As a psychiatrist I have seen a change in how people are presenting to my office. These days people mostly show up for Adderall as everyone believes they have adhd. The second most requested medication is klonopin. Many if not most people these days are self-treating themselves at home for just about everything with marijuana. And it works, “Doctor, Medical Marijuana is the only thing that works for me,” that is for a while.
Cannabinoid the Pharmalogically active substance obtained from the marijuana plant is a Sympathomimetic (sympathomimetic drugs (also known as adrenergic drugs and adrenergic amines) are stimulant compounds which mimic the effects of endogenous agonists of the sympathetic nervous system.) -Wikipedia
I.e. what Marijuana does physiologically is the opposite of what it does psychologically. Over time this creates a widening paradox. You are anxious. Marijuana makes you feel calm but internally it’s speeding you up. Over time as you build tolerance not only doesn’t it calm you down but you have been conditioned to expect the calm but now you feel the stimulation and interpret it as anxiety separate from the marijuana. This anxiety only worsens over time and now you feel you are having panic attacks but really is just that you screwed up your sympathetic nervous system. You have turned it up by trying to turn it down.
You now come to me complaining of anxiety to the point of panic and the inability to focus. Marijuana actually contributing to if not causing both.
The inability to focus is caused by the dopaminergic effect of marijuana as Dopamine controls memory and motivation. Over time Marijuana affects the feedback mechanisms for dopamine in the brain causing a loss of motivation, focus, and memory.
You now come to my office asking for Adderall and klonopin. Keep on toking.