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Anxiety   Information pages   About this page ... Welcome to MERCYs web pages dedicated to information on Anxiety and Medical Cannabis as well as related issues and items.   Click here for printable (WORD) version of this info, Click here for PDF (Adobe) version of this info. These are Orgs, Info, Links and other Resources for Medical Cannabis and/or Anxiety Condition. Services and functional information you can use.   Sections for The Law; Contacts - People, Orgs and Biz; Events and other Network opportunities; Info - Medical, Legal and otherwise; Action - Indiviual and Group Plans and Resources, Legislation and Legislators at all levels, News - Current Items by Categories, Sources and History; Library of Links, Images and Documents including How To's and any other Resources (IE- Forums) that may help. Medical cannabis resources and more.  We also try to include basic cannabis and related law and policy reform links and orgs for associated areas and functions such as human rights, justice, environment, health and other issues that potentially share resources.   What's yours? Got a Link, Resource or an Idea?  Enter in the NotePad or send us FeedBack. See even more related Info at this web-ring: OpdxNwoL links (marijuanalibrary.org/links.html)   Information on Anxiety   Definitions. Anxiety Disorder and Panic Disorder are common illnesses affecting a large portion of the population. Anxiety Disorder is associated with excessive and persistent worrying that interferes with everyday functioning. What Is Anxiety Disorders? | A group of disorders involving various manifestations of anxiety, including panic disorder; social anxiety disorder; obsessive-compulsive disorder (OCD); posttraumatic stress disorder (PTSD); acute stress disorder; and generalized anxiety disorder (GAD). Symptoms include irritability, feelings of dread, difficulty concentrating, nausea, diarrhea, trouble falling asleep or staying asleep, and edginess or restlessness. The Current DSM-IV Definition Anxiety (Abridged): A. A persistent fear of one or more social or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others. The individual fears that he or she will act in a way (or show anxiety symptoms) that will be embarrassing and humiliating. B. Exposure to the feared situation almost invariably provokes anxiety, which may take the form of a situationally bound or situationally pre-disposed Panic Attack. C. The person recognizes that this fear is unreasonable or excessive. D. The feared situations are avoided or else are endured with intense anxiety and distress. E. The avoidance, anxious anticipation, or distress in the feared social or performance situation(s) interferes significantly with the person's normal routine, occupational (academic) functioning, or social activities or relationships, or there is marked distress about having the phobia. F. In individuals under age 18 years, the duration is at least 6 months. G. The fear or avoidance is not due to direct physiological effects of a substance (e.g., drugs, medications) or a general medical condition not better accounted for by another mental disorder... Major Depressive Disorder (Unipolar Depression) Symptoms include insomnia, restlessness, inability to concentrate, fatigue, shortness of breath, racing or pounding heartbeat, and feelings of apprehension or dread. Panic Disorder is associated with episodes of intense anxiety or fear with symptoms of chest pain, rapid breathing, racing heartbeat, shortness of breath, nausea, sweating, or chills. Symptoms of depression include the following: Depressed mood (such as feelings of sadness or emptiness) Reduced interest in activities that used to be enjoyed, sleep disturbances (either not being able to sleep well or sleeping to much) Loss of energy or a significant reduction in energy level Difficulty concentrating, holding a conversation, paying attention, or making decisions that used to be made fairly easily Suicidal thoughts or intentions. Anxiety and Panic Attacks | (BLOG) Generalized Anxiety Disorder and Panic Attacks are common illnesses affecting many people. How do you know if you have anxiety disorder? Symptoms include excessive and persistent worrying that interferes with everyday functioning. You may also have insomnia, restlessness, inability to concentrate, fatigue, shortness of breath, racing or pounding heartbeat, and feelings of apprehension or dread. Panic attacks are when you have episodes of intense anxiety or fear with symptoms of chest pain, rapid breathing, racing heartbeat, shortness of breath, nausea, sweating, or chills. Anxiety and panic attacks can start at any time and can be due to your genetics (other people in your family have anxiety disorder), due to your brain chemistry (abnormal levels of certain neurotransmitters) or environmental factors (trauma, stressful event, death in family, loss of a job, etc.) There are a number of medications available to treat this condition including anti-anxiety medications such as Valium, Xanax, Ativan, and Klonopin. Another group of medications called serotonin agonists have also been used. These include Prozec, Zoloft, Effexor, and Welbutrin as well as some others. Unfortunately these medications have very significant side effects that make them undesirable as long-term solutions.  Visit - http://blog.marijuanamedicine.com/?p=23 - for more. Treatments. Medications that have been used to treat these disorders include anti-anxiety medications such as Valium, Xanax, Ativan, and Klonopin. Another group of medications called serotonin agonists have also been used. These include Prozec, Zoloft, Effexor, and Welbutrin as well as some others. Unfortunately these medications have very significant side effects that make them undesirable as a long-term solution. Category > Mood Disorders >> Etiology >>> Research has shown that depression is influenced by both biological and environmental factors. Studies show that first degree relatives of people with depression have a higher incidence of the illness, whether they are raised with this relative or not, supporting the influence of biological factors. Situational factors, if nothing else, can exacerbate a depressive disorder in significant ways. Examples of these factors would include lack of a support system, stress, illness in self or loved one, legal difficulties, financial struggles, and job problems. These factors can be cyclical in that they can worsen the symptoms and act as symptoms themselves. SOURCEs: (1) MarijuanaMedicine.com (ORG) | Information On Anxiety and Medical Cannabis; click -> http://marijuanamedicine.com/anxiety.html <- for more. (2) MarijuanaDoctors.com (BIZ) | more Information On Anxiety and Medical Cannabis; click -> https://www.marijuanadoctors.com/content/ailments/view/11?ailment=anxiety-disorders <- ! (3) MichiganmedicalMarijuana.org (ORG) | even more Information On Anxiety and Medical Cannabis; click -> http://michiganmedicalmarijuana.org/page/articles/health/mcc/anxiety-depression <-   CON (no) Arguments on Anxiety and Cannabis  Health Services at Columbia University (HSC), in the GoAskAlice section of their website, stated in a Feb. 4, 2005 response to a question from "a concerned boyfriend" who asked "She says smoking pot is like self-medicating — it is better than using anti-depressants. She also claims smoking pot helps with depression because of how it helps produce Seratonin in the body.... Does smoking pot really help with managing your anxiety, depression, etc.?": Marijuana DOES NOT produce serotonin. However, it does affect a substance in the brain called anandamide. Anandamide causes a soothing sensation in the body when it reacts with THC (tetrahydrocannabinol), the active substance in marijuana. It is the anandamide that causes your girlfriend to relax when using marijuana in low to medium doses....  