How do you handle cases where patients use cannabis to self-manage anxiety, but are hesitant to try SSRIs?  

If the patient is anxious, they should be in psychotherapy to figure out what is making them anxious. Use of SSRIs may or may not be sensible, but it is not the first response to treating anxiety. The fact that the patient is distrustful of SSRIs may become an issue, but it is not central here. Expl...

Firstly, the logic (or lack thereof) of comfort with cannabis but hesitancy with SSRIs has to be addressed. Both are psychoactive. Marijuana is often a gateway to other substances. Whether the individual has a substance abuse history is important. Also, cannabis can exacerbate other psychiatric di...