how to ask a psychiatrist for cbd oil

Considering CBD oil? This psychiatrist suggests these questions to ask first.

First of all, CBD oil and associated preparations are types of alternative medications, medicines that might not be mainstream or readily prescribed by doctors, but are nevertheless used by many people on their own. Alcohol and marijuana are two substances that are often used as “medicines” by those that think they function better with them than without them. Many people self-treat medical as well as psychological symptoms with nonstandard therapies.

Some of these agents, like CBD oil, do not currently have FDA approval for treatment of specific psychiatric illnesses. If you choose to use them, either alone or in combination with standard therapies, you must understand that there are several things to consider. First, they may have unexpected side effects. Secondly, they may interact with other foods or drugs that you already use. And lastly, they may or may not be legal for general public use. I will address some of these issues in the rest of this column.

According to WebMD, cannabidiol is found in the cannabis sativa or marijuana plant. There are eighty similar chemicals in these plants. THC is the major active ingredient, but cannabidiol makes up forty percent of overall cannabis extracts. Cannabidiol may have antipsychotic properties, but we are not sure why. It might also actively block some of the effects of THC. There is really insufficient evidence for use of cannabidiol in bipolar disorder, dystonia, epilepsy, Parkinson’s disease, schizophrenia, or social anxiety. Side effects due to cannabidiol use might include dry mouth, decreased blood pressure, lightheadedness, and drowsiness. There is no good data on the use of cannabidiol in pregnancy or breastfeeding, nor for many specific drug-drug interactions.

Some of these concerns were addressed in a recent interview where Columbia University Chief Resident Angela Coombs, MD, interviewed Diana Martinez, MD, professor of psychiatry at Columbia and an addiction expert. Dr. Martinez stated that there is really very little known about how CBD affects humans and why. It may have some legitimate medicinal effects, but the jury is still out on some of these. She stated that if you buy CBD at stores, the advertised doses may not be realistic or true. Some websites of companies that manufacture CBD and have their products tested by legitimate outside companies will more likely list the actual amount of CBD available in their products. It might be very important to know about the presence or absence of contaminants as well. Some states like Colorado may do a better job at this point in testing products for factual labeling and overall safety.

CBD may be effective in treating seizures in some children with specific illnesses such as Dravet Syndrome or Lennox Gastaut Syndrome, obviously a very small group of people. If they do not respond to more traditional medication therapies, high doses of CBD in the neighborhood of 1000 mg might be effective.

The positive symptoms of schizophrenia (such as hallucinations) may be reduced with the use of CBD, but this is in the presence of traditional antipsychotics, not in place of them.

There is not much research to address the use of CBD oil in the treatment of anxiety or social anxiety. Dosing is largely unknown. 300-600 mg seems to be helpful for anxiety.

Dr. Martinez also addressed the drug-drug interactions that might occur when CBD is added to other, more traditional therapies. When the enzyme systems in the liver are affected by substances such as CBD, metabolism of other drugs might be sped up or slowed down, affecting the amount of those medications available in the bloodstream. This might lead to compromised treatment with seizure medications or antipsychotics. She also was not able to clearly answer the question about the legality of CBD at this time. Because of various bills, the DEA, the FDA, and other regulators, there is not one specific answer as to the legality of buying, possessing, and using these agents. Will it be regulated anytime soon? She was also not able to directly answer that question.

So, if you are thinking about using alternative therapies like cannabidiol, what are some of the things that you might need to consider?

  1. Is the substance an additive, food, plant, chemical, alcohol preparation, or another kind of substance?
  2. Is it approved by the Food and Drug Administration?
  3. Is it regulated by the FDA, DEA, or other agencies?
  4. Is it checked for safety by an independent lab or company for purity, quality, concentration, adulterants, etc.?
  5. Is it expensive or affordable?
  6. Is it legal in your state or nationwide?
  7. Does it interact with food, alcohol, or other drugs? Are any of these interactions life-threatening?

There is no hard and fast advice on the use of CBD oil yet, and much more research is needed.

High cbd cannabis oil

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Hi i have schizoaffective disorder going through med changes at the moment just wounder if cbd oil help i take 3 different medications antipsychotics

Asked for Male, 28 Years 231 Views v

Does cbd oil help with depression? I am on bupropion and SSRI and levothyroxine. I am getting very little if any relief from these. I need something else. I am looking into CBD oil and micro dosing psilocybin. Thoughts?

Asked for Male, 41 Years 171 Views v

My mother has stage 4 cervical cancer. We have tried everything in alopathy. Is cannabis oil an option? I cant get it anywhere in India. Where can I get it and is it possible to import it on a prescription.

Asked for Female, 48 Years 138 Views v

I have arthritis in both my knees and was thinking of trying CBD oil for the pain. Is it recommended?

