Overview
- Legal dried cannabis in Canada now averages about 20 percent THC, reflecting a roughly fivefold increase since the early 2000s.
- Use of products exceeding 10 percent THC, frequent consumption, younger age, male sex and prior mental-health disorders all correlate with higher risk of cannabis-related psychosis.
- An Ontario cohort study reported a 14.3-fold increase in schizophrenia-spectrum diagnoses after cannabis-related emergency visits and a 241.6-fold rise following cannabis-induced psychosis.
- The CMAJ synthesis advises immediate cessation of cannabis for individuals with psychotic symptoms and recommends antipsychotic medication for severe or prolonged cases.
- Motivational interviewing and cognitive behavioral therapy are highlighted as strategies to support cessation, and the review calls for enhanced public-health education and regulatory oversight.