Visit - http://medicalmarijuana.procon.org/view.answers.php?questionID=000226 - for more. Cannabis as a Cause of Anxiety | (BLOG) As a supporter of the use of medical marijuana, this topic really throws a spanner in the works – a member of my own family was made dreadfully ill by the recreational use of cannabis (yet other members of my family have been using the stuff for years with no ill effect). When my son – we’ll call him Jack for the purposes of this piece – was 15 years old he came to me one morning in a dreadful state. I’ll never forget his words. ‘Mum, I’ve done something really stupid and I think I might be dying.’ As you can imagine I was scared to say the least, and although he wasn’t dying I was right to be scared because that conversation was the beginning of two years from hell. Jack, who had always been the most tranquil of my children, had developed severe hypochondria and anxiety. At that time I was working in a general hospital as a health professional and each day I would receive at least 5 calls from Jack, who was convinced his heart had stopped beating. Yes, it sounds funny now but at the time it was tragic; so tragic in fact that many of my colleagues would break down in tears as they overheard the conversations with my very troubled son. But that wasn’t all. Jack suffered severe panic attacks, so severe that he soiled his pants on several occasions. And he had become so fixated on the idea that his heart might stop beating that I often mislaid my stethoscope, only to find it hidden under his pillow or mattress. School became impossible and Jack missed all his exams, ending up with no qualifications at all, despite being of above average intelligence. Cognitive therapy didn’t help and we had very limited success with hypnosis; eventually, after two years, anti-anxiety meds from the family doctor did help. Today, Jack is 23 years old and happy in his work as the manager of a rather classy hotel but, just occasionally, he still experiences mild panic attacks. So, how does cannabis lead to anxiety and panic attacks? Well, although I found plenty of papers confirming that cannabis can cause psychotic experiences such as hallucinations, fantasies, depersonalisation and derealisation (feeling out of touch with yourself or your surroundings), feeling a loss of control, fear of dying, irrational panic and paranoid ideas, I couldn’t find anything that explained exactly why this might be. What did become very clear in my research is that cannabis alone does not cause psychosis; however, it may contribute to its development.  Visit - http://www.medicalmarijuanablog.com/articles/cannabis-and-anxiety-1-045.html - for more. ANXIETY MEDICATION > MARIJUANA ANXIETY | (INF) Some people feel a side effect of smoking or eating marijuana known as marijuana anxiety. This is the sensation that the individual is being watched, followed or is going to be caught doing something illegal. However, not all individuals feel this sensation and not all of the marijuana that is sold causes marijuana anxiety in individuals. There are some factors that can predict if the individual is going to experience marijuana anxiety or not. This often takes testing of the marijuana and the evaluation of the individual who is at risk for marijuana anxiety. These tests determine the chemical content of the marijuana and the stability of the individual who is using the drug. Marijuana anxiety is characterized as a feeling of concern, fear or paranoia. The anxiety is not unlike the anxiety that people experience while having a panic attack. This anxiety can often be compounded by the individual hearing noises, or seeing things on the edge of a person's vision. This paranoia is uncontrollable and often has no known trigger for the paranoia. The anxiety often leaves the individual visibly shaken and often eager to leave to the area. They are often unable to handle the anxiety until they are over their marijuana high. This makes marijuana an impractical medication for those who are experiencing frequent anxiety.  Visit - http://marijuanaanxiety.com/ - for more. Health_Concerns: WHAT ARE THE MEDICAL DANGERS OF MARIJUANA USE? | (INF) I must preface these statements with the remark that there is still a great deal of research to be done concerning the effects of marijuana on the health of humans due to the fact that widespread marijuana use has only become prevalent in this country within the last three decades, so the effects of long-term use are just beginning to become apparent. I should also add that in making these observations, I have concentrated on the risks of smoking natural marijuana, since it is the most effective method of ingesting its active cannabinoids. MENTAL HEALTH, BRAIN FUNCTION, AND MEMORY | It has been suggested that marijuana is at the root of many mental disorders, including acute toxic psychosis, panic attacks (one of the very conditions it is being used experimentally to treat), flashbacks, delusions, depersonalization, hallucinations, paranoia, depression, and uncontrollable aggressiveness. Marijuana has long been known to trigger attacks of mental illness, such as bipolar (manic-depressive) psychosis and schizophrenia. This connection with mental illness should make health care providers for terminally ill patients and the patients themselves, who may already be suffering from some form of clinical depression, weigh very carefully the pros and cons of adopting a therapeutic course of marijuana.  Visit - http://cyber.law.harvard.edu/evidence99/marijuana/Health_1.html - for more.

