How to Use THC/CBD Without Making Your ADHD Worse

Many people with ADHD use cannabis to ease their symptoms. When used wisely, it has potential to positively impact your life. However, if used incorrectly, it may actually make your ADHD symptoms worse over time due to how cannabis impacts the dopamine system.

General Guidelines

Most available research focuses on inhaled cannabis (smoking or vaping), which is associated with higher risks to cardiovascular health and mood regulation. Edible cannabis (e.g., gummies) may reduce some of these risks due to the absence of combustion byproducts.

Key general recommendations:

• Opt for edibles over inhalation to minimize cardiovascular impact.
• Limit dosage to 5–10 mg per use, avoiding daily use.
• Use no more than twice per week to reduce the risk of dependency or cognitive decline.
• Choose products with a balanced or CBD-dominant ratio (at least 1:1 CBD to THC, favoring CBD).
• Avoid use under the age of 21, as the brain is still developing and more vulnerable to potential harm.

Special Considerations

If You Have Depression

Research indicates regular cannabis use may worsen depressive symptoms, especially in high doses or frequent use. If using cannabis and managing depression, follow the above recommendations as well as:

• Limit use to once per week or less (1–2 times monthly may be optimal).
• Avoid use during active depressive episodes.
• Monitor mood carefully and discontinue use if symptoms worsen.

If You Have Anxiety or PTSD

Cannabis may offer short-term relief but can also exacerbate anxiety with frequent or high-dose use.

• Micro-dosing (1 mg) may have a protective effect, especially with PTSD.
• Monitor frequency and emotional responses to avoid increasing baseline anxiety over time.
• Those using cannabis medicinally should follow a physician’s guidance.

In PTSD, some evidence suggests cannabis may help with emotional processing. However, individuals with PTSD and/or ADHD are at increased risk for substance dependence. Reflect on intention and usage patterns:

• Ask: Am I using this to escape, or to process?
• Prioritize infrequent use (e.g., monthly) if using for trauma processing.

If You Have Insomnia

Early research shows micro-dosing (1 mg or less) may aid in sleep onset, particularly for those with PTSD-related sleep issues.

• Avoid using 5–10 mg doses nightly, as regular high-dose use may worsen sleep over time.
• Indica-dominant strains may offer more benefit for sleep, based on limited research and anecdotal reports.

Summary

Cannabis may have a place in therapeutic strategies for ADHD and related concerns, but use should be cautious, intentional, and minimal due to the long-term effects of weed on ADHD symptoms. Prioritize non-inhaled forms, low doses, infrequent use, and products with a higher CBD ratio. Always consider mental health status and monitor effects closely.