Best CBD Oil for Anxiety 2022 – Top 7 Brands & Products
Everyone has experienced bouts of anxiety. Sometimes, it’s minimal and only prompted by a specific set of events, like when you have to give an important oral presentation. Most people find public speaking nerve-wracking, so it’s expected that anxiety spikes during these moments. However, there are people who deal with diagnosed disorders like generalized anxiety disorder and have this anxiety on a regular basis despite a lack of stimulating events. Anxiety can be crippling, keeping people indoors and away from interacting with the world. When you’re dealing with such a debilitating condition, you may want to reach for anything to help alleviate the symptoms you experience. Luckily, there are products that can intervene and assist people, especially when they’re staving off a panic attack.
While pharmaceutical interventions can be helpful, especially at the peak of anxiety and panic, these medicines often leave users feeling disconnected from the world. What people who suffer from anxiety need the most is a genuine connection with others and a place to feel safe in the world, not feelings of numbness that make them feel further isolated. So, they’re stuck between a rock and a hard place. Thanks to all the research that’s been conducted around CBD, it’s now well recognized as an alternative to the usual pharmaceutical options. CBD oil for anxiety provides great support for people who suffer from anxiety disorders, and can make the difference between a good night’s rest and feeling like you’re on a roller coaster while you’re lying in bed. You deserve relief. Below, we itemize the top seven brands that sell the best CBD oil for anxiety so that you can experience a sense of true calm throughout your days and good rest every night.
7 Best CBD Oil for Anxiety
– Best CBD Oil for Anxiety – Runner Up – Honorable Mention – Growing Reputation – Unique Approach – Good Service – Multiple Flavors
Reviews of the Best CBD Oil for Anxiety
1. CBDfx – Best CBD Oil for Anxiety
- Free shipping on orders over $75
- Save up to 25% off with code “chill”
- Verified potency
- 60-day customer satisfaction guarantee
CBDfx offers several different CBD oils to quell anxiety using a variety of different ingredients. Their first and most popular CBD oil is a calming tincture that contains CBD along with CBN and is available in several different strengths. At the lowest potency end, you can choose a CBD oil that contains 500 mg of CBD along with 150 mg of CBN. The strongest CBD oil contains 6000 mg of CBD and 300 mg of CBN. If you’re not familiar with CBN, it’s known as “the ultimate relaxation cannabinoid” and is often used in CBD oils specifically to promote relaxation and help with sleep.
The next formula that CBDfx offers is a broad-spectrum CBD oil combined with a relaxing mushroom blend. This formula also incorporates CBN so that you get the most calming effects from a variety of health-boosting ingredients. Count on reishi for lowering your stress, maitake for improving your wellness, and turkey tail for boosting your immunity. This one is available in a 2000 mg or 4000 mg of CBD option.
For the ultimate chill, try CBDfx delta-9 THC drops plus CBD. These do come with a warning label because the higher concentration of THC may cause a psychotropic effect. These drops contain full-spectrum CBD and come in a natural blueberry flavor. Select from three different strengths beginning at 1500 mg of CBD up to 6000 mg of CBD.
Cost and Savings
CBDfx always has promotions going on their website. Typically, you can save 15% off when you purchase one item, 20% off when you purchase two items, and 25% off when you purchase three or more items. During special occasions, they increase their discount codes but usually, you’ll find that you can save up to 25% every time you shop on the CBDfx website.
For the calming tincture, the lowest strength option is available for $39.99, and the highest strength option is available for $199.99. The unwind mushroom relax blend drops are available in the lower strength for $109.99 and in the higher concentration, they are available for $179.99. If you’re interested in the delta-9 THC drops plus CBD, the lowest strength option costs $84.99 and the highest strength option costs $239.99. Rack up the savings with the discount code “chill” and enjoy free shipping on orders over $75!
2. Green Roads – Runner Up
- 30,000+ five-star reviews
- American-farmed hemp
- No animal testing
- Award-winning products
- No CBD isolate options available in their product list
Green Roads offers two primary CBD oils to help relieve the symptoms associated with anxiety. The first is a full-spectrum CBD oil that contains 1500 mg total CBD. This is their strongest and best-selling CBD oil. It’s pharmacist formulated using , contains no artificial flavors, and is vegan and gluten-free. This CBD oil was formulated with six ingredients purposefully to ensure that you have a better absorption experience. That means you’ll get relief more quickly and more potently.
