WHY IT MATTERS: Patients managing anxiety or depression with cannabis should discuss their specific product, dose, and frequency with a knowledgeable clinician, because the type of cannabis being used matters enormously for mental health outcomes. CLINICAL OVERVIEW: Research continues to build a meaningful association between cannabis use and elevated rates of anxiety and depression, particularly in populations using high-THC products frequently and without medical guidance. The relationship is likely bidirectional, meaning individuals with pre-existing mental health vulnerabilities may be drawn to cannabis for symptom relief while simultaneously facing heightened risk of worsening outcomes depending on how, when, and what they consume.