Anxiety vs. PTSD in the Arkansas Medical Marijuana Program

Real Talk: Why Anxiety Doesn't Qualify for Medical Cannabis in Arkansas (And What You Can Do About It)
By Amanda Strickland, CEO of The Source & Creator of Roots & Reefer
Let me be straight with you - as someone who's been in Arkansas's cannabis industry since 2022 and now runs one of the state's top dispensaries, I hear this question almost daily: "Can I get a medical marijuana card for anxiety?"
The short answer? Not directly. But before you close this tab in frustration, stick with me. After helping thousands of patients navigate our $275 million state medical marijuana program at The Source, I've learned there are legitimate pathways and important nuances you need to understand.
The Current State of Medical Cannabis in Arkansas (From Someone Who Lives It Daily)
When Arkansas voters approved medical marijuana in 2016, we joined a progressive movement - but with conservative guardrails. Having filmed facilities across the state for my Roots & Reefer documentary and worked with everyone from BOLD to Natural State Medicinals, I can tell you our program is both more restrictive and more patient-focused than many realize.
The ABC runs a tight ship, and honestly? That's not entirely bad. It ensures quality and safety, even if it means some conditions - like anxiety - remain frustratingly excluded.
What Actually Qualifies (And Why Anxiety Isn't On The List)
Here's what the state recognizes as qualifying conditions:
- Cancer
- Glaucoma
- HIV/AIDS
- Severe arthritis
- PTSD (yes, this one's important - keep reading)
- ALS
- Crohn's disease
- Ulcerative colitis
- Seizures/epilepsy
- Severe nausea
- Cachexia/wasting syndrome
- Peripheral neuropathy
- Intractable pain
Notice something? These are primarily physical conditions with measurable, observable symptoms. Mental health conditions get less love in our current framework, with PTSD being the notable exception.
The Anxiety Loophole No One Talks About
Here's where my years in this industry come in handy. While anxiety alone doesn't qualify, many of my customers at The Source have found legitimate pathways through related conditions:
PTSD Often Includes Anxiety: If your anxiety stems from trauma, you might qualify under PTSD. This requires proper documentation from a medical professional, but it's a legitimate route many Arkansas patients take.
Intractable Pain and Anxiety: The mind-body connection is real. Chronic pain often creates anxiety, and anxiety can manifest as physical pain. If you're dealing with both, focus on the pain component when seeking certification.
Severe Nausea: Anxiety can absolutely cause severe, chronic nausea. If this is your experience, document it thoroughly with your physician.
What My 55-Person Team Has Learned About Cannabis and Anxiety
At The Source, we've become unofficial experts on which products work best for different symptoms. While I can't give medical advice (I'm a CEO and filmmaker, not a doctor), I can share what we've observed:
CBD-Dominant Products: These tend to be the go-to for customers managing anxiety-adjacent symptoms. Without the psychoactive effects of THC, CBD offers potential relief without the risk of increased anxiety that some experience with high-THC products.
Ratio Products: Many of our regulars swear by 1:1 or 2:1 CBD:THC ratios. Our house brand, The Source Apothecary (TSA), offers several options in this category.
Microdosing: Start low, go slow. This isn't just budtender advice - it's wisdom from watching thousands of patients find their sweet spot.
The Research Landscape (And Why Arkansas Needs to Pay Attention)
Having recently traveled to Amsterdam & more advanced recreational markets like Colorado & California, I can tell you Arkansas is behind the curve. The research on cannabis for anxiety is nuanced but promising:
- CBD shows anti-anxiety properties in multiple studies
- THC's effects vary wildly based on dose and individual chemistry
- Terpenes (the aromatic compounds in cannabis) may play a bigger role than we initially thought
The problem? Arkansas lawmakers want ironclad evidence before expanding qualifying conditions. Meanwhile, our neighboring states are collecting real-world data that we're ignoring.
Your Practical Next Steps
If you're dealing with anxiety and want to explore medical cannabis legally in Arkansas:
- Document Everything: Keep a symptom journal. Note physical manifestations of your anxiety.
- Find the Right Doctor: Not all physicians are cannabis-friendly. The Source maintains a list of doctors who understand the nuances of certification.
- Consider Related Conditions: Work with your healthcare provider to identify if you have qualifying conditions that overlap with your anxiety.
- Join the Advocacy Movement: The Arkansas legislature needs to hear from patients. I've been documenting patient stories through Roots & Reefer precisely because these voices matter.
The Application Process (Made Simple)
Once you have a qualifying condition:
- Get physician certification (usually costs $50 - $100)
- Apply online through the Arkansas Department of Health ($50 fee)
- Wait 10-14 days for approval
- Renew annually (yes, it's a hassle, but it's the law)
Read our full guide on how to get an Arkansas Medical Marijuana Card here!
Pro tip from someone who's guided countless patients: Keep copies of everything. The state can be particular about documentation.
What Patients Tell Me (Off The Record)
While filming the Roots & Reefer documentary, I've heard countless stories from patients who use cannabis for anxiety - some legally through other qualifying conditions, some who've moved from Arkansas to states with broader programs.
The consensus? It's not a magic bullet, but for many, it's been life-changing. The key is finding the right product, dose, and consumption method. This takes time, patience, and ideally, guidance from knowledgeable professionals.
The Legal Reality Check
As someone who works to eliminate compliance violations, I cannot stress this enough: Follow. The. Rules.
- Don't use in public
- Don't drive under the influence
- Keep your card current
- Only purchase from licensed dispensaries
Arkansas doesn't play when it comes to cannabis law violations. I've seen too many people lose their cards over preventable mistakes.
The Future of Anxiety as a Qualifying Condition
Having built relationships with cultivators, regulators, and patient advocates across Arkansas, I'm cautiously optimistic. The conversation is shifting. More healthcare providers are recognizing cannabis's potential for mental health.
But change in Arkansas happens slowly. We need:
- More Arkansas-specific research
- Continued patient advocacy
- Success stories from other conservative states
This is partly why I created Roots & Reefer - to document our state's cannabis journey and amplify patient voices. Every story matters in shifting policy.
Resources That Actually Help
After years in this industry, here are the resources I actually recommend:
Official Channels:
- Arkansas Department of Health Medical Marijuana Section
- Arkansas Medical Marijuana Commission
Patient Support:
- The Source's patient education programs (yes, shameless plug, but we offer free consultations)
- Ask Ethel
Stay Informed:
- Roots & Reefer YouTube channel and magazine
- Local NORML chapters
The Bottom Line
Can you get a medical marijuana card specifically for anxiety in Arkansas? No. Should you give up hope? Absolutely not.
Whether through related qualifying conditions, advocacy for policy change, or simply staying informed about your options, there are paths forward. As someone who's devoted their career to this industry and this state's cannabis community, I'm here to tell you: your needs are valid, your voice matters, and change is possible.
At The Source, we're not just selling cannabis - we're building a movement. One that recognizes mental health is health, period. Until Arkansas law catches up to that reality, we'll keep fighting, educating, and supporting our community however we legally can.
Stay lifted, Arkansas.
Amanda Strickland is CEO of The Source dispensary in Northwest Arkansas and creator of the Roots & Reefer documentary, magazine, and educational platform. With over 10,000 views and growing, Roots & Reefer has become the definitive voice in Arkansas's medical marijuana conversation. Follow our journey at [RootsAndReefer.com] and visit The Source for Arkansas's most knowledgeable cannabis experience.
Disclaimer: This article is for educational purposes only and should not be considered medical advice. Always consult with a qualified healthcare provider about your specific situation.