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( skip to End )  |   ( next )  |   the Info ...    |     ( prev )  |   ( go to Top )    Treatment, CANNABIS Therapeutics   Updated NORML Report Highlights Marijuana's Role In Moderating Disease Progression; 'Emerging Clinical Applications' Booklet Reviews Nearly 200 Studies On The Therapeutic Use Of Cannabis Clinical and preclinical research on the therapeutic use of cannabis indicates that cannabinoids may curb the progression of various life-threatening diseases – including multiple sclerosis, Alzheimer's disease, and brain cancer, according to an updated report published by the NORML Foundation. NORML Deputy Director Paul Armentano, who authored the report, said: "The conditions profiled in this report were chosen because patients frequently ask me about the use of cannabis to treat these disorders. Ideally, with this report in their hands, patients can now begin talking openly with their physicians about whether cannabis therapy is appropriate for them."  Visit - norml.org/component/zoo/category/recent-research-on-medical-marijuana - for more. Medical Use of Cannabis (marijuana) | Here to Help > On this page: How does cannabis work as medicine? What conditions or symptoms is cannabis used to treat? How do people use cannabis for medical purposes? What is pharmaceutical cannabis, and how does it compare to herbal cannabis? What are the side effects and risks of using cannabis to treat symptoms or medical conditions? Drug interactions Quality Is using cannabis for medicinal purposes legal? What are compassion clubs? What are some barriers to using cannabis for medicinal purposes? What to do if you or someone you know needs more information about medical cannabis  Visit - heretohelp.bc.ca/factsheet/medical-use-of-cannabis - for more. HowStuffWorks "How Medical Marijuana Works" | So how, exactly, does medical marijuana work to treat these conditions? Why, if this medicine is so effective for some people, does it remain controversial and, in many places, illegal? In this article, we'll take a look at the medical, legal, and practical issues surrounding medical marijuana in the United States. We'll examine why some people, like Burton Aldrich, depend on it to live normally. We'll also examine some of the intriguing intersections between pharmaceutical companies, the government and the medical marijuana industry. Visit - science.howstuffworks.com/medical-marijuana.htm - for more. Medical Marijuana Benefits, Helps These Conditions | You might be surprised to find that it wasn’t just ancient peoples who used the drug; marijuana remained in the United States pharmacopoeia until 1941. Up until that time, cannabis was freely available in shops and, in the UK, Queen Victoria, that most conservative of royals, used cannabis to alleviate her menstrual cramps. ... are predominantly using cannabis to treat symptoms of ... We believe Medical Marijuana will help these conditions: Please let us know your experiences in using medical marijuana to treat various conditions.  Visit - www.medicalmarijuanablog.com/benefits/conditions-helped.html - for more. Medical marijuana (cannabis) - common uses | Common Medical Uses for Cannabis (Marijuana) ... Medical Marijuana Dispensaries - Directory of Medical Marijuana ... Cannabidiol improves symptoms of generalized social anxiety disorder in… ... Medical Marijuana Dispensaries - Directory of Medical Marijuana Dispensaries Project CBD Cannabinoid Profiles of Cannabis Strains Cannabis Laboratories: The Testing Landscape in America See also: An Overview of the Endogenous Cannabinoid System  Visit - www.letfreedomgrow.com/cmu/index.htm - for more. Complete List of Conditions Treatable With Marijuana | Check out the articles below to learn about how medical marijuana can be useful in treating specific medical conditions. We'll help you find the best ways to ingest medical marijuana to treat your condition, what strains will be most beneficial and we'll even help you connect with other folks with the same condition.  Visit - medicalmarijuana.com/treatments-with-medical-marijuana-cannabis - for more. What symptoms do patients treat with ... , Salt Lake City Medical Marijuana ... representative for the American Alliance for Medical Cannabis ... One question the 2011 Medical Marijuana Survey (sponsored by Legalize Utah) queried which received some of the most detailed responses was” “Do you use Medical Marijuana to treat any physical or psychological conditions and if so, which conditions”.  Visit - www.examiner.com/article/what-symptoms-do-patients-treat-with-medicinal-cannabis - for more. Marijuana: 1276 user reviews - DailyStrength | (INF) Medically, cannabis is most often used as an appetite stimulant and pain reliever for certain ... Myasthenia Gravis, Narcolepsy, Obsessive Compulsive Diso. ... I use medical marijuana o... Marijuana (also known as Cannabis) Medically, cannabis is most often used as an appetite stimulant and pain reliever for certain illnesses such as cancer, AIDS and other diseases. It is used to relieve glaucoma and certain neurological illnesses such as epilepsy, migraine and bipolar disorder. It has also been found to relieve nausea for chemotherapy pa... more at Wikipedia Treatment Success Rates ... Top 5 Communities; Condition, Members, Success - Chronic Pain, 684, 86%; Depression, 55 96%; Bipolar Disorder, 44, 95%; Anxiety, 32 94%; Fibromyalgia, 26, 100%; Overall, 90% (1106 Members) - find Marijuana helpful  Visit - http://www.dailystrength.org/treatments/Marijuana - for more. RxMarihuana.com: Index of Medical Conditions | (INF) Marijuana: The Forbidden Medicine. Index of Medical Conditions Addressed We will soon ... MUSCLE SPASM MYASTHENIA GRAVIS MYOFASCIAL PAIN SYNDROME N NARCOLEPSY ... and more.  Visit - http://rxmarijuana.com/medical_conditions.htm - for more. Tetrahydrocannabinol - Wikipedia, the free encyclopedia | (INF) Tetrahydrocannabinol (tet-ra-hy-dro-ka-nab-i-nol; THC), also known as delta-9-tetrahydrocannabinol (Delta9-THC), Delta1-THC (using an older chemical nomenclature), or dronabinol, is the main psychoactive substance found in the cannabis plant. ... Two studies indicate that THC also has an anticholinesterase action which may implicate it as a potential treatment for Alzheimer's and Myasthenia Gravis.  Visit - http://en.wikipedia.org/wiki/Tetrahydrocannabinol - for more.   Info on Anxiety and Medical Cannabis  Anxiety Attacks | (BIZ) Anxiety Attacks have been reported among some novice cannabis users and also among some Marinol recipients. Three primary causes are cited: A) Some clinical studies have relied on cannabis obtained “on the street” and consumed by persons having no prior experience with the illegal drug, generating a certain amount of anxiety, which seems appropriate, and is therefore easily discounted; B) Novice users may simply be unaccustomed to the effects of cannabis, and therefore may in some cases interpret a slight increase in their circulation and heart rate as feelings of anxiety; C) Synthetic delta-9 THC is known to be much more psychoactive than other cannabinoids present in natural marijuana, and is more potent than natural cannabis. At least one of the cannabinoids not found in Marinol, CBG, is known to have a sedative and anticonvulsant effect that counters the mental stimulation of THC. Whatever the cause of anxiety attacks reported by a few users, such feelings are easily calmed by reassurance. Anxiety attacks generally subside in several minutes as the psychotropic effects dissipate. >>  Visit - http://www.cannabismd.net/anxiety-attacks/ - for more.   