OMG, A Giggling Patient on 2 mg CBD

Before viewing the video below, I would like to tell you about a patient I saw two days ago. This patient, similar to many patients I see, had been to my office a week prior to obtain their recommendation. We gave him the usual reading material and URL’s to study and a week later he returned and was instructed how to take the Rich CBD Extract. His extract was a 8:1 extract. He came in with pretty severe neck pain and modest anxiety.

Within 10 minutes of taking the 2 mg of whole plant CBD, he got what I call “CBD Face”, where he began touching and rubbing his neck and a look of joy, wonder and disbelief overcame him. He had told me that the main issue was anxiety and I didn’t fully know how much pain he had been in.

Within a few more minutes, this guy broke into giggles, which reminded me of the study video below and hence this post. This guy could not stop giggling. I started laughing and telling some jokes and the two of us interrupted the otherwise calm office so much, that we were forced to “settle down”. That seemed so funny to this 60 y/o patient that we both had to leave the office for a bit.

Was he stoned? No. Absolutely not. He was clear and focussed and having the time of his life. He had received 2 mg of whole plant CBD and 0.1 mg of THC. He kept telling me, he didn’t know if the giggling was because his neck pain was so much better or just because the CBD had this effect. This was a very “psychoactive” example and an extreme example, but this general mood improvement with CBD is real and it is common. I blogged on this a few days ago. We must come up with a better word than “non psychoactive” as CBD is certainly psychoactive; it changes mood.

We have done some small testing where patients with NO symptoms at the time, were given 2 mg of whole plant CBD. They had no pain. No perceived anxiety. Within 10 minutes they were more relaxed and smiling more. In my opinion, a direct effect of the CBD as they received less than 0.1 mg of THC.

This is NOT a problem. We don’t have to be so scared of some “psychoactivity”. These patients are not stoned or impaired in any way. Perhaps the term non-impairing, would be more accurate? It is tragic that we are even having this discussion. I feel certain that “defenders of the Ganja”, including everyone I know, are in part trying to “make nice” with the other side and gain acceptance. This is fine, but I would still prefer we come up with a better term. Hmmm, what about “non-impairing”?

So, enjoy this old British study. Clearly combined CBD/THC is a lovely experience. The patient pronounces the term cannabidiol entirely wrong, but otherwise it is a very interesting study.


Allan Frankel, MD Dr Allan Frankel is one of the few physicians in the US who truly understands Cannabis as a medicine. All treatments suggested have been well studied. Every patient seen by Dr Frankel is given a personally created Treatment Plan created with the patient's specific issues defined. Plant medicine requires "tuning" of the dosing. Dr Frankel works with his patients thru a messaging portal. The use of this portal, allows quick and simple follow up contact with Dr Frankel. Patients are not charged for these messages, as this is how Dr Frankel has learned what he has learned. Follow up appointments in person or by phone/video are also available when needed

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