Conditions · Washington, D.C.

Does anxiety qualify for a medical card in Washington, D.C.?

Very likely. Washington, D.C. doesn't limit certification to a fixed list — providers can recommend cannabis for conditions they believe it will help. That includes patients with anxiety when the provider agrees it's appropriate.

Yes. DC has no qualifying-condition list, practitioners decide when cannabis is appropriate, and adults 21+ can self-certify.

About anxiety

Anxiety disorders include generalized anxiety disorder, social anxiety disorder and panic disorder. They're among the most common mental health conditions in the US.

Limited evidence. Evidence is limited. The National Academies found limited evidence that cannabidiol (CBD) improves anxiety symptoms in a public-speaking test for people with social anxiety. THC can ease anxiety at low doses for some people and worsen it at higher doses for others.

Symptoms Washington, D.C. patients most often hope to ease:

  • Racing thoughts and constant worry
  • Trouble falling asleep because of a busy mind
  • Muscle tension and restlessness
  • Feeling on edge in social or work situations
  • Physical stress symptoms such as a tight chest or upset stomach
Before you start. THC can worsen anxiety and trigger panic attacks, especially at higher amounts or with high-potency products. Cannabis can add to the drowsiness of benzodiazepines, sleep medicines and alcohol.

Read more: medical marijuana for anxiety.

How to get certified in Washington, D.C.

  1. If you are 21 or older, decide to self-certify; if you are 20 or younger, get an eight-digit recommendation number from a DC-licensed physician, PA, APRN, dentist or naturopathic physician.
  2. Create an account on ABCA's customer portal.
  3. Upload a DC REAL ID, or a government photo ID plus proof of DC residency.
  4. Add a caregiver if needed (required for minors) and, if eligible, income proof for discounted products.
  5. Submit the application to receive a 90-day temporary digital registration you can use right away.
  6. After staff review, receive your two-year digital registration; order a $10 physical card if you want one.

Washington, D.C. allows the evaluation by telehealth, so you can see a Washington, D.C.-licensed provider by video. Our evaluation starts at $79 and is charged only if you're approved.

Costs and timeline

  • State fee: Free (fees currently waived; $10 for a physical card) ($25 standard reduced fee for Medicaid/DC Alliance recipients or households at or below 200% of the Federal Poverty Level (registration fees are currently waived for residents))
  • Card lasts: 2 years for DC residents; 3 to 365 days for non-residents
  • Processing: Residents receive a 90-day temporary digital registration immediately on submitting; the 2-year registration follows staff review
  • Patient limit: 8 oz
  • Home grow: Not allowed
  • Recreational sales: Legal for adults 21+
  • First visit online: Yes

See the full Washington, D.C. cost breakdown and Washington, D.C. program overview.

Anxiety in nearby states

Frequently asked questions

Do I need medical records for anxiety?

Helpful records include: notes or a diagnosis letter from a primary care doctor, psychiatrist or therapist describing your anxiety; a list of current and past treatments, including therapy and medicines you have tried; your current medicine list, especially antidepressants, benzodiazepines and sleep aids. Many patients are still evaluated on their history alone, and your Washington, D.C. provider will tell you if more is needed.

How long does certification take in Washington, D.C.?

The provider visit takes about 15 minutes. Residents receive a 90-day temporary digital registration immediately on submitting; the 2-year registration follows staff review.

Can I renew online in Washington, D.C.?

In most cases, yes. Renew through the ABCA portal. If you renew within 30 days of expiration you keep the same registration number; otherwise it is treated as a new registration with a new number.

Sources

This guide is general information, not medical or legal advice. Laws change — confirm details with your state agency. State facts last checked October 7, 2026.

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  • From $79, only if approved
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