An Aspie’s Opinion on Medical Marijuana
Marijuana for many years has had a place in popular culture as being able to make one relax, or something that someone would “Party” with. It has been the focus of many school Anti-Drug campaigns and is also known to be a “Gateway” to other things. Marijuana has started to get more and more attention in the news, and legitimacy for its use for many different conditions. One of the conditions that is has been deemed to be helpful for is Autism. I am a very straight edged person and a law abiding person. I am not one to go to parties or buy drugs to get high with, so I definitely do not look at marijuana in the same way most people do. I am rather unbiased.
Along with having high functioning autism (Asperger’s Syndrome) I have dealt with a few mental health issues through the years. The most debilitating thing that I deal with the most is “anxiety.” Many individuals with Autism Spectrum Disorder have other diagnoses with them, whether it is Attention Deficit Disorder, Obsessive Compulsive Disorder, or even a Mood Disorder like Bi-Polar Disorder. Many children and adults will have one of these conditions along with their main diagnoses of Autism Spectrum Disorder. Over the years I have dealt with issues where I fixate on something that I know is irrational, but cannot get the thoughts out of my head. They are usually simple thoughts like losing my parents or dying myself, or even time going too quickly. I will fixate on something that will remind me of the passage of time and it causes me great stress. I have a friend who fixates on things like dating and cars. He also has Autism and he wishes to have things that signify his independence. Like this individual, I can relate to the fixation issues.
Drugs that are used to help with these comorbid issues of anxiety are usually anti-depressants and Benzodiazepines. Examples of anti-depressants are Prozac, Effexor, Lexapro, Cymbalta, and Trazadone. These meds are usually great at helping keep the obsessions to a minimum while maintaining an upbeat mood. Benzodiazepines work by slowing down activity in the central nervous system and works on dampening the activation of the “Flight or Fight” response that we all naturally have. The combination of both an anti-depressant and Benzodiazepines are usually helpful in combating obsessive thoughts and anxiety. Usually maintenance drugs are identified for the treatment and additional drugs are used for “flare-ups” in symptoms.
So, this is where marijuana comes into question. Marijuana has been shown to help calm the nerves, and take away the pain and agony of people suffering from other conditions such as terminal cancer, chronic pain, Glaucoma, and many more. How about its use with Autism? It has a legitimate place in the world of Autism. Again, many suffer from anxiety. Marijuana can be used to keep these individuals calm and allow them to function. I am not suggesting that people use it to get “Wasted” but to have an effect to where they would be able to be functional in life.
Everyone knows that THC in Marijuana is calming and has effect in treating many things, but what many do not know that there are more than one active ingredient in the mix. Another one of the 60 compounds found in Marijuana is called Cannabidiol or short term CBD. This can also help with Autism in another way. A lot of the symptoms of Autism or exasperated because of our poor health choices. The Gastrointestinal tract is disturbed by some of the, well, frankly JUNK that we consume. People want cheap food and food companies are meeting this need by using cheap ingredients, and more processes to keep food on the shelf longer. Someone who has Autism might be much more sensitive to these toxins which then cause the behaviors and anxiety issues that we see. So before we even get to the point where we need to provide a medicinal dose of THC, we can fix the problem where it begins. CBD has been shown to improve the health of those whom consume it. Inflammation is at the root of many issues as well and CBD has been shown to reverse inflammation. So it allows our GI tract to operate more normally. Also, and here is the BIG one, CBD is proven useful in preventing psychotic episodes- such as fixating on something. It causes the thoughts in the brain to slow.
I have to say I once met someone on one of my speaking tour dates that gave her daughter THC through the intake of a special honey. She said that it has done wonders in helping with her behaviors. If we could get just both THC and CBD together, we can have a “wonder drug.” With this wonder drug, these two compounds, which have a zero tolerance, would clearly be a winner over Benzodiazepines in the treatment in Autism related Anxiety issues. Instead of making you sicker, which Benzodiazepines can do, it actually helps heal your body. I am not a medical professional, and you should talk with your or your child’s primary care physician or Psychiatrist and get their opinion, as this is only my take on the subject. Let’s keep an open mind about Marijuana. What do you think about this topic? Comment your opinions below!
Eric D. Zimmerman is Founder and Chairman of The Buddy Project, and should know about technology’s ability to unlock some of the everyday barriers faced by the special-needs community: The 28-year-old has Asperger’s syndrome, a form of autism which hinders social interaction. From working with Best Buddies International, he grew to recognize that, unlike him, many of the disabled have little to no access to such commonplace household technologies as even their own email account.
