Obsessive-compulsive disorder (OCD) is a mental health condition marked by repetitive behaviors and intrusive thoughts. It’s estimated to affect roughly 2 to 3 percent of people worldwide.
The recommended treatments for OCD are cognitive behavioral therapy and/or medication. At present, the only drugs approved by the FDA specifically for OCD are serotonin reuptake inhibitors (SRIs).
About one-third of patients don’t experience meaningful symptom relief following these approaches. SRIs typically require around 6 weeks to produce clinically noticeable effects.
Many people report that cannabidiol (CBD) products reduce their OCD symptoms, and researchers are investigating CBD’s potential as a treatment for OCD. Although studies are early and limited, some findings look encouraging.
This article reviews the most recent evidence about CBD’s potential to ease OCD symptoms, outlines possible adverse effects, and highlights some products people may consider.
Can CBD reduce OCD symptoms?
Right now, the idea that CBD can alleviate OCD symptoms is mostly theoretical and based on personal reports. There’s only a small body of research specifically assessing CBD’s impact on OCD.
A few case reports describe individuals with OCD who improved after using CBD or other cannabinoids. Still, larger randomized clinical trials are required to confirm CBD’s effectiveness and safety.
In a 2020 study, investigators explored medical cannabis use in 87 people with OCD. Participants reported:
- a 60 percent decrease in compulsive behaviors
- a 49 percent decrease in intrusive thoughts
- a 52 percent decrease in anxiety
Formulations of cannabis with higher CBD content were associated with greater reductions in compulsions.
Conversely, a different small 2020 trial with only 14 subjects compared cannabis products with varying THC and CBD levels to a placebo and found that smoking cannabis high in either CBD or THC produced little immediate change in OCD symptoms.
How might CBD work for OCD?
CBD is one of more than 80 active compounds in cannabis. THC is the main psychoactive ingredient that causes a “high.” CBD does not produce intoxication but has several physiological effects, including pain relief and possible reductions in anxiety and depressive symptoms.
OCD’s causes are believed to be multifaceted, yet growing evidence suggests the body’s endocannabinoid system influences anxiety, fear responses, and repetitive actions.
The endocannabinoid system is a network of receptors involved in regulating sleep, mood, appetite, and other bodily functions. When CBD interacts with this system, it can alter those processes. Researchers still don’t fully understand the precise mechanisms of CBD’s interaction with the endocannabinoid system.
Which form of CBD is best for OCD?
CBD is available as oils, tinctures, transdermal patches, gummies, and more. There’s no proof that one delivery method outperforms others. The concentration of CBD per dose is likely more important than the format.
Although CBD alone may provide benefit, some research indicates that combining CBD with THC and other cannabis constituents called terpenes may amplify effects. This synergy is commonly called “the entourage effect.”
Is it appropriate to give CBD to children for OCD or anxiety?
The only disorders for which CBD is FDA-approved are three uncommon forms of epilepsy. Use of CBD for other conditions in children has not been broadly studied, and long-term safety in youth remains largely unknown. Until more data are available, it’s advisable not to give CBD to children.
Another concern is product mislabeling. In one analysis, over 20 percent of online CBD products tested contained detectable psychoactive THC.
What dose of CBD might ease OCD symptoms?
Because CBD isn’t FDA-approved for OCD and its effectiveness is unclear, no standardized dosing exists.
A 2015 review reported strong evidence that 300 to 600 milligrams of oral CBD reduces anxiety. It’s possible that comparable doses could help with OCD, though further studies are necessary to verify this.
Many people begin with a low dose of CBD and gradually increase it to observe how their body responds. Some start around 40 milligrams per day.
What side effects can CBD cause when used for OCD?
CBD is usually well tolerated but can produce several side effects, including:
- diarrhea
- fatigue
- changes in appetite
- dry mouth
- drowsiness
Can CBD interact with OCD medications?
Talk to your healthcare provider before trying CBD because it can interact with numerous drugs. If a medication’s label advises avoiding grapefruit, consult your doctor before using CBD.
Grapefruit and CBD can both inhibit the enzyme CYP3A4, which metabolizes many medications. When this enzyme is inhibited, drugs are broken down more slowly, which can increase their effects or adverse reactions.
Many medications for anxiety, depression, and other mood disorders are among the long list of drugs that may interact with grapefruit or CBD.
Are there CBD products recommended for OCD?
When choosing a CBD product, select one that has undergone thorough testing to prevent mislabeling and contamination. Reliable CBD products should:
- provide third-party testing from an ISO 17025–compliant laboratory
- use hemp cultivated in the United States
- contain no more than 0.3 percent THC
- be tested for pesticides, heavy metals, and mold
Papa & Barkley Releaf Drops
Papa & Barkley Releaf Drops are a full-spectrum CBD tincture with just over 31 milligrams (mg) of CBD per serving. It’s made from hemp grown in Oregon and contains only hemp extract and MCT oil.
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Sunday Scaries CBD Gummies
Sunday Scaries CBD gummies provide 10 mg of CBD per gummy. In addition to a full spectrum of cannabinoids, they include vitamin B12 and vitamin D. A vegan option uses pectin rather than gelatin.
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Lazarus Naturals Energy Blend CBD Isolate Capsules
Lazarus Naturals Energy Blend CBD Isolate Capsules contain 25 mg of CBD per capsule. As a CBD isolate, they do not include THC or other cannabinoids. Each capsule is combined with B vitamins and L-theanine to support energy and promote calm.
Buy Lazarus Naturals Energy Blend CBD Isolate Capsules online.
Can CBD treat anxiety?
Research into CBD for anxiety disorders is ongoing. While many preliminary studies are promising, larger trials are needed to establish standardized recommendations.
A 2020 review of eight studies found evidence that CBD may be helpful for:
- generalized anxiety disorder
- post-traumatic stress disorder
- social anxiety disorder
Many individuals report that CBD helps them manage anxiety. If you choose to use CBD for anxiety, consider starting with a low dose and slowly increasing it. Some studies have investigated doses as low as 6 milligrams per day.
Discuss with your doctor
If you’re experiencing OCD or anxiety symptoms, consult a healthcare provider to create a comprehensive treatment plan.
A clinician can advise whether CBD might be a useful addition to your regimen and can check for potential interactions with your current medications.
Takeaway
Research into CBD’s effectiveness for OCD is still preliminary. Some studies and many anecdotal reports suggest CBD may help manage symptoms, but larger controlled trials are needed.
CBD is generally safe and seldom causes serious adverse effects, though it can interact with many medications, including those used for depression and anxiety.
Before starting CBD, talk with a healthcare professional to develop a well-rounded treatment approach for OCD.
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