marijuana

Can Cannabis Help with Pain Management & PTSD?

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Veterans have been using marijuana for decades to help with pain management and Post Traumatic Stress (PTSD) symptoms. The problem is the Veterans Administration (VA) follows governmental, not state guidelines concerning marijuana. Since marijuana is a schedule 1 drug according to the federal government, the VA is not allowed to help veterans attain, suggest, or prescribe marijuana. A schedule 1 drug is defined by the Drug Enforcement Agency (DEA) as a drug with no currently accepted medical use and a high potential for abuse. Sounds a little antiquated with it being considered equal to heroin, LSD, and ecstasy.

I have worked with and known hundreds of veterans with PTSD, I can honestly say it appears that cannabis helps them. With so many states now allowing the use of medical and recreational marijuana the federal government appears to be unwilling to authorize or extensively study cannabis even though it appears to be helpful to so many veterans. From what I can tell, there have been, or are doing limited studies on marijuana but not the extent that is needed. It is also possible the VA is studying it in secret because of the stigma. The only reason I can see for the government’s unwillingness to de-criminalize marijuana is because of how it looks and the stigma. To the government, marijuana is worse than opioids because opioids can be and are prescribed, therefore controlled. People are going to use pot if they want, it makes no sense in trying to stop it, it has and always will fail, and it is a waste of resources and money. I have seen where several veterans have used marijuana instead of opioids, and it has worked for them. Marijuana is often called a gateway drug. If you want to talk about a gateway drug… prescription opioids it is. Just ask someone who has beaten the opioid addiction.

I know some will disagree with me, but I honestly believe marijuana is better than alcohol or opioids. If you look at it from a logical point, allowing the legal use and distribution of marijuana makes sense. How many bar fights have been caused by using marijuana?  How many domestic violence cases have you heard of from marijuana use? There are very few if any. How much damage has marijuana done to families compared to alcohol or opioids? In my opinion pot appears to be a better than either.

The VA states on their website that they encourage veterans to tell their primary care physician that they use marijuana, and by telling their primary care physician it will not cause the veteran to lose their benefits. The VA will put the information in the veteran’s medical records, and it will remain confidential and protected by Health Insurance Portability and Accountability Act (HIPAA).  The VA also states that VA providers can talk about marijuana use with clients as a part of their planning and adjust treatment, but may not recommend its use. It is possible that the use of marijuana could interfere in the effectiveness of prescribed medications. The VA doctors are not allowed to write prescriptions for medical marijuana even if it is legal in the residing state.

I can see where having marijuana use in medical records could cause an issue for the veteran. The VA is always changing the rules, I don’t think I would want marijuana use in my medical records for fear of it being used against me in the future. Even though possessing marijuana in some states is legal, it is not allowed on VA property. You can be arrested for possession of a controlled substance if you’re caught with it on VA grounds, even if it’s prescribed by a civilian doctor. VA grounds are federal property, and marijuana is still a schedule 1 drug to them.

There have been several civilian studies that show marijuana can replace opioids for some pain management. A study done in 2014 shows that one state that legalized cannabis has had a decrease in opioid overdose deaths by 25%. The VA says their scientists may conduct research on marijuana benefits, risks, and potential for abuse under regulatory approval but the funding needed is not available. The limited funding for marijuana research mainly comes from the government, yes, the same government that has labeled marijuana a schedule 1 drug. Most of this research focuses on addiction, abuse, and other potentially detrimental effects of marijuana. Little research focuses on the positive aspects of marijuana causing the research to be skewed toward the negative. 

Marijuana acts differently in everyone, what works for one might be a problem for another, just like prescription medication. I also would like to point out that over use of marijuana can cause problems just like any drug.  I’m not going to suggest you quit your medication and use marijuana. If you want to try cannabis, talk to your doctor to see if it is an option. I believe the VA should be doing an extensive research study to see if marijuana works as a replacement for some prescription medication applications for pain management and PTSD symptoms. If the study finds marijuana works, it will save millions of dollars of tax money spent on opioids. If you feel marijuana should be studied by the VA, contact your congressman and demand an unbiased study.

For questions or comments, I can be reached at afterdutyvets@gmail.com or visit our website at marriedtoptsdpro.com and like us on Facebook at Married to PTSD Pro.

