
Can cannabis be medicine? A psychiatric perspective
Back from the Abyss: Psychiatry in Stories | Psychotherapy, Trauma, and Psychedelics
08/21/19
•8m
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Is cannabis a medicine or a coping strategy? Is it safer than alcohol, or in some people, much more risky? Does it help anxiety or does it trigger panic symptoms? This mini-episode explores the complex landscape of "medical" marijuana and what this looks like in Colorado.
Links
Cannabis and psychosis
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4033190/
Cannabis as mania trigger
https://www.ncbi.nlm.nih.gov/pubmed/25285897
Adolescents and Cannabis-- increasing risk of developing psychosis
https://www.ncbi.nlm.nih.gov/pubmed/25774457
https://www.psychiatryadvisor.com/home/topics/addiction/cannabis-use-disorder/cannabis-induced-psychosis-in-teenagers-and-young-adults-risk-factors-detection-management/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2931552/
CBD
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326553/
Dr. H
https://www.craigheacockmd.com
Previous Episode

Desperately NOT seeking meth
August 7, 2019
•21m
Sobriety can sometimes be a bridge too far. In a last ditch attempt to escape his methamphetamine-drenched life, Larry moved 1000 miles away to live with his father, he threw away his cell phone, gave up all drugs and alcohol, started running, got a good job...and found himself increasingly overwhelmed by the need to put a needle in his arm.
His eventual solution wasn't perfect, but it may have saved his life.
Links
Harm reduction
https://harmreductionjournal.biomedcentral.com/articles/10.1186/1477-7517-6-35
Marijuana and cognition
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3037578/
Suboxone/buprenorphine
https://www.samhsa.gov/medication-assisted-treatment/treatment/buprenorphine
https://www.vox.com/science-and-health/2017/7/20/15937896/medication-assisted-treatment-methadone-buprenorphine-naltrexone
Next Episode

When the past haunts the present: An EMDR story
September 4, 2019
•36m
Sometimes trauma settles deeply in the mind and body and wreaks a kind of clandestine subterranean warfare, turning the body against itself and manifesting strange, frightening, disabling, and even life-threatening symptoms. Sophie's trauma simmered for 16 years, making her life difficult but still mostly manageable. Suddenly, however, she was waylaid as her trauma metastasized into something infinitely more dangerous. A long torturous course through emergency rooms and various specialists eventually ended up on a therapist's couch, holding an oscillating paddle in each hand, walking directly into the mindscape of her mother's death.
Links
EMDR (Eye movement desensitization and reprocessing)
https://www.emdr.com/what-is-emdr/
https://www.scientificamerican.com/article/emdr-taking-a-closer-look/
Video explaining fight/flight (sympathetic nervous system) vs freeze (parasympathetic nervous system) and their roles in PTSD
https://www.youtube.com/watch?v=q6M1FumqeyM
The parasympathetic (freeze) response is tied to allergic and asthmatic reactions
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4039300/
Dr. H
https://www.craigheacockmd.com
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