The other CBD oil they offer is a broad-spectrum option. This one is also pharmacist formulated and is blended with a five-ingredient base that makes it so that your body absorbs it more effectively. The original flavor is rich and sweet with some notes of caramel. However, if you prefer a sweeter flavor, this one is also available in apple kiwi bliss and in a mint breeze flavor option.
Cost and Savings
Green Roads offers a referral program where if you refer a friend, you can gift them with 40% off and you can get $25 credited to your account. You can also choose to subscribe for regular deliveries and save on your purchases. For example, the full-spectrum CBD oil in the 50 mg/mL strength option is available for a one-time purchase at $149.99. However, if you choose to subscribe, you’ll only have to pay $119.99. The full-spectrum option is not available in other flavors, but it is available in lower concentrations.
The broad-spectrum CBD oil is available in the original flavor, the apple kiwi bliss flavor, and the mint breeze flavor. It’s available in three different strengths and the highest costs $149.99 but again, if you subscribe for regular deliveries, you bring that total cost down to $119.99. If you’re in the military, are a first responder, or a teacher, they also offer several discount programs for you. Simply scroll down to the bottom of their website and look over to the right where the discounts are listed to find a program that works for you.
3. CBDistillery – Honorable Mention
- Subscribe and save 20% off
- Third-party lab tested
- 60-day customer satisfaction guarantee
- Natural farming practices
- Due to popularity, some items sell out on occasion
CBDistillery offers a primary full-spectrum CBD tincture that is designed to help you experience relief and help you relax an overactive mind. This is the most popular CBD oil tincture, and it contains 1000 mg of CBD. That means you’re getting 33 mg of CBD per serving, which is ideal for new users. Once you get acquainted with the product and its effects, you may choose to double your servings. The 1000 mg extra strength option is their most popular but it’s also available in different strengths including a 500 mg option up to a 5000 mg max-plus strength option.
If you’re not a fan of the natural earthy flavor that CBD has, you can get the relief and relax CBD oil with a mango flavor. This one is available in a 2500 mg full-spectrum CBD option and contains all minor cannabinoids, plant compounds, and terpenes from the hemp cannabis plant to deliver what’s called “the entourage effect”. This provides you with enhanced relief and relaxation while delivering those feel-good feelings via a delicious mango flavor.
CBDistillery also offers a limited edition full-spectrum CBD oil with a peppermint flavor. Also made from non-GMO hemp plant crops cultivated using natural methods, this full-spectrum CBD oil is formulated to give you a warm and cozy sensation whether you’re at home or on the go. Many customers love the peppermint flavor. The only downside is that it’s a limited edition so if it’s something you’re interested in, it’s best for you to buy now while it’s still in stock.
Cost and Savings
CBDistillery offers free shipping on all orders over $75. To purchase their most popular full-spectrum CBD oil, the total cost is normally $70. However, you can typically save $10 and bring that cost down to $60. To save even more, click on the subscribe and save option, set delivery to every four weeks, and you’ll save $22, only paying a total of $48 for the 1000 mg 30 mL bottle. The full-spectrum mango tincture at 2500 mg of CBD can be purchased for $130 (with a savings of $25) or you can select to subscribe and save 20% and bring that cost to $104. Plus, when you choose the subscribe and save option, you always qualify for free shipping on your orders. Finally, the limited edition 1000 mg full-spectrum CBD peppermint tincture is available for $60 (that’s with a $10 savings!).
4. Secret Nature – Growing Reputation
- Full-spectrum CBD
- 100% organic ingredients
- Subscribe and save 15% off
- Mint and unflavored options
- Limited product variety
Secret Nature CBD offers organic hemp plant flower drops that contain true full-spectrum CBD with 100% organic ingredients. When you use this CBD oil, you’ll find that a harmonious experience is created within your body, unifying your mind, your body, and your spirit. The CBD oil tincture contains rare, ancient ingredients like Shilajit and Black Seed Oil. This unique combination increases the effectiveness of cannabinoids and also delivers a wide range of benefits for you as well. Purchase this CBD oil in a mint flavor or stick with the raw, unflavored version.
