By R. Ryan Patel DO, FAPA OSU-CCS Psychiatrist
About 7-8 % of people may experience PTSD (or Post Traumatic Stress Disorder) at some point in their lives (2).
Individuals with PTSD are more likely to use marijuana to try and cope with their symptoms (3).
A recent study tried to look at how marijuanna impacts PTSD (4).
What is PTSD?
• PTSD can occur after an individual witnesses or experiences a traumatic or dangerous event (1).
• Symptom areas can include re-experiencing trauma, avoidance behaviors, increased reactivity or “on edge” feelings, as well as mood and cognitive (thought) related symptoms (1).
• Depression, substance abuse, or other anxiety conditions can often co-occur with PTSD (1).
Who were the study participants?
• 2276 veterans were over a 9 year period who were admitted to specialized Veterans Affairs treatment programs.
• Participants were mostly male and average age was in the 50’s.
• They were assessed at the beginning of PTSD treatment and 4 months after discharge from the PTSD treatment program.
What was asked in the study?
• Participants were asked about the severity of PTSD symptoms, drug and alcohol use, violent behavior, and employment.
What were the study results?
• After PTSD treatment, the group that stopped using marijuana or never used marijuana had the lowest levels of PTSD symptoms (P < .0001); –they improved the most.
• According to the study, those who kept using marijuana were significantly more likely to have:
o Worse outcomes in PTSD symptom severity (P < .01),
o Violent behavior (P < .01),
o Higher use of alcohol and drugs (P < .01)
• Those who started using Marijuana after PTSD treatment had the highest levels of violent behavior (P < .0001).
What are some caveats?
• This is a large study done over the long term in this subject.
• Since most of the participants were older males, it is possible that results may be different in other age groups or populations.
• This study used a survey method which tells us about snapshot in time but does not about cause and effect.
• This study did not include individuals who were using alcohol or other drugs.
• It may be that participants were self-medicating because they were not feeling better or the use of marijuana prevented them from feeling better (4).
• The amount and type of marijuana use was not identified.
• Other smaller studies show mixed results, but also had different methods.
Do you have PTSD? Are you smoking Marijuana? Is it worsening your ptsd symptoms?
What are some resources regarding PTSD?
• OSU Student Life-Counseling and Consultation Service
• National Institue for Mental Health
• National Center for PTSD
Disclaimer: This article is intended to be informative only. It is advised that you check with your own physician/mental health provider before implementing any changes. With this article, the author is not rendering medical advice, nor diagnosing, prescribing, or treating any condition, or injury; and therefore claims no responsibility to any person or entity for any liability, loss, or injury caused directly or indirectly as a result of the use, application, or interpretation of the material presented.
3. Cougle, J.R., et. al. (2011). Posttraumatic stress disorder and cannabis use in a nationally representative sample. Psychology of Addictive Behaviors, 25, 554-558.
4. Wilkinson ST et al. Marijuana use is associated with worse outcomes in symptom severity and violent behavior in patients with posttraumatic stress disorder. J Clin Psychiatry 2015 Sep; 76:1174.