Can CBD Help With Depression?
Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital.
Interest in the potential mental health uses of cannabidiol (CBD) has grown tremendously in recent years, including the use of CBD for depression. CBD is a chemical compound found in the Cannabis sativa plant, also known as marijuana or hemp.
Cannabis contains more than 80 compounds, known as cannabinoids. The main cannabinoid that most people are more familiar with is tetrahydrocannabinol (THC), which is the psychoactive substance that produces the “high” characteristic of marijuana.
CBD, on the other hand, is purported to have a wide range of health benefits without these psychoactive effects. Some research suggests that CBD has antidepressant-like effects, which means it may hold promise in alleviating symptoms of depression.
Despite claims about CBD’s purported mental health benefits, it is important to understand that the research on its use is still limited. There have been studies done, but many of these have limitations and further research is needed in order to fully understand CBD’s therapeutic potential.
Research suggests that CBD has antidepressant effects, although it is important to note that many of these are animal studies.
Other studies suggest that CBD may help alleviate symptoms of depression by interacting with serotonin receptors in the brain. Serotonin is a neurotransmitter that plays a role in a range of functions in the body including the regulation of mood. It may help contribute to feelings of happiness and well-being. It is also often implicated in the onset of depression and many types of antidepressant drugs work by increasing serotonin levels in the brain.
One study published in 2018 suggested that cannabidiol does not increase serotonin levels; rather, it appears to work by influencing how the brain responds to serotonin that is already there.
Another study found that CBD had a “clear anti-stress effect,” which might play a role in reducing stress levels that contribute to feelings of anxiety and depression.
How It’s Taken
Cannabidiol is available in several different forms, although only those that are ingested are likely to produce any antidepressant-like effects or other mental health benefits. It may be taken orally as an oil, spray, or capsule. CBD may also be added to edible products including beverages, candies, or chewable gummies.
CBD can also be used topically in creams, salves, lotions, and balms, although it is likely to only produce localized effects in this form. E-liquids that are inhaled via vaping are also available, though vaping comes with its own risks.
It is also important to note that CBD is available in isolate (only CBD), broad-spectrum (contains other cannabinoids but not THC), and full-spectrum (contains other cannabinoids, including THC).
Possible Side Effects
Most of the available research suggests that CBD is generally well-tolerated and produces few side effects. However, this does not mean that people may not experience any unwanted side effects, which may include:
- Appetite changes
- Mood changes
- Elevated liver enzymes
According to the World Health Organization, the available evidence suggests that CBD is relatively safe. However, the long-term effects are not entirely clear.
One of the biggest concerns that consumers face when purchasing CBD products is the lack of FDA regulation.
CBD products are not subject to regulation because they are marketed as supplements, which means that you don’t know if you are really getting what is described on the label. Because these products are not regulated, you have no way of knowing for sure what you are getting in terms of purity, safety, and dosage.
- One study found that a whopping 70% of CBD products sold online were mislabeled, with many containing much more THC than the packaging claimed. So while many CBD products are labeled as not containing THC, many do contain significant amounts. This could potentially result in a positive result on a drug test. This is a major concern, particularly if you want to avoid the psychoactive effects of THC.
- Another study found that CBD products may also contain potentially dangerous chemicals and medications, including synthetic cannabinoids and cough medicine. Such contamination could lead to health problems including allergic reactions or drug interactions.
CBD vs. Antidepressants
So how does CBD compare to traditional antidepressants? True comparisons of the effects are not yet possible simply because there is not enough research on CBD’s effects.
However, one animal study suggests that CBD might have some possible benefits by comparison:
- A 2018 study published in Molecular Neurobiology concluded that CBD had promise as a fast-acting antidepressant drug. While traditional antidepressant drugs typically take some time to begin working, research on rodents found that CBD showed rapid and sustained antidepressant-like effects.
- CBD also appears to have relatively few side effects. Antidepressant drugs may sometimes cause things such as appetite changes and sexual side effects.
CBD holds promise, but that does not mean that you should turn to cannabidiol products over traditional treatments for depression.