Cost and Savings
When you first visit the Secret Nature CBD website, you’ll be immediately offered 25% off your first order. Simply enter your first name, your last name, and your email address and they’ll email you a discount code you can use on your first purchase. For a one-time purchase, the CBD oil costs $89. However, if you subscribe, you can save 15% off for a total of $75.65. They also offer free shipping on orders over $75.
5. Batch CBD – Unique Approach
- Available in multiple concentrations
- Subscribe and save 25% off
- Consistent dosing
- Boosts overall wellness
- Limited information in the product description
Batch CBD offers several CBD products , including their original CBD oil tincture. This is the batch of CBD that put this company on the map. It’s available in four different concentrations, starting at 500 mg of CBD up to 3000 mg of CBD. Loyal customers of Batch CBD swear by this original tincture. Users count on consistent dosing, particularly on the anxious days when they need extra help winding down before bedtime. Simple to use, you just need to squeeze the rubber end of the graduated dropper to fill it halfway and then place the oil underneath your tongue for approximately 30 seconds. Some people experience effects within just five minutes while for others, it may take one to two hours to experience full effects. You can take more as needed.
Cost and Savings
The cost of this original CBD oil tincture is $74.99 for a one-time purchase, or you can subscribe for delivery every 30 days and bring that cost down to $56.24 for the 1000 mg concentration option. If you’re interested in going all-in with the 3000 mg CBD concentration option, it’ll cost $129.99 for a one-time purchase or if you subscribe, you can save 25% and bring that total down to $97.49. Batch also offers free shipping on all orders over $15!
6. Royal CBD – Good Service
- Organic hemp from California
- Customer satisfaction guarantee
- Lab-tested and gluten-free
- Bundle CBD oils and save
- No broad-spectrum CBD or isolate options
Royal CBD sells premium CBD oil that starts with organic hemp plant crops grown on California farms. They use a small-batch supercritical CO2 extraction and test every single batch to ensure you’re only getting the best CBD oil available on the market. They offer a full-spectrum CBD oil at different concentrations from 500 mg of CBD up to 2500 mg of CBD. These formulas are available in different flavors including a natural flavor, a berry flavor, a mint flavor, and a vanilla flavor. The ingredients list is simple, containing only organic hemp cannabis plant oil extract, MCT oil, natural flavors, and terpenes.
Cost and Savings
When you first visit this website, you can trade your email address for a 10% off discount coupon. Royal CBD also offers free shipping on all orders and for a single bottle of their full spectrum CBD at 1000 mg, the total cost for a one-time purchase is $129. You can subscribe for monthly deliveries and bring the cost down to $110 (a 15% savings). Royal CBD also incentivizes bundle purchases. For example, if you purchase a two-pack of the 1000 mg CBD oil, you’ll save $53 on a one-time purchase and you’ll save $84 on a monthly subscription. Shopping with Royal CBD is comforting because they also offer a 30-day money-back guarantee. If you’re not satisfied for any reason, just reach out to their customer service support team.
7. FAB CBD – Multiple Flavors
- Multiple flavors and concentrations
- Farmed in Colorado
- Organically grown hemp
- Non-GMO and pesticide-free
- You only qualify for free shipping if you first spend $99
Fab CBD offers a natural full-spectrum CBD oil at four different concentrations: 300 mg, 600 mg, 1200 mg, and 2400 mg of CBD. You can also select from a variety of flavors including their natural hemp flavor, citrus, mint, berry, or vanilla. The CBD oil is formulated from organically grown Colorado hemp plants. They’ve worked to preserve the naturally occurring terpenes and other beneficial cannabinoids so you can experience the calming relief of CBD. Purchase the CBD oil as support for your normal, everyday stressors, and to help provide a sense of calm that allows you to better focus on the important things in life.
Cost and Savings
Fab CBD does offer free shipping, but you have to first spend $99 or more. Try the CBD oil at the lowest strength of 300 mg of CBD for a cost $39. The highest concentration at 2400 mg of CBD costs $129. Although Fab CBD does not offer a “subscribe and save” option, they do offer a payment solution called Sezzle, which allows you to make four interest-free payments.
How Did We Select These CBD Oil Brands?
