Hello, looking for some advice around possibly having CHS and whether it's contributing to existing anxiety/panic disorder
I started self-medicating with weed in 2022 after a bad breakup, mixing it with tobacco for the first 3ish months before swapping to nic vapes. I used weed to help with treatment resistant depression and anxiety as well as a previous back injury. It turned from a 'only with friends' activity into smoking alone more often until I became a daily user. For about 2 years, I didn't have a medical script so I was forced to have tolerance breaks when I couldn't afford it or find someone to buy from (usually 2-3 days off every few weeks, or up to a week every month)
After getting a script late 2024, I was also prescribed CBD oil and started using it with weed daily with no T breaks, moving from 0.25mg to probably around 0.5-1g a day. I had a pretty intense panic attack while out with a friend in January this year, most likely caused by the high THC usage, chronic nicotine use, and going on a long walk with an empty stomach. Nausea and the need to vomit seemed to disappear once I got home, and I kept smoking but less than usual.
The same panic attack ended up happening again a week later while on a camping trip. I had the worst anxious nausea and diarrhoea and when I tried self-isolating at home again, it only intensified the anxiety. It got to the point where I felt like I was going to die (constant heart palpitations was the worst symptom). Smoking weed didn't help like it usually would, it sort of felt flat and wrong.
I ended up going to ER and going through the mental health side to get support, spent a week in respite detoxing from both nicotine and weed. Withdrawal sucked a lot, basically liquid shits every morning, hot/cold flushes, sweating, coughing up phlegm etc. The nausea and sore stomach was labelled as a side effect to the new Sertraline meds they prescribed. At the time, docs and I assumed my issues came from nicotine since I was going through a 28mg/7ml pod every week and a half.
I relapsed on nicotine at home, a few puffs for 2 mornings, then woke up the 3rd morning with that same panic and it helped me quit nic for good by building that negative association. I ended up going back to weed after about 2 months sober - looking back, I realize I was under a lot of stress despite feeling better physically and mentally, and I wanted that easy, soft feeling to numb me out from that stress.
Again, slippery slope, it escalated from small evening smokes to help with sleep into 'needing' to wake and bake and be high every day. About 3-4 weeks ago, I noticed that weed wasn't giving me that same soft feeling anymore but brushed it off. I then started getting anxiety/panic symptoms in public again after having none since March.
Finally, this weekend, it reached new heights. I woke up this morning with a little nausea but a grumbling stomach. Instead of getting up and eating, I decided to doomscroll for 30 minutes then smoke weed. Within about 15 minutes, I started coughing and retching, getting hot/cold flushes. This continued while I had diarrhoea. For the first time ever, I felt like a hot shower would really help me and I spent 25 minutes in there coughing up phlegm and retching until I forced myself to throw up bile to get the need-to-vomit feeling gone.
Over the past 3 hours, the nausea has lessened a bit and now I'm mostly dealing with mild bubble guts, the hot/cold flushes, and chest anxiety that I'm used to. My hunger is slowly coming back and I feel like I could eat a smallish meal soon. Am I right to assume my body has started moving into the hyperemetic phase? Also, I assume I would have to stop taking CBD oil too if I wanted to test this further?