Zimmerman, a graduate of Frederick High School, decided to take action. Officially, since 2007, his technological savviness (certified in computer repair and rehabilitation by the Career Technology Center’s IT program), united with his caring, altruistic drive to help others, has been brightening lives. That’s when, out of his Frederick home, he began The Buddy Project. And, ever since, his not-for-profit organization has acted upon its mission of providing free computers (and/or other technologies) to qualifying IDD candidates. It’s also a mission that the Frederick County Commission on Disabilities has duly honored by bestowing Zimmerman with its Distinguished Service Award. He also serves on the Board of Directors of Service Coordination, Inc. the largest provider in Maryland of targeted case management for people with developmental disabilities.
Zimmerman also has a special interest in Surgical IT and he spends one day a week at St. Agnes Healthcare in Baltimore where he learns about Surgical Equipment and Instruments as well as help the hospital work more efficiently by the adding of his volunteering.
The Autism Community in Action (TACA)
Anxiety is very common in autism. A meta-analysis showed that almost 40% of kids with autism have at least one comorbid anxiety disorder. This article will discuss symptoms, calming strategies, medical and non-medical reasons for anxiety, and supplements and medications that can help alleviate it. We hope you find it helpful.
Symptoms of Anxiety
Anxiety can have both physical and emotional symptoms.
- Heart Palpitations
- Difficulty Breathing
- Gastrointestinal Upset
- Dry Mouth
- Inability To Swallow
- Frequent Urination
- Self-Injurious Behaviors
- High Resting Heart Rate (90+ beats per minute)
- Feelings Of Worry And Unease
- Difficulty Concentrating
- Avoidance Of Social Situations
- Withdrawal From Social Situations
- Fear Of Separation/Clingy
Why Do Kids with Autism Have Anxiety?
Anxiety can be caused by many things. Below are some common medical and non-medical reasons for anxiety in autism.
Non-Medical Causes of Anxiety
Lack of Communication
Frustration and anxiety can result from not having a reliable method of communication. Providing a method of communication to a child or person with autism can relieve acquired anxiety.
Prolonged exposure to bullying can cause victims to develop anxiety disorders. Watch for signs such as being afraid to go to school, riding the school bus, or taking part in organized activities with peers.
TACA has more information on bullying here.
Abuse will cause anxiety in a child. Individuals with autism are more vulnerable to abuse due to challenges in communication, poor social awareness, and being viewed by others has having cognitive impairments.
Medical Causes of Anxiety
Many children with autism have co-occurring medical issues that can contribute to and/or even cause anxiety. It is important for parents to find a doctor who is familiar with medical issues common to autism because treating them improves quality of life.
Systemic Chronic Inflammation
Oxidative Stress causes neuroinflammation which, in turn, leads to anxiety. Eliminating inflammatory foods (such as sugar, artificial flavors and colors, dairy, gluten, and soy) from your diet is the top way to reduce inflammation.
Some doctors prescribe supplements to help manage inflammation. Supplements that can reduce inflammation include:
- Omega 3 Fish Oil done on medical students which showed that Omega 3 fatty acids reduced inflammation and thus lowered anxiety
- Holy basil
- CBD Hemp Oil
- Frankincense Essential Oil
- Vitamin E
- Chinese Skullcap
PANDAS is Pediatric Autoimmune Neuropsychiatric Disorders associated with Streptococcal Infections.
PANS is Pediatric Acute-onset Neuropsychiatric Syndrome.
Both are largely autoimmune disorders, resulting from infections or environmental triggers that cause abnormal activation of the immune system. These infections cause the body to create antibodies which attack the basal ganglia region of the brain, causing a whole host of behaviors. However, there are other known causes of PANS as well such as concussions and metabolic issues.
A PANS or PANDAS flare causes great anxiety likely due to the inflammation it causes. If you are seeing sudden onset of anxiety, the above listed supplements might help in addition to finding and treating the infection or trigger.
More information can be found in TACA’s article on PANS/ PANDAS here.
Low Total Cholesterol
Many doctors look for high cholesterol but very few look for low cholesterol, yet low cholesterol can have dire repercussions. Total Cholesterol lower than 145 can lead to depression and anxiety.
Cerebral Folate Deficiency
Untreated Cerebral Folate Deficiency can cause anxiety. This is a condition in which there is normal folate in the blood, but low folate in the brain.
See TACA’s detailed article on CFD here.
Elevated Glutamate and Low GABA
Anxiety is a top symptom of glutamate toxicity. Glutamate is a non-essential amino acid. It is excitatory neurotransmitter, which is stimulating. Kids with autism tend to have too much glutamate and not enough GABA.
More information can be found here.