Since CBD products aren’t regulated by the FDA, CBD brands have to go through several checks along their process to make sure they’re manufacturing high-quality CBD products. When you’re looking to relieve anxiety, you have to know what’s in the product you’re using. You don’t want to have to deal with wondering what you’ve just taken—and you especially want to avoid taking a substandard product that is packed with chemicals and fillers. To make sure we only recommended the best CBD oil brands, we considered the following:
CBD products should contain only the highest quality ingredients, which means organic whenever possible, and transparent. You’ll find that most CBD oils contain either full-spectrum or broad-spectrum CBD alongside natural flavors and terpenes. Additionally, they include some kind of carrier oil like MCT oil, to help your body absorb the medicinal support.
Another factor we considered when putting this list of the best CBD oils together is how satisfied the customer base is of each of these CBD brands. Some customers swear by certain CBD oils then try new CBD products and realize they have a new favorite. We organized this list in a hierarchical order so that you know which brand is best known for its consistent output of high-quality CBD products.
Independent lab testing is part of the accountability we mentioned. Since there are no FDA regulations to observe in the industry for CBD products, we take a careful look at how these CBD brands test each batch of their products. They’re transparent about their lab test results, which is a huge relief, especially for somebody suffering from a generalized anxiety disorder, who needs reassurance at every turn.
We also know that everybody is different. That means a lower concentration may be ideally suited for some of you while others of you may need the highest strength option available. We made sure to present you with a variety of different CBD products at different concentrations so you can choose what’s best for your needs.
How to Choose the Best CBD Oil for Anxiety?
When choosing the best CBD oil for anxiety, there are some critical aspects of CBD products you should look at. First, look for products that are specially formulated for inducing a state of calmness. There are some formulas that include other cannabinoids like CBG that are meant for a more energizing effect. If your problem with anxiety means your mind is already overactive and you’re already too hyped up, you’ll need a product that helps to calm your nervous system. Make sure you’re reading product labels thoroughly and checking the ingredients list to confirm the formula is meant for ultimate relaxation.
You should also consider if you prefer broad-spectrum CBD, full-spectrum CBD oil or a CBD isolate product. All may be beneficial but full-spectrum CBD incorporates multiple cannabinoids, including THC, to deliver the most potent benefits. For those interested in the additional cannabinoids but not THC, broad-spectrum oil is a good choice as it includes the goodness of the whole hemp plant except THC. For those who want their CBD straight up, with no additional cannabinoids, a CBD isolate product is the way to go. Just like the name suggests, oils made with CBD isolate are pure CBD oil with no traces of THC or any other cannabinoids or hemp plant compounds.
There are tons of CBD products available on the market, including CBD oils, topicals, and edibles. When you shop for CBD oils, you may find that purchasing a variety of different CBD products to keep in your medicine cabinet is the best way to ensure you’re getting all the calmness and health-boosting support you need. For example, you might start the day with your CBD oil and in the evening, you may choose to unwind with some CBD gummies formulated to help with anxiety disorders. You may even find topical CBD products that help to relieve the tension in your neck and shoulders after a long, challenging day.
Look for CBD products that contain pure CBD, Without any unnecessary additives, fillers, or chemicals. The best CBD oils contain pure CBD and have a clearly itemized list of ingredients available for their customers to confirm on their website. Don’t be shy about double-checking their lab test results. They make them available so that you can confirm you’re getting a high-quality product. If you notice that there aren’t any lab test results made readily available, that should be a red flag. Transparency is the name of the game when it comes to CBD products.
Managing Anxiety with CBD Oils
Anxiety has a way of robbing you of life‘s most important moments. Sometimes that important moment is getting a good night’s rest while other times it’s showing up for a loved one’s special event. When your body is screaming bloody murder and you’re just trying to get yourself dressed, it can feel like the most impossible task. The great thing about CBD oil is that its effects are subtle but strong. Some people worry that CBD might induce a high the way that delta-9 THC does. That’s not the way CBD works. It doesn’t have any psychotropic effects, which means that the clarity of your mind won’t be disturbed. Instead, CBD works with your endocannabinoid system to bring a sense of calm into your body and quiet the overactive chatter of your mind.