PRO (yes) Arguments on Anxiety and Cannabis  Medical Marijuana Home Page > Diseases / Conditions > Psychological Conditions > Is medical marijuana an effective treatment for depression, bipolar disorders, anxiety, and similar mood disorders? | (ORG) Frank Lucido, MD, a private practice physician, stated in his article "Implementation of the Compassionate Use Act in a Family Medical Practice: Seven Years Clinical Experience," available on his website (accessed June 2, 2006): With appropriate use of medical cannabis, many of these patients have been able to reduce or eliminate the use of opiates and other pain pills, ritalin, tranquilizers, sleeping pills, anti-depressants and other psychiatric medicines... June 2, 2006 - Frank Lucido, MD Lester Grinspoon, MD, Professor of Psychiatry at the Harvard Medical School stated in his 1997 book Marihuana: The Forbidden Medicine: Thirty to forty percent of patients with bipolar disorder are not consistently helped by conventional treatment. For some of them cannabis may be useful in ameliorating the symptoms, reducing side effects of lithium, or both. 1997 - Lester Grinspoon, MD George McMahon, an author and medical marijuana patient of the U.S. Federal Drug Administration's Investigational New Drug (IND) Program, stated in his 2003 book Prescription Pot: People who have never struggled with a life threatening or disabling illness often do not comprehend how debilitating the resulting depression can be. Long days spent struggling with sickness can wear patients down, suppress their appetites and slowly destroy their wills to live. This psychological damage can result in physiological effects that may be the difference between living and dying. The elevated mood associated with cannabis definitely affected my health in a positive manner. I was more engaged with life. I took walks and rode my bike, things I never considered doing before in my depressed state, even if I had been physically capable. I ate regular meals and I slept better at night. All of these individual factors contributed to a better overall sense of well-being. 2003 - George McMahon Tod Mikuriya, MD, a psychiatrist and medical coordinator, cowrote in the 1997 book Marijuana Medical Handbook: The power of cannabis to fight depression is perhaps its most important property. 1997 - Tod Mikuriya, MD The Journal of Clinical Investigation stated in an Oct. 13, 2005 article "Cannabinoids Promote Embryonic and Adult Hippocampus Neurogenesis and Produce Anxiolytic- and Antidepressant-like Effects" (Article in PDF format) by Xia Zhang et al.: We show that 1 month after chronic HU210 [high-potency cannabinoid] treatment, rats display increased newborn neurons [brain cell growth] in the hippocampal dentate gyrus [a portion of the brain] and significantly reduced measures of anxiety- and depression-like behavior. Thus, cannabinoids appear to be the only illicit drug whose capacity to produce increased hippocampal newborn neurons is positively correlated with its anxiolytic- and antidepressant-like effects. Oct. 13, 2005 - Journal of Clinical Investigation The Journal of Acquired Immune Deficiency Syndrome, stated in a Jan. 2004 article on a study designed by Prentiss, Power, Balmas, Tzuang and Israelski "to examine the prevalence and patterns of smoked marijuana and perceived benefit" among 252 HIV patients: Overall prevalence of smoked marijuana in the previous month was 23%. Reported benefits included relief of anxiety and/or depression (57%), improved appetite (53%), increased pleasure (33%), and relief of pain (28%). Jan. 2004 - Journal of Acquired Immune Deficiency Syndrome Jay Cavanaugh, PhD, National Director for the American Alliance for Medical Cannabis, wrote in his 2003 article "Cannabis and Depression," published on the American Alliance For Medical Cannabis website: Numerous patients report significant improvement and stabilization with their bipolar disorder when they utilize adjunctive therapy with medical cannabis. While some mental health professionals worry about the impact of cannabis on aggravating manic states, most bipolar patients trying cannabis find they 'cycle' less often and find significant improvement in overall mood. Bipolar disorders vary tremendously in the time spent in the depressive versus manic states. Those who experience extended depressive episodes are more likely to be helped with cannabis. Patients who use cannabis to 'relax' may be treating the anxiousness sometimes associated with depression. Cannabis Anxiety the insomnia sometimes present in depression and can improve appetite. Better pain control with cannabis can reduce chronic pain related depression. While cannabis cannot yet be considered a primary treatment of major depression it may improve mood when used under physicians supervision and in combination with therapy and/or SSRI’s. 2003 - Jay Cavanaugh, PhD Bill Zimmerman, PhD, former President of the Americans For Medical Rights, stated in his 1998 book Is Marijuana the Right Medicine For You?: Some patients have found the mood altering effects of marijuana to be helpful for treating mood disorders such as anxiety, depression and bipolar (manic-depressive) illness. Using marijuana to treat mood disorders was described in medical writings in the 19th and early 20th centuries... However, using marijuana to treat mood disorders can be very tricky... If you intend to use marijuana for this purpose, it is very important that you thoroughly discuss it with your doctor. Patients who respond well report that marijuana not only diminishes their undesirable moods, it also motivates them to productivity. For some of these patients, depression was a by-product of a debilitating disease or illness for which marijuana provided a welcome remedy. For others, the marijuana seems to have acted directly on the depression. The mental component of the pre-menstrual syndrome (PMS) often causes psychological problems and is now technically classified as an atypical (not typical) depression. Many women report benefit from using marijuana to improve the symptoms of PMS. 1998 - Bill Zimmerman, PhD >>  Visit - http://medicalmarijuana.procon.org/view.answers.php?questionID=000226 - for more. Anxiety Disorder and Panic Disorder | Medical Marijuana has been espoused as an effective treatment for Anxiety and Panic Disorders. Paradoxically there are some patients who state that marijuana causes anxiety and panic or paranoia. It appears that one’s response to marijuana is as individual as our body chemistries. We here at Marijuana Medicine Evaluation Centers see many patients who choose medical marijuana - the natural treatment - over traditional medications because of adverse side effects, lack of improvement in symptoms, and the simple fact that marijuana just works much better to control their symptoms. The physicians at Marijuana Medicine Evaluation Centers can help you determine if medical marijuana is the right treatment for your anxiety or panic disorder. >>  Visit - http://marijuanamedicine.com/anxiety.html - for more. Medical Marijuana and Anxiety Disorders | (BIZ) Anxiety disorders are the most common mental illness in the U.S., affecting 40 million adults in the United States age 18 and older (18.1% of U.S. population). Anxiety disorders include Generalized Anxiety Disorder (GAD), Obsessive-Compulsive Disorder (OCD), Panic Disorder, Posttraumatic Stress Disorder (PTSD), Social Anxiety Disorder, and Specific Phobias. Symptoms include insomnia, restlessness, inability to concentrate, fatigue, shortness of breath, racing or pounding heartbeat, feelings of apprehension or dread, episodes of intense anxiety or fear with symptoms of chest