Conditions · Washington

Can you get a medical marijuana card for PTSD in Washington?

Yes. The Washington Medical Cannabis Program lists Posttraumatic stress disorder (PTSD) as a qualifying condition. A Washington-licensed provider still has to evaluate you and agree that cannabis is appropriate.

About PTSD

Post-traumatic stress disorder can develop after a frightening or life-threatening event. Symptoms include intrusive memories, avoidance, negative mood and being constantly on edge.

Limited evidence. The National Academies found limited evidence that cannabinoids improve PTSD symptoms, based on a small trial of nabilone for nightmares. Many patients report better sleep and fewer nightmares, and larger studies are under way.

Symptoms Washington patients most often hope to ease:

  • Nightmares
  • Trouble falling or staying asleep
  • Feeling on edge or easily startled
  • Anxiety and irritability
  • Intrusive memories that are hard to switch off
Before you start. High-THC products can worsen anxiety, panic or paranoia in some people. People with PTSD have a higher risk of developing cannabis use disorder, especially with daily use.

Read more: medical marijuana for PTSD.

How to get certified in Washington

  1. Confirm you have one of Washington's listed qualifying conditions.
  2. Book an in-person visit with an MD, DO, ND, PA or ARNP willing to authorize medical cannabis (the state does not publish a provider list).
  3. Get the signed medical cannabis authorization form if the practitioner agrees cannabis may help.
  4. Optionally (required for minors), take the authorization and your ID to a medically endorsed cannabis store.
  5. Have a certified medical cannabis consultant enter you in the database and issue your recognition card for a minimum $1 fee.
  6. Shop tax-free for DOH-compliant products at endorsed stores using your recognition card.

Washington requires your first certification visit in person. Renewals can usually be done online.

Costs and timeline

  • State fee: $1 minimum for the recognition card (stores may charge more)
  • Card lasts: Up to 1 year for adults; up to 6 months for minors
  • Processing: Recognition card issued during the in-person store visit
  • Patient limit: With a recognition card: 3 oz usable cannabis, 48 oz solid infused, 216 oz liquid infused, 21 g concentrate, plus up to 8 oz (or 16 oz if authorized) from home grow
  • Home grow: 4 plants with an authorization only; 6 plants with a recognition card, up to 15 if the practitioner authorizes; 15 plants max per household
  • Recreational sales: Legal for adults 21+
  • First visit online: No — in person first

See the full Washington cost breakdown and Washington program overview.

Other qualifying conditions in Washington

PTSD in nearby states

Frequently asked questions

Do I need medical records for PTSD?

Helpful records include: a PTSD diagnosis from a psychiatrist, psychologist, therapist or primary care doctor; records of therapy and medicines you have tried and how well they worked; for veterans, VA records or a service-connected disability letter if you have one. Many patients are still evaluated on their history alone, and your Washington provider will tell you if more is needed.

How long does certification take in Washington?

The provider visit takes about 15 minutes. Recognition card issued during the in-person store visit.

Can I renew online in Washington?

In most cases, yes. Before the authorization expires, get a new one from your practitioner, which can be by telemedicine if the practitioner allows it, then renew the recognition card at an endorsed store. A designated provider can pick up the renewal card if an in-person visit would cause the patient severe hardship.

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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