You’ve seen through this list that there are different formulas available for purchase. We highlighted the ones that are specifically formulated to relieve symptoms of general anxiety as well as more specific anxiety disorders, but you should know that CBD is incredibly versatile, meaning it can help with a variety of different issues. Some people use CBD to relieve pain while others use it to relieve anxiety. There are certain sleep formulas that contain special cannabinoids like CBN to help you get to sleep at night. You may find that a variety of products help to support your journey toward managing anxiety.
For example, when you suffer from anxiety, your body tends to tense up. This results in tension headaches, muscle aches, and overall discomfort. A good CBD oil that helps to relieve your anxiety will also help to reduce any bodily discomfort you feel. You may have to include a CBD topical into your regular routine to help you fall asleep feeling more relaxed at night. You would just have to massage some of the product into your skin to experience targeted relief while your CBD oil or other edible takes effect in your system just before bedtime.
Since CBD doesn’t cause any kind of psychotropic effects, you can start your day with it. If you have taken or are currently taking any kind of medication meant for relief from the symptoms of anxiety disorders, you’ll find that CBD has a different set of effects. It calms you down without numbing you out. This is the primary benefit for people who have felt out-of-body and out of touch when taking medications for anxiety disorders. You get the relief, but you get to maintain your mental clarity (and you’ll also find your focus improves).
How to Use CBD Oil for Anxiety?
This is a common question for people who have just started taking CBD oil for anxiety. Every individual has specific body chemistry as well as a specific body mass index. Therefore, how much CBD oil you take may require a little bit of experimentation. Only you will be able to gauge your ideal dose. To start, stick with the manufacturer’s recommendations. That’s always a safe place to begin your CBD journey. Depending on how you feel the CBD is affecting you, you may need to either lower your dose or increase it.
When you first receive your package, make sure to open it and check to ensure it is sealed. Any unsealed products should be returned to the manufacturer for safety reasons. Next, take a look at the product’s packaging or any other included instructions. Depending on the strength you selected, you may need only a quarter dropper, a half dropper, or a full dropper. Although rare, mistakes do happen when shipping and you might receive a product you didn’t order. That’s why it’s so important that you double-check the concentration is what you purchased.
When you’re ready for your first dose, follow the packaging instructions and pull the oil using the dropper from the bottle. Open your mouth, lift your tongue, and drop the oil just beneath your tongue. Hold the oil there for at least 30 seconds or so. If you can hold it there for a minute that would be better. Once enough time has elapsed, you can go ahead and swallow the oil. Most people don’t mind the hemp aftertaste but if you don’t like it, you can follow up with a breath mint or a piece of chewing gum. What you don’t want to do is rinse out your mouth!
Next, give CBD time to work with your body. Because this is the fastest way of getting CBD into your system, most people will experience positive effects within just a few minutes. However, for some people, it may take closer to an hour. Give it time before you decide to change your dose. With most of these products, you can use them as needed. Again, be sure you’re reading the manufacturer’s instructions to confirm you’re using the product correctly.
Is CBD Addictive?
No, CBD is not addictive. That’s why it’s such a great alternative for people who prefer to stay away from more addictive substances, like some anxiety medications. Just be careful whenever you start incorporating CBD into your regular routine because it is known to interact with certain medications. Let your medical provider know if you plan to start CBD and are currently on another medicine so that they can ensure it’s safe for you.
Are There Any Side Effects?
For some people, there are mild side effects experienced when they take CBD. For most people, they won’t notice anything other than the subtle sense of calmness that’s generally associated with CBD. Some of those mild side effects may include:
If you happen to experience any discomfort when taking a CBD product, you may need to reduce your dose or try taking it with some food. If after reducing your dose you are still feeling uncomfortable, you may need to discontinue the use of the products altogether. Remember: if you’re taking any other medicines, this may be the reason why. Connect with your doctor whenever you’re in doubt.
Living with anxiety can feel extremely lonely. You can make CBD a part of your wellness plan; it’ll give you those moments of reprieve you need to improve your relationships, focus on your tasks, and switch over to a more positive outlook. Try different flavors, different concentrations, and different products. Your wellness journey never ends—you just keep getting better and CBD is a fantastic way for you to feel supported.