pain, rapid breathing, racing heartbeat, shortness of breath, nausea, sweating, or chills—all of which can interfere with your ability to function in your everyday life. Not only do anxiety disorders interfere with daily functioning, they can also become a financial burden. Anxiety disorders cost the U.S. more than $42 billion a year, almost one-third of the country's $148 billion total mental health bill, according to "The Economic Burden of Anxiety Disorders," a study commissioned by ADAA and published in The Journal of Clinical Psychiatry, Vol. 60, No. 7, July 1999. Medications that have been used to treat these disorders include anti-anxiety medications such as Valium (Diazepam), Xanax (Alprazolam), Ativan (lorazepam), and Klonopin (clonazepam). Another group of medications called serotonin agonists have also been used, including Prozac (fluoxetine), Zoloft (sertraline), Effexor (venlafaxine), and Wellbutrin (bupropion). Unfortunately these medications have significant and hazardous side effects that make them undesirable as a long-term solution for anxiety disorders. Medical Marijuana is an affordable, natural alternative that lacks the side effects found in the medicines traditionally used to treat anxiety disorders. Medical marijuana has been an effective treatment for symptoms of anxiety disorders for countless patients just like you. Paradoxically, some patients report that medical marijuana heightens their sense of anxiety. However, each patient is different, and a qualified medical marijuana doctor can help determine if you would benefit from the use of medical marijuana. >>  Visit - https://www.marijuanadoctors.com/content/ailments/view/11?ailment=anxiety-disorders - for more. Xanax vs Marijuana (cannabis) for Anxiety: Medical Marijuana Orange County and Long Beach - May 29, 2010 | As medical director for medical cannabis of southern california I provide medical marijuana recommendations for patients throughout Orange County and Long Beach. One of the most common complaints that I here from patients is that they are tired of taking Xanax to treat their anxiety because of all the side effects and want a safer more natural alternative. Marijuana has been shown to have incredible anxiolytic properties and has limited unwanted side effects. Xanax is a drug that is most commonly used to treat anxiety and panic disorder. It falls into a class of drugs called benzodiazepines. It works by binding to areas in the brain that regulate a compound called GABA. GABA has an inhibitory affect on the brain, meaning it slows everything down. Unfortunately benzodiazepines have a plethora of side effects. The first is that patients build up a tolerance and dependance which means they require more and more to get the same effect over time. Xanax can become highly addicting and patients can experience withdrawals when they try to stop. On top of having to worry about becoming addicted to xanax patients most commonly experience the following: DROWSINESS, LIGHTHEADEDNESS, DEPRESSION, HEADACHE, CONSTIPATION, DRY MOUTH, CONFUSION, NAUSEA AND VOMITING, AMNESIA MORE SERIOUSLY PATIENTS CAN HAVE: INCREASED HEART RATE, SEIZURES, BREATHING DIFFICULTIES Most commonly patients tell me they walk around feeling like a “zombie” and they “can not function on it.” Cannabis has been shown to have incredible anxiolytic properties. It is NOT addicting, you can not overdose and it has very few unwanted side effects. It can be used daily in small doses with better results than xanax. Patients report using it prior to bed time and they say it not only helps them sleep but regulates their mood for 24-48 hours following. >>  Visit - http://www.mcsocal.com/blog/xanax-vs-marijuana-cannabis-for-anxiety-medical-marijuana-orange-county-and-long-beach - for more. Common Medical Uses for Cannabis (Marijuana) | An Overview of the Endogenous Cannabinoid System, Amyotrophic Lateral Sclerosis (ALS), Anxiety Disorders, Autism, Aversive Memories ... plus! See also: Directory of Medical Marijuana Physicians, Cannabis Cooperatives and Dispensaries, Cannabinoid Profiles of Cannabis Strains, Cannabis Laboratories: The Testing Landscape in America ...  Visit - http://www.letfreedomgrow.com/index_se_cmu.htm - for more. Cannabis and Stress Anxiety | (INF) In recent IDMU surveys, relaxation and stress relief were overwhelmingly the most commonly perceived benefits of cannabis use. However, the Department of Health identifies panic attacks and anxiety as effects of acute cannabis intoxication, particularly among naive users, in justifying the refusal of the UK Government to permit the prescribing of cannabis. Recent advances in fundamental cannabinoid research have been interpreted as indicating a common modality of action of cannabis and opiate drugs, in that naloxone (an opiate antagonist) blocks cannabinoid-induced dopamine release in the limbic system (a primitive brain structure associated with control of emotion and mood) [i] and the a cannabinoid antagonist administered to rats, pretreated with a powerful synthetic cannabinoid agonist, can precipitate corticotrophin releasing factor (CRF) which is held to be the mechanism responsible for mediating the psychological aspects of drug withdrawal symptoms, and leading to anxiety-type behaviours [ii]. This was interpreted as demonstrating a cannabis withdrawal syndrome, however the potency of the synthetic cannabinoid used was many times that of THC, and the administration of an antagonist (blocker) would not effectively mimic the gradual decrease in plasma THC which occurs with cessation of normal use. The fact that a potent cannabis blocker caused anxiety symptoms in rats would be consistent with a general diminution of anxiety levels arising from cannabis use. Laurie [iii] reported that in a few cases 'anxiety, which may approach panic, often associated with a fear of death or an oppressive foreboding is infrequently seen, usually giving way to an increasing sense of calmness... to euphoria'. Grinspoon refers to the initial state as a 'happy anxiety' where the experience is internally redefined as pleasurable. Rosenthal et al [iv] report that panic reactions and anxiety are rare, and most commonly found with overdose (particularly from oral preparations), in na¹ve users, or in those who do not like the effects of marijuana, and attributed the incidence of anxiety reports with Marinol (dronabinol - pure THC) to the lack of CBD within the preparation. Mikuriya [v] considered that 'the power of cannabis to fight depression is perhaps its most important property'. Patients were reported to self-medicate with cannabis rather than use benzodiazepines as the former produced less dulling of mental activity. The authors cited one study where marijuana was found to increase anxiety in na¹ve users, but to decrease anxiety in experienced users, and another of 79 psychotics who used marijuana recreationally and reported less anxiety, depression, insomnia or physical discomfort [vi] , and concluded that natural marijuana - containing CBD and THC - appeared more effective than THC alone in treating depression, and that patients suffering stress as a result of pain or muscle spasms would be