Forget Mary Jane and Her Cousin CBD

A counter argument on their use for PTSD (Interactive effects of PTSD and substance use on suicidal ideation and behavior in military personnel: Increased risk from marijuana use)

“Results suggest marijuana, especially for military personnel experiencing elevated PTSD symptoms may negatively impact suicidal thoughts and behavior. These results are relevant to suggestions that medical marijuana could be used in treating or augmenting treatment for PTSD.”

            Ok, so this contradicts a recent blog written about marijuana and CBD for PTSD: https://authenticmedicine.com/calling-mary-jane-her-cousin-cbd-but-for-ptsd-what-the/. But that’s science right? Studies that contradict. This particular study reported:

“The interaction between PTSD symptoms and marijuana use significantly predicted increased PTSD symptoms over time and suicidal behavior. At high, but not low levels of PTSD symptoms, more days using marijuana predicted increased PTSD symptoms over time and the likelihood of suicidal behavior.”

            Other studies support the premise of worse PTSD symptoms with marijuana use (2):

“In this observational study, initiating marijuana use after treatment was associated with worse PTSD symptoms, more violent behavior, and alcohol use. Marijuana may actually worsen PTSD symptoms or nullify the benefits of specialized, intensive treatment. Cessation or prevention of use may be an important goal of treatment (2).”

            This in the face of an increasing number of states have approved posttraumatic stress disorder (PTSD) as a qualifying condition for medical marijuana, although little evidence exists evaluating the effect of marijuana use in PTSD (2).

So I guess it comes down to the conclusion that more research is needed. 

REFERENCES:

  1. https://onlinelibrary.wiley.com/doi/abs/10.1002/da.22954#.XXGfuavtoBQ.twitter
  2. https://www.researchgate.net/publication/283170118_Marijuana_Use_Is_Associated_With_Worse_Outcomes_in_Symptom_Severity_and_Violent_Behavior_in_Patients_With_Posttraumatic_Stress_Disorder

Robert Duprey MD

Robert P. Duprey Jr studied medicine as a 2nd career medical student who went to medical school in his 40’s after honorable discharge and ‘retirement’ from 25 years in the US Military (USCG & US Army). He was a registered nurse (RN) with specialty training as a psychiatric RN in the US Army for 15 years. During this time he also became a Master’s level psychotherapist in 2002. While on US Army active duty he also became a Psychiatric Nurse Practitioner while working full time in 2011. He served as a Psych NP on active duty, to include a combat tour in Iraq, until his ‘retirement’ in 2014 and moved to Philippines with his 3 children. At this time he started medical school overseas at Oceania University of Medicine based out of Samoa accredited by Philippine Accrediting Association of Schools, Colleges and Universities (PAASCU). He continued to work as a Psych NP throughout medical school to support his children and to not have to take out loans for medical school tuition. Originally from Rhode Island, he completed medical school clerkship rotations throughout the USA with a graduation in May 2019 earning the esteemed credential of MD. He has successfully completed USMLE Steps 1, 2CS, and 2CK. He will take Step 3 this September as he applies for Psychiatry Residency. Having been and RN, NP and now MD, he is a believer of Physician led multidisciplinary healthcare teams 

  1 comment for “Forget Mary Jane and Her Cousin CBD

  1. Steve O'
    September 16, 2019 at 6:05 pm

    You know, research is overrated. It’s a telescope which examines one thing in detail. It gathers explicit detail. Often it cannot make a definitive statement. It cannot replace tacit knowledge.

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