Mast cell activation is directly linked to anxiety. When mast cells are activated, they release histamine along with many other inflammatory chemicals. A low histamine diet and removing allergens from your environment can lower your histamine levels, and thus inflammation and anxiety.
Overgrowth of Pathogenic Gut Bacteria
Studies show that a person’s gut bacteria affect mood and anxiety levels.
- Here is an article referencing a study on Prebiotics for anxiety
- Here is an article referencing a study on how specific gut flora (and sometimes no gut flora) of mice caused high anxiety
Poor Adrenal Function
When most people think of adrenal illness, they think of Addison’s or Cushing’s disease. However, adrenal dysfunction can cause symptoms long before you see labs reflecting these diseases.
The adrenal glands help the body handle stress, whether acute or chronic, emotional or physical. They secrete the hormones that regulate the body’s “fight or flight” response, adrenaline and noradrenaline (also known as epinephrine and norepinephrine). They also help to regulate blood sugar levels, the nervous system, heart rate and even affect mood and ability to handle situations. The adrenal glands use a lot of vitamin C and it becomes depleted as cortisol is secreted. Therefore, vitamin C may help in adrenal gland recovery.
Options for Managing Anxiety
In addition to treating the root cause, there are a number of options to help manage anxiety, such as: therapy, mindfulness, visual schedules, choice boards, deep pressure activities, supplements/prescription medications, diet, and exercise.
Visual Schedules and Choice Boards
Many of our kids are visual and knowing what to expect can quell anxiety. Use a physical schedule or list that the child can monitor throughout the day. Watches and clocks might help your child to know the time that the task at hand will end. Allowing your child to have some control over their choices can reduce anxiety. Here is an example of a choice board.
Applying deep pressure causes the body to relax because it activates the parasympathetic nervous system. There are lots of ways to help your child get some deep pressure input, many of which are free and easy to do:
- Movement – jumping, crawling, push-ups, pushing, pulling, carrying items, swinging, running, jumping, etc.
- Weighted blankets, vests, backpacks, etc. is a program of brushing and joint compressions usually prescribed by an occupational therapist. can alleviate sensory problems and create a great bonding experience between parent and child.
Being presentand fully engaged with whatever we are doing takes practice. Ways to help us practice mindfulness include the following:
- Deep Breathing Techniques – research shows that children with autism have difficulty with deep breathing and have a lower heart rate than expected during physical exercise, possibly caused by a deficit in the limbic system.
- Yoga – this study shows after that 12 sessions, there was increased calmness, tolerance of sitting, socialization, better body posture and eye contact and increased alertness.
Therapeutic options for managing anxiety include:
– an in-home sensory exercise program – talk therapy that focuses on changing patterns of thinking (TMS) – a noninvasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression or anxiety – a passive brain training therapy that teaches the brain how to better manage anxiety.
Supplements and Prescription Medications
Below are some of the most common supplements and prescription medications that functional medicine doctors use to help manage anxiety.
- Note: GABA is too large of a molecule to cross the blood brain barrier (BBB) unless the BBB has become leaky, however, it can still work peripherally.
- Note: Never use 5HTP in conjunction with SSRIs because 5HTP helps make serotonin.
- This works to support the adrenal glands
- Supports adrenal function
- This an older, safer inexpensive medication some doctors prescribe to reduce anxiety
- Propranolol is a beta blocker that blocks the adrenaline receptors
, Memantine treatment was associated with significant improvement in ADHD and anxiety symptoms
has been shown to be helpful for socialization and anxiety
is a mild anxiolytic agent and antihistamine showed that Hydroxyzine was both safe and effective for generalized anxiety disorder
Diet is the foundation for all good health. There are foods that create inflammation (and thereby anxiety) such as sugar, dairy, gluten, and soy. Opting for a diet rich in whole foods can make a difference in mood.
Exercise releases endorphins in the brain. Endorphins are chemicals produced by the body to deal with stress and make you feel relaxed and happy. Instituting a regular exercise regime can lead to a healthy outcome.
Think out of the box for exercise ideas if needed. Horseback riding helps core strength, swimming gives great sensory input, running can be a great individual sport, bowling gives great proprioceptive input with heavy lifting, even martial arts can be done with a patient coach.
Although anxiety is commonly seen in autism, there are many ways we can help manage the symptoms of something that can be debilitating. Discovering what is triggering the anxiety and treating the root cause are also extremely helpful. Seeking out a functional medicine doctor and specialists can help your child be healthier and happier.
*All content of this article was created for informational purposes only and is not intended to be a substitute for professional advice, diagnosis, or treatment. Always seek the advice of your physician, therapist, or other qualified health provider with any questions or concerns you may have.