most likely to be helped by the drug. They differentiated the use of cannabis to cope with everyday life stresses from the use of benzodiazepines in treating 'severe anxiety disorders' with an organic aetiology. >>  Visit - http://www.idmu.co.uk/canstressdepres.htm - for more. Cannabis as a Cure for Anxiety | (BLOG) Just as with the article looking at cannabis as a cause of anxiety, I have found compelling evidence that marijuana can cure anxiety very difficult to find, although the anecdotal evidence that it does abounds. So, even though anxiety can be a common side effect for some users, for many people the opposite is true. Joan Bello, author of the Benefits of Marijuana, says: “With the expansiveness that occurs with marijuana, the subject may begin to notice infinite possibilities to raise the quality of his/her life that would otherwise have remained hidden from normal, defensive consciousness. And feelings of health and happiness naturally lead to hope, which of itself can be curative.” Ms Bello interviewed over 400 people for her book who suffered from all types of disease, including, MS, Glaucoma, Epilepsy, Migraines, Asthma, Depression, Pain, Anxiety, Digestive Disorders, among many other stress-related diseases. >>  Visit - http://www.medicalmarijuanablog.com/articles/cannabis-and-anxiety-1-045.html - for more. Hawaiian Gold, Grade: A-, Classified as | "Good For Anxiety" Type: Sativa. - traits: day time use, earthy smell, fruity smell, fruity taste, Good For Anxiety, good for depression, Good For Energy, Good For Headache, Good for Migraines, Good For Relaxing, Good For Stress, hawaiian, Michigan Medical Marijuana, orange hairs, sativa, sweet smell, sweet taste, Upper Effects: Great upper. Great daytime high that dosent leave you couch-locked. Lasts about 2 hours. Good Strain For: Anxiety, depression, and migraines. >>  Visit - http://www.medicalmarijuanastrains.com/tag/good-for-anxiety/ - for more. Medical Questions > Debate Forums > Medical Marijuana Debate Forum > depression, bipolar disorder, anxiety, helped by Medical MJ | (FORUM) George McMahon, an author and medical marijuana patient of the U.S. Federal Drug Administration's Investigational New Drug (IND) Program, stated in his 2003 book Prescription Pot: People who have never struggled with a life threatening or disabling illness often do not comprehend how debilitating the resulting depression can be. Long days spent struggling with sickness can wear patients down, suppress their appetites and slowly destroy their wills to live. This psychological damage can result in physiological effects that may be the difference between living and dying. The elevated mood associated with cannabis definitely affected my health in a positive manner. I was more engaged with life. I took walks and rode my bike, things I never considered doing before in my depressed state, even if I had been physically capable. I ate regular meals and I slept better at night. All of these individual factors contributed to a better overall sense of well-being. 2003 - George McMahon >>  Visit - http://ehealthforum.com/health/depression-bipolar-disorder-anxiety-helped-by-medical-mj-t161072.html - for more. Anxiety, Panic Attacks, and Medical Marijuana | (BLOG) Medical Marijuana has been espoused as an effective treatment for Anxiety and Panic Disorders. Paradoxically there are some patients who state that marijuana causes anxiety and panic or paranoia. It appears that one’s response to marijuana is as individual as our body chemistries. Many patients choose medical marijuana – the natural treatment – over conventional medications because of the adverse side effects from pills, lack of improvement in symptoms, and the simple fact that marijuana just works much better to control their symptoms. >>  Visit - http://blog.marijuanamedicine.com/?p=23 - for more. “O'Shaughnessy's - Which Conditions are Treatable With Cannabis” (INFO)   O'Shaughnessy's is the journal of the California Cannabis Research Medical Group (CCRMG) and The Society of Cannabis Clinicians (SCC) SCC. Our primary goals are the same as the stated goals of any reputable scientific publication: to bring out findings that are accurate, duplicable, and useful to the community at large. Educating our colleagues, co-workers and patients as we educate ourselves about the medical uses of cannabis.  visit: http://ccrmg.org/journal/04spr/conditions.html Marijuana: 1276 user reviews - DailyStrength | (INF) Medically, cannabis is most often used as an appetite stimulant and pain reliever for certain ... Anxiety, Narcolepsy, Obsessive Compulsive Diso. ... I use medical marijuana o... Marijuana (also known as Cannabis) Medically, cannabis is most often used as an appetite stimulant and pain reliever for certain illnesses such as cancer, Anxiety and other diseases. It is used to relieve glaucoma and certain neurological illnesses such as epilepsy, migraine and bipolar disorder. It has also been found to relieve nausea for chemotherapy pa... more at Wikipedia Treatment Success Rates ... Top 5 Communities; Condition, Members, Success - Chronic Pain, 684, 86%; Depression, 55 96%; Bipolar Disorder, 44, 95%; Anxiety, 32 94%; Fibromyalgia, 26, 100%; Overall, 90% (1106 Members) - find Marijuana helpful  Visit - http://www.dailystrength.org/treatments/Marijuana - for more. RxMarihuana.com: Index of Medical Conditions | (INF) Marijuana: The Forbidden Medicine. Index of Medical Conditions Addressed We will soon ... MUSCLE SPASM Anxiety MYOFASCIAL PAIN SYNDROME, NARCOLEPSY ... and more.  Visit - http://rxmarijuana.com/medical_conditions.htm - for more. Tetrahydrocannabinol - Wikipedia, the free encyclopedia | (INF) Tetrahydrocannabinol (THC), also known as delta-9-tetrahydrocannabinol (Delta9-THC), Delta1-THC (using an older chemical nomenclature), or dronabinol, is the main psychoactive substance found in the cannabis plant. ... Two studies indicate that THC also has an anticholinesterase action[16][17] which may implicate it as a potential treatment for Anxiety and Anxiety.  Visit - http://en.wikipedia.org/wiki/Tetrahydrocannabinol - for more.   Organizations, Contacts and other Resources   all other Organizations, Non-Profits, NGO's and other such Resources   will be listed here as we learn about them. Got one? Post It! and let everybody know ...   BUSINESSes - Caveat Emptor!   