A Word From Verywell
The bottom line when it comes to CBD’s potential as a treatment for depression is that more research is needed. Most of the evidence supporting CBD’s antidepressant effects comes from animal studies or small trials, and one of the largest reviews of the research found that the available evidence is not strong enough to recommend CBD as a treatment for depression.
If you are experiencing symptoms of depression, it is important to talk to a doctor or mental health professional. Depression may worsen over time if left untreated, but there are effective treatments available including psychotherapy and medications.
If you are interested in using CBD to alleviate symptoms of depression in conjunction with other treatments, always talk to your doctor first about how to use it and about any possible medication interactions.
If you or a loved one are struggling with depression, contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area.
For more mental health resources, see our National Helpline Database.
Cannabidiol (CBD) is a cannabis compound that has generated interest for the relief of symptoms of depression. Learn how it's used and if it works.
Healing Your Brain: Depression & CBD
Moments of sadness or feeling stuck are a part of life, but we can usually find the strength to process our feelings and recover.
But when sadness or stuckness grab hold of your life with no end in sight, this can morph into depression, a disorder that can harm both mind and body.
If you suffer from untreated depression, we urge you to seek professional support. However, recovering from depression is highly individual — and better results come with a combination of approaches, including holistic lifestyle changes and self-care programs .
A growing number of people are using cannabidiol (CBD) products to assist in recovering from depression. If you’re considering adding CBD oil to your self-care routine, we’ve put together this article to help you understand the current scientific research about CBD and depression. Although clinical trials are lacking, there is good evidence that it could help your brain recover from depression.
Depression: Where Does It Come From?
Many people still believe that depression is caused by a chemical imbalance — a serotonin deficiency. But this is a myth perpetuated by pharmaceutical advertisements . Serotonin is definitely part of the big picture — but the verdict is still out about who could use more or less serotonin, and depression is linked to many other neurotransmitter imbalances .
Furthermore, depression is also connected to conditions like inflammation and the structural brain changes resulting from trauma or chronic stress — all of which could be the real cause of the imbalances. Ultimately, there are a wide net of influences contributing to whether or not a person gets trapped by depression, including:
- Physical illness
- Chronic stress
- Stressful life events
- Past trauma
- Physical pain
- Social isolation
- Other emotional disorders
With so many different avenues leading to depression, it should be no surprise that there is no single miracle cure for it. What ends up helping a person recover from depression is highly individual, and p eople who take a multi-pronged approach to recovery often have better results than those who depend on a single solution.
Neural Regeneration: Healing Your Brain
Although SSRIs cause an immediate spike in serotonin levels, it can take weeks before mood improves…if at all. So serotonin levels aren’t directly responsible for healing from depression — but what is?
It turns out that when people suffer from depression, a specific region of the brain can atrophy and even shrink — the area responsible for memory, learning and emotion (known as the hippocampus).
Fortunately, this unique part of the brain is also capable of recovering . It can grow new neurons and form new connections — a process called “neurogenesis” or “neural regeneration” — something we once thought only young brains were capable of. But research has since revealed the ability of our brains to change throughout our lives — an ability named “neuroplasticity.”
So, the real reason antidepressants work is that they actually stimulate neural regeneration in the hippocampus . This could be why antidepressants take weeks to kick in — brain neurons need time to heal, grow and form new connections. If this is news to you, that’s because the cutting edge of depression research right now is hippocampal neurogenesis.
What we’ve learned so far is that although antidepressants can help to stimulate neural regeneration, a wide variety of other lifestyle choices and supplements can also help with this process.
How CBD Stimulates Neural Regeneration
Cannabidiol recently gained FDA approval as a cannabis-derived drug to treat epileptic seizures. According to researchers, the major reason it works for seizures is that CBD protects neurons in the hippocampus — the exact brain area that is atrophied in depressed people — and there’s interesting evidence from both animal and human research:
- Rodent Evidence: In epileptic rats, CBD treatments reduce neuron atrophy and death in the hippocampus .
- Human Evidence: L ike depressed people, chronic users of THC tend to have a smaller hippocampus, but CBD (in higher-CBD cannabis) helps prevent this shrinking .