How To Use CBD To Help Alleviate Anxiety
Dr. Bindiya Gandhi is an integrative medicine physician with expertise in functional and holistic medicine based in Atlanta, Georgia.
Commissions we earn from partner links on this page do not affect our opinions or evaluations. Our editorial content is based on thorough research and guidance from the Forbes Health Advisory Board.
Table of Contents
- CBD for Anxiety
- How to Use CBD for Anxiety
- CBD Dosage for Anxiety
- Potential Risks and Side Effects
While delta-9-tetrahydrocannabinol (THC) can have a bad rap for being intoxicating and anxiety-inducing, cannabidiol (CBD) can actually be used to relieve anxiety. Research supports this benefit, with several studies reinforcing the positive effects CBD can have on various anxiety conditions. In fact, 51% of U.S. adults who use CBD do so to help alleviate their anxiety, according to a recent Forbes Health survey of 2,000 U.S. adults conducted by OnePoll.
CBD isn’t yet legally cleared as an anxiolytic, or anxiety relief medication. Therefore, it’s up to you—and, ideally, a doctor who specializes in cannabis administration—to determine whether CBD is a safe treatment for your anxiety.
Here’s what the science says regarding CBD’s anxiolytic properties, along with experts’ dosage guidelines and advice on how to take CBD safely.
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CBD for Anxiety
The Food and Drug Administration (FDA) has yet to approve any CBD-based medications for anxiety. However, many studies indicate the substance can be an effective anxiolytic.
CBD for Generalized Anxiety
In 2011, a small trial-tested CBD on participants with generalized social anxiety disorder (SAD) and healthy control patients undergoing a simulated public speaking test (SPST), which is a common anxiety testing method  Bergamaschi MM, Queiroz RH, Chagas MH, et al. Cannabidiol reduces the anxiety induced by simulated public speaking in treatment-naïve social phobia patients. Neuropsychopharmacology. 2011;36(6):1219-1226. . Compared to a placebo, CBD significantly reduced anxiety and discomfort in the participants with SAD. In fact, their reduced anxiety levels were comparable to those of the control participants.
Eight years later, a 2019 test compared the efficacy of three CBD doses (150 milligrams, 300 milligrams and 600 milligrams) and a placebo in men taking an SPST  Linares IM, Zuardi AW, Pereira LC, et al. Cannabidiol presents an inverted U-shaped dose-response curve in a simulated public speaking test. Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999). 2019;41(1):9-14. . Compared to a placebo, 300 milligrams of CBD significantly reduced participants’ anxiety during the speech, but the 150-milligram and 600-milligram doses did not. These results highlight how dosage can be highly variable and that more CBD isn’t necessarily more effective.
Meanwhile, another 2019 study tested CBD in much lower doses than most other clinical studies—some participants consumed 25 milligrams a day while others consumed 50 milligrams or 75 milligrams a day  Shannon S, Lewis N, Lee H, Hughes S. Cannabidiol in Anxiety and Sleep: A Large Case Series. Perm J. 2019;23:18-041. . Researchers thought higher doses might be too expensive for participants to maintain in their normal lives and that low doses would still prove effective. Indeed, anxiety decreased within the first month for most participants and remained low. Sleep quality also improved, although it fluctuated more than anxiety. Only three patients reported side effects.
CBD for Anxiety and Depression
In 2020, researchers tested the effects of CBD oil at varying doses across 397 patients with a variety of ailments  Gulbransen G, Xu W, Arroll B. Cannabidiol prescription in clinical practice: an audit on the first 400 patients in New Zealand. BJGP Open. 2020;4(1):bjgpopen20X101010. . Participants with non-cancer pain or mental health-related symptoms experienced significant improvement in anxiety and depression, as well as in their abilities to complete their usual activities. The use of CBD oil suggested significant pain relief in these groups as well.
CBD for PTSD and Phobia Therapy
A small 2019 study of 11 patients found that, when consumed orally and administered alongside routine psychiatric care, CBD decreased patients’ posttraumatic stress disorder (PTSD) symptom severity  Elms L, Shannon S, Hughes S, Lewis N. Cannabidiol in the Treatment of Post-Traumatic Stress Disorder: A Case Series. J Altern Complement Med. 2019;25(4):392-397. .