Can Cannabis Help with Pain Management & PTSD? 

alexandre-chambon-ADqQgiStp4c-unsplash.jpg

Veterans have been using marijuana for decades to help with pain management and Post Traumatic Stress (PTSD) symptoms. The problem is the Veterans Administration (VA) follows governmental, not state guidelines concerning marijuana. Since marijuana is a schedule 1 drug according to the federal government, the VA is not allowed to help veterans attain, suggest, or prescribe marijuana. A schedule 1 drug is defined by the Drug Enforcement Agency (DEA) as a drug with no currently accepted medical use and a high potential for abuse. Sounds a little antiquated with it being considered equal to heroin, LSD, and ecstasy.

I have worked with and known hundreds of veterans with PTSD, I can honestly say it appears that cannabis helps them. With so many states now allowing the use of medical and recreational marijuana the federal government appears to be unwilling to authorize or extensively study cannabis even though it appears to be helpful to so many veterans. From what I can tell, there have been, or are doing limited studies on marijuana but not the extent that is needed. It is also possible the VA is studying it in secret because of the stigma. The only reason I can see for the government’s unwillingness to de-criminalize marijuana is because of how it looks and the stigma. To the government, marijuana is worse than opioids because opioids can be and are prescribed, therefore controlled. People are going to use pot if they want, it makes no sense in trying to stop it, it has and always will fail, and it is a waste of resources and money. I have seen where several veterans have used marijuana instead of opioids, and it has worked for them. Marijuana is often called a gateway drug. If you want to talk about a gateway drug… prescription opioids it is. Just ask someone who has beaten the opioid addiction.

I know some will disagree with me, but I honestly believe marijuana is better than alcohol or opioids. If you look at it from a logical point, allowing the legal use and distribution of marijuana makes sense. How many bar fights have been caused by using marijuana?  How many domestic violence cases have you heard of from marijuana use? There are very few if any. How much damage has marijuana done to families compared to alcohol or opioids? In my opinion pot appears to be a better than either.

The VA states on their website that they encourage veterans to tell their primary care physician that they use marijuana, and by telling their primary care physician it will not cause the veteran to lose their benefits. The VA will put the information in the veteran’s medical records, and it will remain confidential and protected by Health Insurance Portability and Accountability Act (HIPAA).  The VA also states that VA providers can talk about marijuana use with clients as a part of their planning and adjust treatment, but may not recommend its use. It is possible that the use of marijuana could interfere in the effectiveness of prescribed medications. The VA doctors are not allowed to write prescriptions for medical marijuana even if it is legal in the residing state.

I can see where having marijuana use in medical records could cause an issue for the veteran. The VA is always changing the rules, I don’t think I would want marijuana use in my medical records for fear of it being used against me in the future. Even though possessing marijuana in some states is legal, it is not allowed on VA property. You can be arrested for possession of a controlled substance if you’re caught with it on VA grounds, even if it’s prescribed by a civilian doctor. VA grounds are federal property, and marijuana is still a schedule 1 drug to them.

There have been several civilian studies that show marijuana can replace opioids for some pain management. A study done in 2014 shows that one state that legalized cannabis has had a decrease in opioid overdose deaths by 25%. The VA says their scientists may conduct research on marijuana benefits, risks, and potential for abuse under regulatory approval but the funding needed is not available. The limited funding for marijuana research mainly comes from the government, yes, the same government that has labeled marijuana a schedule 1 drug. Most of this research focuses on addiction, abuse, and other potentially detrimental effects of marijuana. Little research focuses on the positive aspects of marijuana causing the research to be skewed toward the negative. 

Marijuana acts differently in everyone, what works for one might be a problem for another, just like prescription medication. I also would like to point out that over use of marijuana can cause problems just like any drug.  I’m not going to suggest you quit your medication and use marijuana. If you want to try cannabis, talk to your doctor to see if it is an option. I believe the VA should be doing an extensive research study to see if marijuana works as a replacement for some prescription medication applications for pain management and PTSD symptoms. If the study finds marijuana works, it will save millions of dollars of tax money spent on opioids. If you feel marijuana should be studied by the VA, contact your congressman and demand an unbiased study.

