Marijuana for Anxiety

Cannabis Plant.jpg

A few days ago there was an interesting article in the New York Times, “The Feel-Good Gene,” by a professor of clinical psychiatry at Weill Cornell Medical College. The author wonders why some people are predisposed to a type of anxiety which doesn’t have obvious environmental causes, and which is thus not helped by psychotherapy; while others are immune to such anxiety.

Not surprisingly, the answer is that “a genetic variation in the brain makes some people inherently less anxious, and more able to forget fearful and unpleasant experiences. This lucky genetic mutation produces higher levels of anandamide — the so-called bliss molecule and our own natural marijuana — in our brains.” Those who have this mutation are also “less likely to become addicted to marijuana and, possibly, other drugs — presumably because they don’t need the calming effects that marijuana provides.” Unfortunately only about 20% people have the mutation.

For those without the lucky genetic variation, the author has found that marijuana is generally effective for anxiety, and the reasons for this are physiological.  It turns out that marijuana targets “the endocannabinoid system [which] is closely related to the brain’s own anandamide.” And when anandamide “binds to the cannabinoid receptor, it has a calming effect … We all have anandamide, but those who have won the lucky gene have more of it because they have less of an enzyme called FAAH, which deactivates anandamide. It is a mutation in the FAAH gene that leads to more of the bliss molecule anandamide bathing the brain.”

So the evidence strongly supports that the mutation doesn’t just correlate with less anxiety, it causes people to have less anxiety. The author’s moral conclusion is that “there is more to abstinence than grit and moral fiber: Having a double dose of a gene mutation gives you a big advantage in being able to “just say no.” Of course the author notes that “… these studies should not be taken to mean that biology calls all the shots … The environment plays a critical role and can sometimes even trump genetics.”

As for the use of marijuana to treat anxiety the author is skeptical.

The problem is that cannabis swamps and overpowers the brain’s cannabinoid system, and there is evidence that chronic use may not just relieve anxiety but interfere with learning and memory. What we really need is a drug that can boost anandamide — our bliss molecule — for those who are genetically disadvantaged.

Reflections – I have written recently about issues of freedom and responsibility regarding anxiety and depression. I think we should accept that many things are out of control, especially the past, while accepting that we have influence on the present and future. So I agree with the author’s claim that such diseases have a strong genetic influence.

As for marijuana, while I have never been a user myself, I disagree with the author’s conclusion. However, before I continue let me issue two disclaimers: (Disclaimer #1 – I am not a medical doctor. Disclaimer #2 – I don’t advocate using marijuana if it is against the law.)

Alcohol, cigarettes,  tylenol, antidepressants, antipsychotics and benzodiazepines have more bad side-effects and are more dangerous than marijuana by  a considerable amount. This is a fact. So in a cost-benefit analysis between marijuana and persistent anxiety, or marijuana and these other drugs, marijuana win easily. Ask yourself this. Do you want cortisol coursing through your veins? Do you want the awful side-effects that accompany so many of the mainstream anxiety medications? Do you want to drink alcohol or smoke cigarettes? Do you want to experience life-effecting and possibly life-destroying anxiety? Or do you want to feel better with some possible minor cost?

I think the rational choice is clear. If marijuana is legal where you live, then there is little cost and much benefit in trying it for anxiety. (I include the legality constraint because people are still incarcerated for marijuana use, although that is patently unjust.) Yes, what your psychiatrist and psychotherapist say is true; there is no demonstrable scientific evidence for marijuana helping with major anxiety. But this is because the government classifies marijuana and a Stage I drug, and it is thus not available for normal research.

And while I’m at it I think nicotine gum would also be a better, safer alternative than most of the psychopharmaceutical  drugs currently in use.

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5 thoughts on “Marijuana for Anxiety

  1. I tried most drugs, once. Not because I cared, but because people noticed I didn’t care and wanted to “corrupt” me (I understood this only years later. In short, they felt stupid, so they wanted to drag me to their level). Cannabis, marijuana , LSD, amphetamine, cocaine, I even smoked heroin once, like a complete idiot (the people who offered it to me all became addicted. I was the only one in the group who did not. I really felt sorry for Gonzalo, a Spanish friend who I thought was a great guy.).

    In all cases, I thought: “I feel like an idiot. This is idiotic. I want my mind to be sharper, not dumber.”. I felt as if I myself was hiding “the truth” (whatever that meant) from myself. I thought it was a stupid choice. I wanted to get smarter, not dumber.

    Ha ha….I was practically drug proof. Later, doctors prescribed paroxetine for my mild depression (I never really made a big deal of it. Interestingly, I didn’t even question it much). At the time a good friend of mine said to me: “Hey. Do NOT take this trash. Toss it in the toilet.”.

    I followed his advice. Years later I saw various research about extremely serious side effects of paroxetine, which caused suicides, etc.

    I still thank that friend, to this day. Now, I don’t know about extremely serious depression. I too have always been anxious, but I don’t think it’s the same thing.

    Interestingly, today I have read this somewhere: ” “Throughout my long and extensive career, I have seen people benefit from antidepressants,” said Prof Wendy Burn, former president of the Royal College of Psychiatrists.
    “I see them working in my clinical practice, I see lives being changed by them.”.

    I am skeptical about this. How can a pill “change lives”? This is seriously misguided. Perhaps the pill can change -myself-, not my life. But if so, are there no other ways to change myself? Epictetus, anyone?

    I don’t know. The world seems a very strange place, and some things about it I’ll never understand.

    Perhaps Ms Burn was speaking of people with depression of a physiological nature. But even so, a pill cannot “change lives”, at best it only changes -something- about the individual, and certainly not all of that, either.


  2. but to return to the main point, I agree, if a drug of whatever nature must be used, it makes sense to use the one with the least side effects.

    How about Epictetus… 🙂

    As an ex-smoker, I cannot believe how incredibly idiotic is to smoke cigarettes. I -did- fall for that one, as I smoked cigarettes for over 20 years. Now I just shake my head in disbelief. I cannot believe I have been so stupid.

    What was I thinking? That eventually I could buy a new pair of lungs from the shop? It is incredible how mad are the choices we make. Very few of us think of consequences, always to satisfy short-term pleasure.

    “We should never seek pleasures that might cause pain later, even if the possibility of this happening would seem remote. For pleasures are short lived, and illusory, whereas pain is real, and long lasting.” -Schopenhauer

  3. Don’t despair over making stupid choices when young. I made a lot of them and still do.

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