Dr. Allan Frankel At GreenBridge Medical says “CBD Rules”! | (BIZ) Cannabinology is in fact a sub-specialty of Internal Medicine. I have been able to integrate my nearly 30 years of clinical medicine, and specifically psychopharmacology, together with Cannabis Medicine. The patients are the same;the diseases are the same. What was common in my Internal Medicine practice is common in my Cannabinology practice. So, aside from the obvious cancer, HIV and other critically ill patients, how and where does cannabis(Medical Marijuana), deal with the more common problems of the walking wounded? We all know that mild to moderate anxiety, depression, chronic pain, chronic fatigue, insomnia and others are very, very common problems for most people. Cannabis, clearly helps patients with clinical depression and anxiety. I have no doubt that for many patients with mild or moderate anxiety or depression, Cannabis clearly helps them. It has virtually no side effects and when the correct strains are administered in the correct manner at the correct time, they are both effective and extremely safe. >>  Visit - http://www.greenbridgemed.com/ - for more. ANXIETY & ANXIETY DISORDERS | (BIZ) Do you have shortness of breath, sweaty palms, chest pains, heart palpitations, choking or smothering sensations, fear of going crazy or losing control? Sudden intense fear or “freezing”? You may be having a panic attack. Do you have trouble taking tests or quizzes? Do you study hard and then freak out and forget it all during the exam? Do you have trouble mastering certain kinds of material or struggle when there is a time limit? Whether you are a teen or adult facing challenges with class tests, SAT, GRE, medical or law boards, or licensing exams, I can help. Do you have anxiety about, or avoidance of, places you might get stuck? Crowds, subways, elevators, traffic, seat belts, boats, airplanes, dentists scare you? Afraid to leave your house? You might have agoraphobia. Scared of snakes, dogs, bugs, mice? You have a specific phobia that can be helped. >>  Visit - http://www.drkellybass.com/Problems.html?gclid=COSw1qDYnKoCFQQCbAodYUJF3A#anxiety - for more. Ready For Anxiety Reduction? | (BIZ) Dr. April provides anxiety treatment in the form of Cognitive Behavioral Therapy - the ONLY scientifically proven form of treatment for generalized anxiety, OCD (obsessive compulsive disorder), panic attacks, panic disorder, social anxiety, Trichotillomania (compulsive hair pulling) and all phobias, such as fear of driving, fear of flying, emetophobia, germaphobia, agoraphobia and any other phobia you're experiencing! Get your life back! Call Now! >>  Visit - http://kickfear.com/?gclid=CJyxq7XwnKoCFSN5gwodtEo20A - for more. Depression-Anxiety-Stress Testing | (BIZ) Do you feel... pessimistic, unable to have fun, un-interested, gloomy, panicky, shaky, tense, irritable, cant sleep? ... You may be suffering from Depression, Anxiety, or Stress! The Depression, Anxiety and Stress Test is one of the first steps in regaining control of your emotional states and achieving positive change in your life. This professionally developed test is designed to provide you with the tools and information to better define and understand the emotions of depression, anxiety and stress, allowing you to take action in managing and reducing these negative feelings. Do you want to... Gain a better understanding of your feelings, emotions, reactions and moods? Be able to define and measure your negative emotional states? Discover the underlying cause behind the way that you are feeling? Identify ways to further understand and manage these feelings? Take control and identify a way forward to improving your everyday life? >>  Visit - http://www.depression-anxiety-stress-test.org/ - for more. How JustAnswer Works: Ask an Expert, Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm. Get a Professional Answer, Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to. 100% Satisfaction Guarantee, Pay nothing to your Expert if you're not satisfied.  Click -> here <- for more. all viable Businesses (For-Profit) and other such Resources   will be listed here as we learn about them. Got one? Post It! and let everybody know ...   FORUMs Section  Welcome to ASA's online community for activists and supporters to discuss the latest news, actions, and research around medical cannabis issues. | ... A few years ago I got into a bad car accident, when a car decided to make an illegal U turn on a highway right in front of me. The car wreck shook my psyche pretty badly. My family has owned mulitple car car shops, and compete in state drags. It took a while before I was able to try and get in a car again, and the medications given to me, only caused me severe side effects. About a year of feeling terrible went by when I stumbled across marijuana, a friend of mine had gotten it for anxiety also, so I went ahead and got my card. The benefits have been amazing, and I've been tons of research into it, and this has now become a major hobby of mine. I started a small blog for other medical marijuana enthusiats where I share tips on growing for cheap and other useful articles. I've found that smoking a bowl and posting on a blog has given me back some enjoyment out of life and I hope that soon everyone will be able to have access to marijuana as an alternate form of medication.  Visit - http://safeaccessnow.org/punbb/viewtopic.php?id=6031 - for more. Marijuana.com > Home > Medicinal Marijuana > Can you get a medical marijuana card in oregon for an anxiety disorder? | (FORUM) Hi i have a question about medical marijuana in oregon mainly portland ,Can you get a medical marijuana card in oregon for generalized anxiety disorder? also Post Traumatic Stress Disorder and depression? , is medical marijuana just like how it is out california? ... CA MMJ laws are different and a card is easier to get than in Oregon. I know you can get MMJ card in CA for depression I don't think you can in Oregon. ... see - http://www.oregon.gov/DHS/ph/ommp/ACMMHandbook.pdf?ga=t - and Oregon Medical Marijuana Program (OMMP) FAQs ... >>  Visit - http://www.marijuana.com/medicinal-marijuana/164601-can-you-get-medical-marijuana-card-oregon-anxiety-disorder.html - for more. Marijuana - permanent anxiety? | (FORUM) I'm a recovering marijuana "addict". Let me first say that I'm all for smoking marijuana etc. if u can manage your use and know what your doing. Let me also say that even though it might seem like I was a slave to this, I wasn't, I chosed to love this "drug" all by myself, my life was going sh*t and I didn't care. For me it all started right before I turned 15, a friend introduced me to marijuana, the first 2-3times I smoked it, I had no problem whatsoever, I didn't even feel high. Ofcourse this is completely normal. Then the 4th time, I smoked more and I guess my body was ready to "accept" the high. It hit me like a thousand pounds, I was so high, I didn't even realize what was going on. I remember being terrifyed and having all these images rushing through my head. Everything felt so weird and foreign, even thought I was in a secure and well known environment. I guess this was a panic attack, I accepted it as me just being scared of the high, the next times I smoked I had nothing like this and I got completely inlove with this herb. My life was falling apart in every direction with parents, girlfriend, school and other personal things, I needed something to escape through. I turned 15, and started smoking seriously, there wasn't room or time for anything else in my life, this was the only thing I wanted. I gave up friends, food, school and everything. ... Marijuana is a drug which relaxes the mechanism that governs brain signal paths. What this means is your brain signal (which is amplified and is occuring at an increased rate) will stray off the usual path. Sometimes it will take the right path but then not terminate as usual but advance to other paths. Some smokers experience something that could be termed recursive