For questions or comments, I can be reached at afterdutyvets@gmail.com or visit our website at marriedtoptsdpro.com and like us on Facebook at Married to PTSD Pro.

Is Marijuana the Answer to Help PTSD Symptoms?  

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As a counselor I deal with many issues, self-medicating is a big one. Chad came into my office and asked me to explain what the term “Dual Diagnosis” meant. His clinician used the term and Chad did not ask what it meant feeling he should know. I explained to him how many veterans self-medicate by using drugs or alcohol to suppress Post Traumatic Stress Disorder (PTSD) symptoms. Dual Diagnoses is described by mental health professionals as a practice that treats people who suffer from both an addiction (in Chads case Marijuana) and a psychiatric disorder (PTSD). Chad is not alone; a lot of veterans use cannabis to suppress their PTSD symptoms. In the mental health community, we see a lot of this with our veterans, some veterans refuse to use the VA because of the fear from losing benefits because of his self-medicating.

Chad struggles with PTSD and is like so many other veterans he uses the marijuana to help him sleep. The VA has said that they will not take away a veteran’s benefits for marijuana use, but so many veterans don’t believe the VA because of their past experiences, and what other veterans have been through. I have several clients who use marijuana to help them with their PTSD, they tell me but not the VA. Some veterans are scared they will lose their VA benefits, and others don’t want to be preached to about their cannabis use. According to the VA website the VA believes the use of marijuana for PTSD is a growing concern, and notes the use of marijuana by veterans has steadily increased throughout the years. In 2002 the known cases of veterans using cannabis for PTSD was 13%, that number has jumped to 22.7% in 2014. It is possible fewer veterans disclosed their usage of marijuana in 2002 than 2014 for fear of losing their VA benefits. It could also be, so many veterans have multiple deployment increasing their possibility to get combat PTSD. It is also possible the numbers are bigger because there are so many veterans like Chad who do not trust the VA.

Marijuana is not new to the military or veteran communities. Vietnam Veterans were raised in a time when the use of marijuana was normal in civilian and military communities. In Vietnam marijuana was the preferred drug for Veterans getting away from the reality of war. During Vietnam marijuana was tolerated by the higher ups even though it was illegal. It took the media in 1968 to disclosed the popularity of marijuana in Vietnam for the higher ups to cracked down on its use. Many Vietnam veterans continued to use marijuana when they returned home to survive their PTSD, and some continue over 40 years later.  

While researching this subject I found the VA to be ambivalent in their reasoning for not studying the positive effects of Marijuana for PTSD.  On the VA’s website they claim “research suggest that marijuana can be harmful to individuals with PTSD”, but also claims that little controlled research has been conducted on the use of marijuana for PTSD. In the past the VA has refused to look at marijuana as a possible treatment for PTSD. The VA recently disclosed a plan to study the effects of marijuana on PTSD patience at Phoenix, AZ and Baltimore, MD VA hospitals. We will see where the study will lead but many veterans are skeptical of the study.

It is understood that today’s marijuana is different than that of 40 years ago. The potency of tetrahydrocannabinol or (THC) has increased 10 fold and could increase the risk of adverse effects. After talking to a licensed psychologist I can see where the use of marijuana could be a problem. She suggests that marijuana decreases motivation and causes paranoia leading to other problems. If used incorrectly the usage of marijuana can also cause sexual dysfunction in chronic users. The psychologist noted the important part of the success of the study or usage of marijuana for PTSD would be educating physicians on marijuana. Prescribing the correct dosage including the level of THC, which can be controlled, is the key to a successful study.  

Chad is just one of the veterans I know that use marijuana for his PTSD. It is troublesome that so many veterans use marijuana for their PTSD and the VA is starting to look at it after 40 years. Many veterans like Chad will continue to use marijuana against the wishes of the VA. Until it is proven that the use of marijuana is or is not helpful in the treatment of PTSD many veterans will continue to use it for medicinal purposes. It’s about time the VA starts to study what so many veterans feel is helpful to them.

For questions or comments, I can be reached at afterdutyvets@gmail.com or visit our website at marriedtoptsdpro.com and like us on Facebook at Married to PTSD Pro.