Other studies suggest CBD can reduce PTSD symptoms when consumed with THC  Bitencourt RM, Takahashi RN. Cannabidiol as a Therapeutic Alternative for Post-traumatic Stress Disorder: From Bench Research to Confirmation in Human Trials. Front Neurosci. 2018;12:502. . When taken together, the two compounds create what’s known as the “entourage effect,” where THC enhances the effects of CBD as CBD tempers the effects of THC, resulting in a more well-rounded experience  Ferber SG, Namdar D, Hen-Shoval D, et al. The “Entourage Effect”. Terpenes Coupled with Cannabinoids for the Treatment of Mood Disorders and Anxiety Disorders. Curr Neuropharmacol. 2020;18(2):87-96. .
Some studies also suggest CBD can enhance the effects of exposure therapy—which assists patients in dissociating certain cues with a fear response—and cognitive behavioral therapy  Das RK, Kamboj SK, Ramadas M, et al. Cannabidiol enhances consolidation of explicit fear extinction in humans. Psychopharmacology (Berl). 2013;226(4):781-792.  Blessing EM, Steenkamp MM, Manzanares J, Marmar CR. Cannabidiol as a Potential Treatment for Anxiety Disorders. Neurotherapeutics. 2015;12(4):825-836. .
How to Use CBD for Anxiety
Without clear FDA guidance, optimal CBD use for anxiety varies from person to person. You may find one method works better for you over another. You can consume CBD in the following forms:
- Oils and tinctures, which come in dropper bottles and are consumed by mouth
- Gummies, which are chewable, sweet and often fruit-flavored
- Sprays, which come in bottles with a nozzle to be sprayed in the mouth
- Capsules, softgels or tablets, which are taken individually by mouth like a pill
- Vapes, which heat CBD oil without igniting it, resulting in an inhalable vapor
- Flowers, which are dried hemp plants that are typically ignited and smoked
- Creams and gels, which introduce CBD topically (through the skin) as a more localized treatment
You may have to try different forms to determine what works best in addressing your anxiety. For instance, when it comes to the absorption of CBD in your bloodstream, vaping and smoking are more effective than edibles like gummies.
CBD Dosage for Anxiety
You also have to find the right CBD dosage for your anxiety. Experts suggest starting small and working your way up depending on how your body reacts.
Many clinical trials jump right to testing high doses. Successful doses evaluated for anxiety relief specifically include:
- 600 milligrams in patients with SAD in a speech simulation  Bergamaschi MM, Queiroz RH, Chagas MH, et al. Cannabidiol reduces the anxiety induced by simulated public speaking in treatment-naïve social phobia patients. Neuropsychopharmacology. 2011;36(6):1219-1226.
- 300 milligrams in male patients in a speech simulation  Linares IM, Zuardi AW, Pereira LC, et al. Cannabidiol presents an inverted U-shaped dose-response curve in a simulated public speaking test. Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999). 2019;41(1):9-14.
However, other trials suggest much lower doses are also quite effective in treating anxiety.
- 25 to 75 milligrams for generalized anxiety and/or sleep problems  Shannon S, Lewis N, Lee H, Hughes S. Cannabidiol in Anxiety and Sleep: A Large Case Series. Perm J. 2019;23:18-041.
- 33 to 49 milligrams a day for PTSD, in addition to routine psychiatric treatment  Elms L, Shannon S, Hughes S, Lewis N. Cannabidiol in the Treatment of Post-Traumatic Stress Disorder: A Case Series. J Altern Complement Med. 2019;25(4):392-397.
Another study involving hundreds of patients noted success with doses from 40 milligrams to 300 milligrams a day, further supporting the idea that CBD dosage varies significantly, depending on a person’s symptoms and physiology.
Potential Risks and Side Effects
The World Health Organization deems CBD a safe and generally well-tolerated substance. Studies report very few adverse effects, if any.
However, taking CBD while on other medications may pose a risk, as these substances may interact and cause unwanted effects, such as weight gain, drowsiness, upset stomach and change in appetite.
Cheryl Bugailiskis, M.D., a cannabis specialist at Heally, a telehealth platform for alternative medicine, also warns people with preexisting liver injuries and people taking medications that can cause liver injuries should practice caution when using CBD.