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Scientists think CBD could protect or regenerate the hippocampus via the following pathways:
- Endocannabinoids: Endocannabinoids are used throughout the brain and body to help regulate memory, appetite, inflammation and more. CBD’s impact on the endocannabinoid system is complex , but it appears to increase the brain’s natural levels of endocannabinoids. In mice, CBD increased levels of anandamide in the hippocampus — which then stimulated neuron growth.
- Brain-derived neurotrophic factor (BDNF): This protein helps existing neurons survive, while encouraging the growth of new neurons and connections (synapses). Multiple rodent studies have observed that CBD increases BDNF levels in the hippocampus while simultaneously reducing depressive symptoms . ( However, not all studies agree, so this continues to be investigated.)
- Serotonin receptors: Similar to the antianxiety drug buspirone, CBD activates a type of serotonin receptor ( 5-HT 1A ) . These receptors control a wide variety of other neurotransmitters, and buspirone has been shown to increase neurogenesis in the opossum hippocampus so it’s likely that CBD could have similar effects.
- PPARγ: When CBD binds to this receptor, it tells DNA to start manufacturing a wide range of neuron-protecting and anti-inflammatory compounds . Scientists recently discovered that this receptor also helps CBD stimulate hippocampal neurogenesis .
Clues that CBD Could Help with Depression
It’s one thing to prove that CBD helps protect and grow neurons (which it does) — but proving that it can be useful for treating a disease as complex as depression will be difficult. Although large-scale human trials are not available yet, some preliminary evidence is promising:
- Circumstantial evidence: There are conflicting reports about whether cannabis use contributes to depression or helps relieve it . However, when medical marijuana becomes available, young American men (ages 20-39) experience a drop in suicide rates . Also, a few years ago, a drug for weight loss was developed that worked exactly the opposite way from cannabis — by inhibiting the body’s endocannabinoid system . Shockingly, it was discontinued almost immediately because it drastically increased people’s risk for depression and suicide . Needless to say, the importance of endocannabinoids in mental health caught the attention of scientists.
- Experimental evidence — Clinical trials are currently underway to examine CBD’s effectiveness at relieving anxiety , and anxiety can be a major contributor to depression. Although we lack controlled experiments testing CBD as a treatment for depressed humans, pre-clinical experiments on rodents have been promising. CBD helped relieve depression in rats , even when they also suffered from diabetes. However, this benefit wasn’t immediate: Scientists had to give them a few doses of CBD, starting 24 hours before testing. Another study found that a single dose of CBD had rapid antidepressant effects on both mice and rats, lasting up to 7 days after the treatment. Additionally, in mice, CBD’s antidepressant effects are even more effective when combined with an SSRI . (In case you’re curious how scientists measure rodent depression…the most common experiment is to place mice or rats in deep water and record how long they keep swimming. The ones that give up faster are considered depressed. Don’t worry — the scientists don’t let them drown.)
Growing Your Brain Toward the Light
Depression is a mental trap. And it takes time and patience to rewire a depressed brain. If you suffer from depression, then harmful mental patterns can be reinforced by everything from your own thoughts, to imbalanced neurochemistry, to unhealthy neural connections. You might need support in all three of these categories to find a lasting recovery.
Although molecules (including CBD) can help your brain circuitry grow and form new connections, you’re still in charge of what types of new connections are made. If you combine brain-focused treatments with psychotherapy, self-help books or sources of inspiration, you can help your brain grow in a new, more loving direction.
And there are many other ways to help your brain grow new neurons other than with CBD or antidepressants. See our piece on natural ways to heal your hippocampus for more ideas to include in your self-care routine.
CBD is not a first-line depression treatment, although you might find it useful as part of a long-term recovery plan. If you’re in the middle of a crisis or considering suicide, we urge you to call a hotline or seek professional support. Also, talk with your doctor before incorporating CBD into your self-care routine, especially if you take prescription drugs with potential interactions .
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If you’re considering adding CBD oil to your self-care routine, we’ve put together this article to help you understand the current scientific research about CBD and depression. Although clinical trials are lacking, there is good evidence that it could help your brain recover from depression.