Asked for Male, 57 Years 188 Views v

I have been taking Lexapro for a while now for panic disorder and GAD, and it’s been great for my panic disorder, however I’ve been wanting to try some CBD oil to help with stress/lack of focus at the end of the workday. My local vape shop sells 100% CBD oil (no THC) in various concentrations, and I’ve been wanting to add a little to my current vap

Asked for Male, 22 Years 12425 Views v

I have a family member with a brain tumour, has finished chemo he is now only on dexamethazone for the inflammation he is interested in taking some cbd oil or some kind of cannabidoil as treatment at the dose of 4 drops a day of 40mg cbd just wanted to know if this would affect the dexamethazone atall as I know they can interact at certain doses

Asked for Male, 58 Years 68 Views v

I have anxiety and I was just prescribed Hydroxyzine HCL (Atarax) 50MG and Ondansetron ODT 4MG. I’m currently taking the Atarax 4 times as needed daily and the Ondansetron once daily. Could I also take CBD oil (non THC) edibles? Just wanting to make sure I’m not making a deadly mistake.

Asked for Male, 19 Years 1543 Views v

My 3 yr old son has autism. He is speech delayed and has trouble with behavior and social situations. He has been in speech therapy for a year and a half and is in integrated preschool receiving OT as well. We have seen little improvement. We have heard that CBD oil has had great results for children with autism but wanted to seek the opinion of a

Asked for Male, 3 Years 112 Views v

I am on MDR tuberculosis drugs for my spine and brain t.b since 9 months now . tericox , protomid, m cin , pyrazinamide and linid . I have digestive issues , headaches, anxiety and dizziness . I dont want to use more allopathic drugs to counter these side effects . Can I use full spectrum cannabis oil with these drugs to help me with these issues .

Asked for Male, 32 Years 354 Views v

I am thinking about trying CBD oil.for my anxiety, and I wish to know if it is safe with Symnicort and Proair

Asked for Female, 40 Years 82 Views v

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Medical Cannabis

Florida is one of several states that offer medical marijuana for the treatment of various health conditions, including anxiety and post-traumatic stress disorder (PTSD). Dedicated to helping their patients get relief from their symptoms, the experienced team at Orlando Psychiatric Associates includes qualified physicians with the Office of Medical Marijuana Use. The team can help you get access to the plant-based alternative treatment for the management of your condition. To schedule your medical marijuana consultation, call one of the offices in Lake Mary, Kissimmee, Ocoee, Lakeland, or Orlando, Florida, or use the online booking tool.

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Medical Cannabis Q & A

What is medical cannabis?

Medical cannabis refers to the medicinal use of the cannabis species of plants (marijuana and hemp) for the management of various health conditions. Cannabis contains various chemical compounds that interact with your endocannabinoid system (ECS). The compounds in the plant include delta-9 tetrahydrocannabinol (THC) and cannabidiol (CBD).

Though researchers are still uncovering the function of your ECS, it’s theorized that the cell-signaling system plays a significant role in managing mood, sleep, pain sensations, hunger, and memory. The cannabinoid compounds in medical cannabis interact with your ECS like your endogenous cannabinoids, which may improve cell signaling and alleviate symptoms associated with your health condition.

Am I a good candidate for medical cannabis?

The team at Orlando Psychiatric Associates determines if you’re a good candidate for medical cannabis during a consultation. Your psychiatrist may recommend the plant-based alternative treatment for the management of your anxiety or post-traumatic stress disorder (PTSD).

In addition to using it to treat mental health conditions, the team may also recommend medical cannabis if you have a qualifying diagnosis, such as:

  • Chronic pain
  • Neuropathy
  • Irritable bowel syndrome
  • Inflammatory bowel disease
  • Autism-related aggression and irritability

If you’re suffering from the symptoms of one of the many qualifying conditions for the use of medical cannabis, contact Orlando Psychiatric Associates to schedule a consultation to learn more about your treatment options.

What can I expect during a medical cannabis consultation?

You can expect a comprehensive evaluation when you come in to see the mental health experts at Orlando Psychiatric Associates for a medical cannabis consultation. During your exam, your provider asks detailed questions about your symptoms, medical and mental health history, and current treatments. Depending on your specific health needs for medical cannabis, the team may request medical records from your primary care provider.

If you have a qualifying condition for medical cannabis, your doctor at Orlando Psychiatric Associates enters your information into the medical cannabis Registry. Once you’re registered, you can apply for your medical cannabis Use Identification Card. After you receive your card, you can fill your recommended prescription at one of the medical cannabis dispensaries.

Depending on your specific health needs, the team may request you return to the office periodically for additional treatments, such as therapy or medication management.

To learn more about medical cannabis, call Orlando Psychiatric Associates or request a consultation through the online booking tool.