\/\/www.anxietycanada.com\/learn-about-anxiety\/anxiety-in-adults\/\"><span style=\"font-weight: 400;\">4 broad categories of symptoms<\/span><\/a><span style=\"font-weight: 400;\"> and their frequency:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Physical responses<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thoughts<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Emotions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Behaviors<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you think you may be suffering from anxiety, an anxiety disorder or any other psychological condition, it is important to talk to your doctor. You can also refer to several resources such as those offered by the Government of Canada on their <\/span><a href=\"https:\/\/www.canada.ca\/en\/public-health\/services\/diseases\/2019-novel-coronavirus-infection\/mental-health.html\"><span style=\"font-weight: 400;\">website<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><span style=\"font-weight: 400;\"><span style=\"color: #636466;\">TREATMENTS AVAILABLE AT THIS TIME<\/span><\/span><\/h2>\n<ul>\n<li><a href=\"https:\/\/www.canada.ca\/en\/health-canada\/services\/healthy-living\/your-health\/diseases\/mental-health-anxiety-disorders.html\"><span style=\"font-weight: 400;\">Pharmaceutical Treatments<\/span><\/a><span style=\"font-weight: 400;\">: The main pharmaceutical treatments for anxiety are usually antidepressants. <\/span><a href=\"https:\/\/www.camh.ca\/en\/health-info\/mental-illness-and-addiction-index\/anti-anxiety-medications-benzodiazepines\"><span style=\"font-weight: 400;\">Benzodiazepines<\/span><\/a><span style=\"font-weight: 400;\"> may also be prescribed for acute symptoms and\/or until the therapeutic effects of the antidepressant are achieved, as antidepressants can take several weeks to have an impact on mood-related symptoms.<\/span><\/li>\n<li><a href=\"https:\/\/www.canada.ca\/en\/health-canada\/services\/healthy-living\/your-health\/diseases\/mental-health-anxiety-disorders.html\"><span style=\"font-weight: 400;\">Psychotherapy<\/span><\/a><span style=\"font-weight: 400;\">: Several approaches in psychology are recommended for the management of anxiety, such as cognitive-behavioral therapy and psychodynamic therapy, and can be of great help.\u00a0<\/span><\/li>\n<li><a href=\"https:\/\/www.anxietycanada.com\/articles\/being-active\/\"><span style=\"font-weight: 400;\">Exercise<\/span><\/a><span style=\"font-weight: 400;\">: Experts agree that exercise has great benefits on anxiety. This is because physical activity activates the production of neurotransmitters in the brain. These neurotransmitters include those targeted by many antidepressants such as serotonin, which helps combat anxiety.<\/span><\/li>\n<li><a href=\"https:\/\/www.anxietycanada.com\/articles\/mindfulness-exercises\/\"><span style=\"font-weight: 400;\">Mindfulness techniques<\/span><\/a><span style=\"font-weight: 400;\">: Often associated with meditation, mindfulness is an approach, an attitude as well as a set of techniques including meditation. Many of these techniques can also be practiced in everyday life, for example, while eating, walking or exercising. These techniques allow you to better understand and identify what triggers anxiety. They allow you to take a step back from these stressors and make it easier to manage them. Moreover, as this approach can be very beneficial both mentally and physically, we have recently partnered with MindSpace to offer opportunities for our patients to practice mindfulness techniques. If you are interested, you can join the <\/span><a href=\"https:\/\/www.mindspacewellbeing.com\/program\/mindfulness-based-stress-reduction-with-sante-cannabis\/\"><span style=\"font-weight: 400;\">mindfulness-based stress reduction program<\/span><\/a><span style=\"font-weight: 400;\"> this coming fall. Our patients are eligible to 20% off. You can ask our clinic staff for the promo code!<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Cannabinoids: The endocannabinoid system present in our body also plays a role in the mechanisms related to anxiety. This is why they are also used as an adjunctive therapy for anxiety symptoms.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">A treatment that combines several options (e.g., pharmaceutical treatment and psychological therapy) is far more effective than each treatment option alone.