The Leaf THE LEAF Sept-October 2019 | Page 26

An herbal approach for PTSD Every patient has unique, individual needs. Yet, for patients with PTSD, Dr. Hart often recommends a regimen of CBD during the day and THC at night. After THC treatment, many find that they are less likely to experience nightmares and night terrors, which can significantly disrupt sleep patterns. Poor sleep means potentially worsened symptoms the next day. • The reason why I recommend CBD during the day and THC at night is because, for one, CBD has been shown to be effective in the literature for PTSD. Because of that, I know that patients can benefit from it in the daytime without having to use THC. Cannabis is just one piece of the puzzle Though cannabis has vast medical potential, it is just one piece of the puzzle. While different cannabinoids can help reduce learned fear and temporarily correct an imbalance in the endocannabinoid system, Hart has found that the plant is most beneficial when integrated with significant lifestyle changes. The crux of these lifestyle changes is diet and exercise. • I limit THC use in the daytime because I know that it can cause some short-term memory problems and cognitive problems. My goal with my patients is to improve their functional outcome, so I want to make sure that I’m treating the symptoms of PTSD, but I also want to make sure that I’m actually improving their overall functioning. • So, it’s great if someone has severe hypervigilance and they’re able to live their day without experiencing that symptom. But it’s more gratifying to myself if that patient is able to go out and perform and function and do something, and commit to a higher level. Dr. Hart also acknowledges that while CBD can be beneficial for sleep, THC is considered a more powerful sedative. As mentioned above, anandamide is released during exercise. This means that it’s a good idea for patients with PTSD to get out and move. In order for the body to make anandamide, a diet rich in healthy fats is necessary. “Everyone should be following a healthy diet, anyway,” says Dr. Hart. “That’s the cornerstone of overall health and wellbeing.” While cannabis has been successful for Dr. Hart and his patients, Hart makes sure that lifestyle changes are the cornerstone of his treatment plans. When experimenting with cannabis for PTSD, Dr. Hart strongly encourages working closely with a savvy physician. https://herb.co/learn/cannabis-combats-ptsd/