thoughts: extremely annoying, unpleasant, repeating thoughts that come up once in a while (almost as strong as voices), lasting anywhere from 30 seconds to 3 minutes, even as the subject is actively trying to terminate such thoughts. These stray paths include neurons that are connected to neurons responsible for triggering anxiety and paranoid thought. Marijuana has great effect in the part of the brain responsible for audio/visual comprehension, which is also the area linked with schzophrenic behavior. This area is stimulated the most, hence the "stray" connections grow stronger. When a stray connection is accessed enough, it stops being a stray one. As the marijuana usage accompanied with paranoid thought continues, the path grows strong and starts overpowering other paths. Paranoid thought and other schizophrenic tendencies increase. When marijuana usage is stopped out of fear of this problem, the path remains strong. The problem is never resolved so it actually grows stronger as time progresses. If conscious intervention is not achieved some people may develop other, stronger schizophrenic tendencies. ... However, be careful. Although less likely, it is known that certain people who did not show signs of schizophrenia prior to cannabis have ended up with schizophrenia after taking cannabis. Basically, this is due to a weakness in the brain in some individuals. That weakness can be exasperated by cannabis resulting in abnormal levels of dopamine being produced. For those of you who don't know, dopamine is known as one of the "happy" chemicals that the brain produces amongst other's such as serotonin. >>  Visit - http://www.steadyhealth.com/Marijuana___permanent_anxiety__t82453.html - for more. all viable Forums, Bulletin Boards, Chat rooms and other such online resources   will be listed here as we learn about them. Got one? Post It! and let everybody know ...   NEWS & Articles   Pot Stirring; Some are using marijuana as their drug of choice to curb anxiety | (NEWs) A thimbleful is all it takes. After a day’s work, I pinch off a small amount of marijuana and put it in a steel-tooth grinder. The flowers, covered in tiny white diamonds of THC, release a piney scent when crushed. I turn on the TV, and instead of taking a glass of wine with my evening news, I take out my vaporizer and set it on the coffee table. Outside the walls of my bungalow in Oakland, California, I can hear the rush-hour traffic, but I’ve already changed into my Big Lebowski–style robe and slippers. I tap the ground flakes into a canister that I attach to another piece, this one with a bag on the end, and set both on the vaporizer. I flip the switch, and the bag slowly inflates with plumes of white smoke. Once it’s fully clouded, I attach a mouthpiece to the canister, put this to my lips, and press. On the inhale, the cannabinoids taste like sunned grass. My prescription for anxiety disorder didn’t always begin and end with an herb. But I’ve run through enough pharmaceutical drugs to know that pot dulls my panic better than any pill. One could say I diagnosed myself in high school, when I recognized my symptoms in a psychology textbook. Finally, I had “generalized anxiety disorder” to describe the dread I felt of some future event that was overtaking my present. I usually sensed the panic attacks first in my chest. Then my vision would start to go to static, and my body would crumple to the floor. There I’d ride it out until the adrenaline ran its course. >>  Visit - http://www.elle.com/Beauty/Health-Fitness/Pot-Stirring - for more. N.J. Medical Marijuana Law Overlooks Many in Pain - By SUSAN DONALDSON JAMES Jan. 18, 2010 | (NEWs) Born without fingers and toes, Jack O'Brien faces crushing neuropathic pain. He can only sustain short walks on his deformed feet and the shooting pain up and down his arms and legs awakens him each morning. "It's getting worse and worse," said O'Brien, 55, a disabled fishing-boat captain from Laurel Lake, N.J. "I have pain all the time. It's always there. It's constant." But smoking marijuana in recent years has had a miraculous effect on O'Brien, working almost instantaneously. "It's like having a valve on the forearm, turning it and having the coolness of relief through my extremities," he said. "I try to walk on these feet and I can go four or five blocks, with my wife. With marijuana, I can go forever." New Jersey's outgoing Gov. Jon Corzine will sign into law Tuesday the most restrictive medical marijuana law in the country, one that won't allow people like O'Brien to access legally the one medication that makes their lives bearable. >>  Visit - http://abcnews.go.com/Health/Wellness/nj-medical-marijuana-law-ignores-chronic-pain-sufferers/story?id=9574509 - for more. Marijuana May Grow Neurons in the Brain - By Michael Smith, October 14, 2005 (Reviewed by Zalman S. Agus, MD; Emeritus Professor at the University of Pennsylvania School of Medicine) | (NEWs) SASKATOON, Saskatchewan, Oct. 14 - Advocates for medical marijuana can take heart over the findings of two Canadian research teams. A synthetic cannabinoid -- similar to the compounds found in marijuana, but substantially stronger -- causes the growth of new neurons and reduces anxiety and depression, investigators at the University of Saskatchewan here reported. And researchers at the University of Calgary said they've found evidence that the brain contains so-called CB2 cannabinoid receptors, previously seen in immune tissue but thought not to exist in brain tissue. The discovery, they added, could lead to new drugs to treat nausea associated with cancer or Anxiety. Most so-called drugs of abuse -- such as alcohol or cocaine -- inhibit the growth of new neurons, according to Xia Zhang, M.D., Ph.D., of the University of Saskatchewan. "Only marijuana promotes neurogenesis," Dr. Zhang said. The finding -- reported in the current issue of the Journal of Clinical Investigation -- does not involve smoked or ingested marijuana, but rather a synthetic compound dubbed HU-210, which Dr. Zhang said is 100 times as powerful as tetrahydrocannabinol (THC), the compound responsible for the highs experienced by recreational users. Action Points | Explain to patients who inquire that these findings about marijuana are preliminary and the reported neurogenesis does not involve smoked or ingested marijuana but a much stronger synthetic compound delivered to rats. >>  Visit - http://www.medpagetoday.com/Psychiatry/AnxietyStress/1934 - for more.   Cannabis as Medicine  RxMarijuana.com | Marijuana: The Forbidden Medicine.   (ORG, inf, Book) Featured Medical Marijuana Patient Accounts * to share website visitors' medical marijuana histories to provide insight into uses for this medicine which are not widely known. … If you wish to send us a personal account of your medical marijuana experiences, ... Cannabis and Anxiety by Michael McKenna ... visit: www.rxmarihuana.com/shared.htm Medical-101.com   (web-ring / link-list) * Your starting point for the best medical info. Free Medical Cannabis info Find what you're looking for! Visit: www.medical-101.com/s/medical_cannabis (back to top)

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