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-5520\" src=\"\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Exercise.jpg\" alt=\"Person practicing yoga to help with Anxiety\" width=\"1000\" height=\"500\" srcset=\"https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Exercise.jpg 1000w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Exercise-300x150.jpg 300w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Exercise-768x384.jpg 768w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Exercise-479x240.jpg 479w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Exercise-767x384.jpg 767w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Exercise-570x285.jpg 570w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Exercise-600x300.jpg 600w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<h2><span style=\"font-weight: 400;\"><span style=\"color: #636466;\">CANNABINOID-BASED TREATMENTS FOR ANXIETY<\/span><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The human body has an endocannabinoid system that manages many functions, including emotional behavior. This system includes cannabinoids and enzymes produced by this system that bind to various receptors. Cannabis is a plant that includes more than 100 cannabinoids, the main ones being cannabidiol (CBD) and delta-9 tetrahydrocannabinol (THC). We also know that CBD interacts with many receptors\/anxiety targets. Indeed, strong preclinical evidence supports the use of CBD as a short-term treatment for generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, and post-traumatic disorder (<\/span><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s13311-015-0387-1?handl_url=https:\/\/successtms.com\/blog\/cbd-oil-for-anxiety-depression&amp;error=cookies_not_supported&amp;code=f6f2d115-2513-43b8-993e-fc05b5f1adad\"><span style=\"font-weight: 400;\">Blessing et al., 2015<\/span><\/a><span style=\"font-weight: 400;\">). The promising effects demonstrated by CBD in the preclinical phase &#8211; certainly influencing the \u201cCBD craze\u201d &#8211; highlight the critical need for more clinical studies. We recently published an article on this craze, and you can read it <\/span><a href=\"https:\/\/jcannabisresearch.biomedcentral.com\/articles\/10.1186\/s42238-021-00078-w\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, it is important to note that, for now, only limited evidence supports the use of medical cannabis for anxiety disorders (<\/span><a href=\"https:\/\/www.semanticscholar.org\/paper\/Medical-cannabis-and-mental-health%3A-A-guided-Walsh-Gonzalez\/4cdb89c36192d9653eca6ec5eaff0955415cf165\"><span style=\"font-weight: 400;\">Walsh et al., 2015<\/span><\/a><span style=\"font-weight: 400;\">).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nevertheless, Sant\u00e9 Cannabis has observed some success with medical cannabis for the treatment of anxiety. In addition, in reviewing our patient data, we have also seen positive results with medical cannabis in patients with unrelieved secondary symptoms of anxiety or depression (chronic pain being the most common primary condition) <\/span><span style=\"font-weight: 400;\">(<\/span><a href=\"https:\/\/jcannabisresearch.biomedcentral.com\/articles\/10.1186\/s42238-021-00078-w\"><span style=\"font-weight: 400;\">Rapin et al., 2021<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><span style=\"font-weight: 400;\">.\u00a0\u00a0<\/span><\/p>\n<h2><span style=\"color: #636466;\">The place of medical cannabis in the treatment of anxiety<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">On May 5th 2021, Sant\u00e9 Cannabis held a large-scale <\/span><a href=\"https:\/\/www.santecannabis.ca\/en\/ccm_2021\/\"><span style=\"font-weight: 400;\">Conference on Cannabinoid-Based medicine focused on International Research and Innovation<\/span><\/a><span style=\"font-weight: 400;\">. As part of this event, Dr. Howard Mitnick presented a workshop exploring the question regarding the place of medical cannabis in the treatment of anxiety and managed to make this interactive workshop both amusing and incredibly insightful. He delivered powerful arguments starting with stating that cannabis isn\u2019t the only field where evidence-based medicine and it\u2019s usual hierarchy is a challenge. Obstetric and breast-feeding medicine are examples among others and for various reasons. In his clinical practice, particularly in 2016, when many veterans were coming back from Afghanistan, Dr. Mitnick said he was impressed by the very significant impact cannabis had on patients that were struggling with PTSD-related anxiety, grasping at anything to just stop their brain. He humorously pointed out that \u201cif this talk was about what evidence there is supporting the use of medical cannabis on anxiety, it would be a very short talk.\u201d The question then becomes,\u00a0 how can we, as clinicians and as a community, negotiate with this limited evidence, while clinicians see that medical cannabis helps many patients effectively manage their anxiety?