We Need to Chill Out About Categorizing ‘Medical’ Versus ‘Recreational’

There’s nothing wrong with feeling high.
Medical
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I used to wake up in the middle of the night, every night, with a nightmare. In it, my body was frozen, and trigger warning: In the nightmare, I was fading in and out of unconscious, but someone was raping me. They were textbook PTSD nightmares, and I had no idea what to do about them.

I was raised in the Caribbean, in the U.S. Virgin Islands, surrounded by ganja culture. While millennial “statesiders” my age I’d meet later when I moved to the South for school and then New York for my forever home, I realized that my childhood was different. Far from the “Just Say No” and D.A.R.E rhetoric my contemporaries experienced, many of my friend’s parents were Rastafarians. I grew up understanding that cannabis was a sacrament. So I spent high school, during the Bush era, on the debate team arguing for its legalization, and college majoring in journalism, reporting on cannabis. I’ve always been vehemently pro-legalization. But the reason cannabis didn’t become a big part of my personal life until a decade ago, in 2013, was because I was a total boozehound. 

But alcohol made my PTSD stemming from my assault worse. Sometimes, back in the day, to be perfectly honest, it made me downright nasty or even suicidal. So my ambition kicked in, having seen what alcoholism can do to others (it runs in my family), and I quit. I haven’t had a drink in 10 years. I’ve been Cali Sober since before the term existed, baby. 

So, a few years into sobriety, when a stoner close to my heart told me that people used cannabis to treat anxiety, PTSD and that THC could even suppress nightmares, at first, I was skeptical. Sure, it should be legal, just like alcohol, and the government is full of shit, but would it affect me like liquor did? Personally, 12-Step programs did more harm than good. I’m a big believer that a one-size-fits-all model is not suitable for recovery, something society finally seems ready to talk about.

Especially in the first few years after my assault, I needed to be shaken and reminded of my power — which had been robbed from me — instead of admitting I was powerless, which is, in so many words, the first step of AA. I’m glad the program works for many, including people I love, and I won’t even get into the fact that its founder, Bill W., fully embraced psychedelics at the end of his life, adamant that they could treat alcoholism. Because this story is about why recreational use and medical use have more overlap than the establishment makes them out to.

When I first quit drinking shortly after my assault, I was a shell of my former self. I’d accept invitations to parties only to turn around at the door, back to the safety of my apartment, as my social anxiety was so bad even small talk was terrifying. I should add that I was prescribed a very high level of benzodiazepines, which I’m not against on principle, they have their time and place, but as anyone who’s weaned off them knows, they also have their downfalls (quite serious, benzo withdrawal can cause seizure or even death). So after doing my research and realizing that cannabis could not only quell nightmares, help me better inhabit my body, and treat social anxiety, but had a lower side effect profile than benzos, and was less physically addicting, I decided (after talking with my psychiatrist and therapist) to give cannabis a shot. It worked. It stopped my nightmares. My dissociation got better. I could socialize again; I could even goddamn do karaoke without a sip of booze or flutter of nerves. I didn’t need all that Klonopin. I was sold, even if those I knew in recovery circles at the time were not. 

So when New York legalized medical marijuana for PTSD in 2017, even though I was already using it under doctor supervision, I jumped at the opportunity and got a medical card, hitting up a dispensary right away. I was a little bummed to learn that they sold lower-dose products for much more than my dealer (I prefer the term “florist”) could offer, so like so many others in this economy, I returned to the black market and honestly eventually just let my medical card expire. 

But something else had happened by 2017. I healed. Sure, I still had anxiety, some trust issues, and enough reasons to have a therapist, but I no longer woke up every night with flashbacks. I was my outgoing, extroverted, optimistic self again. Cannabis still helped me be present, dial down any social anxiety, and only need a Klonopin if having one of those panic attacks that feel like a heart attack. Still, I started to wonder: Was I “bad” for continuing to use cannabis, not primarily for PTSD, but simply because it felt good and made life easier? And, no, to this day, it’s never made me blackout, it’s never made me say something nasty to a friend I don’t remember the next day, it’s never given me a hangover with a side of suicidal thoughts. My friends, doctors, and partner actually sometimes need to remind me to take it when I get a little bitchy now and then. 

Then I realized something even more horrifying — I was thinking like a Reagan supporter. Is it wrong to enjoy the euphoric side effects of a substance? Taking this a step further, is it morally worse to enjoy the euphoric side effects of a substance such as cannabis that’s federally illegal instead of many FDA-approved anxiety or pain treatments that also make you feel high? What was this hypocritical bullshit? I’m a Virgin Islander, goddamnit, not some regressive conservative clinging onto the bullshit the Moral Majority spent so many years spewing. 

Of course, legalization has upsides, such as fewer people in prison and more research on the plant’s benefits. But by 2017, and absolutely by the present day, I don’t just fit the bill for a medical patient; I’m a recreational (make that adult-use, a term I greatly appreciate) user. Yes, it helps my anxiety and PTSD. Yes, it plays a role in harm reduction, just like dear old Bill W. eventually supported, and it makes it easier not to drink. I never even think about alcohol. But cannabis is also just fun. Plenty of people who use cannabis recreationally also receive medical benefits as a nice side effect, such as lowered social anxiety or better sleep. Conversely, people with medical cards who use it for an ailment enjoy the pleasant side effect of euphoria. Is either team wrong? I think not. Does one need a stamp of government approval (since when do we trust them on this subject?) to use cannabis guilt-free? Dear god, I hope not. 

We live in a culture that moralizes euphoria. From a government-approved recovery program POV, if it makes you feel good, it’s bad. Any substance use should involve honesty about its effects. For instance, while I used to use cannabis to help with nightmares, as I got older, THC started giving me insomnia. So now, unless I’m at a concert or late-night dance party, I don’t take any after a certain hour, sticking with a low dose during the day. But that’s just me. We’re all different, and everyone’s reaction to substances is different and will likely change throughout their lifetime. But in this beautiful life on this wicked world, filled with violent crimes, people in prison for non-violent crimes, pandemics, homophobes, hurricanes, cancer drug shortages, but also love, community, science, the spiritual experience of playing with a dog — I’ll take all the euphoria I can get as long as it continues to offer a positive impact on my life. Binary thinking is so Bush-era and so over. May the adult-use cannabis consumers also enjoy lowered anxiety or pain, and may the medical patients guilt-free pop an edible before a concert and dance up a sweat while enjoying a heightened sensory experience. 

Euphorically yours, 
Sophie Saint Thomas

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