<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-5522\" src=\"\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Patient_Support.jpg\" alt=\"A group of patients in a support group at Sant\u00e9 Cannabis\" width=\"1000\" height=\"500\" srcset=\"https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Patient_Support.jpg 1000w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Patient_Support-300x150.jpg 300w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Patient_Support-768x384.jpg 768w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Patient_Support-479x240.jpg 479w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Patient_Support-767x384.jpg 767w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Patient_Support-570x285.jpg 570w, https:\/\/www.santecannabis.ca\/wp-content\/uploads\/2021\/07\/Blog_Anxiety_Patient_Support-600x300.jpg 600w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<h2><span style=\"color: #636466;\"><b>ANXIETY AT SANT\u00c9 CANNABIS<\/b><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As clinicians, we have seen first hand the improvement many patients are able to experience with medical cannabis treatment. However, we know that individual success stories are not enough to provide insight into how to prescribe this medicine on a large scale. Through the use of our real-world data, our clinic strives to provide better patient care by advancing science including data regarding the place of cannabis in the treatment of anxiety.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We also offer <\/span><a href=\"https:\/\/www.santecannabis.ca\/en\/new-patients\/\"><span style=\"font-weight: 400;\">our patients<\/span><\/a><span style=\"font-weight: 400;\"> support groups, presentations and tools including stress management and mindfulness.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The combination of formal training of healthcare professionals and high quality research is essential to increase the selection of anxiety treatments and provide the best care for patients.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Join us in working to develop the highest quality treatments for people with anxiety.\u00a0\u00a0<\/span><\/p>\n<p><strong><span style=\"color: #1b75bc;\">Sant\u00e9 Cannabis is committed to advancing knowledge about anxiety and cannabinoid-based treatments, and as such, we offer research services to companies and institutions interested in developing clinical studies.\u00a0<\/span><\/strong><\/p>\n<p><strong><span style=\"color: #1b75bc;\">For clinicians currently treating people with anxiety who wish to include medical cannabis in their practice, our preceptorships are available to all local and international physicians. For prescribers in Quebec, we also offer a free training program on cannabinoid-based treatments and how to prescribe them.<\/span><\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Author<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Andr\u00e9e Charbonneau, Nurse Coordinator<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With thanks to the Research Department<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">This work is licensed under a<\/span><a href=\"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/\"> <span style=\"font-weight: 400;\">Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ANXIETY AND THE PANDEMIC It would be difficult to deny the impact of the COVID-19 pandemic on anxiety and anxiety disorders in the population. Whether&hellip;<\/p>\n","protected":false},"author":15,"featured_media":5518,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[127],"tags":[111,184,137,90,251,112],"class_list":["post-5517","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","tag-anxiety","tag-cannabis","tag-medical-cannabis-and-mindfulness","tag-medical-cannabis-treatment","tag-medical-clinic","tag-mental-health"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.santecannabis.ca\/en\/wp-json\/wp\/v2\/posts\/5517","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.santecannabis.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.santecannabis.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.santecannabis.ca\/en\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/www.santecannabis.ca\/en\/wp-json\/wp\/v2\/comments?post=5517"}],"version-history":[{"count":16,"href":"https:\/\/www.santecannabis.ca\/en\/wp-json\/wp\/v2\/posts\/5517\/revisions"}],"predecessor-version":[{"id":8587,"href":"https:\/\/www.santecannabis.ca\/en\/wp-json\/wp\/v2\/posts\/5517\/revisions\/8587"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.santecannabis.ca\/en\/wp-json\/wp\/v2\/media\/5518"}],"wp:attachment":[{"href":"https:\/\/www.santecannabis.ca\/en\/wp-json\/wp\/v2\/media?parent=5517"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.santecannabis.ca\/en\/wp-json\/wp\/v2\/categories?post=5517"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.santecannabis.ca\/en\/wp-json\/wp\/v2\/tags?post=5517"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}