Why am I behaving like a crazy person? Is it due to schizophrenia or Marijuana?

Hi,

Welcome to icliniq.com.

I can understand your concern.

Although the provided information is insufficient to diagnose a case from the available description. It appears to me that you have cannabis-induced psychosis, a variant of schizophrenia that often starts with the use of cannabis. Although this has a cause, eliminating the cause itself is never sufficient to cure the problem. I must acknowledge that before making a diagnosis, I need to have access to all your records or at least 30 minutes of interaction with you. As stated above, I do not think your mental illness and marijuana can be separated from each other. Although the literature is scarce, I have seen multiple patients with cannabis-induced psychosis. Since the problem is already there, I think there is a need to treat it. Since you have responded well to Risperidone or Invega (Paliperidone), I see more merit in Risperidone use in your case when compared to Olanzapine. Although Olanzapine can be discontinued, there is a need to manage those voices with any other medication, preferably Risperidone, as stated above. So I mean to say it is acceptable to discontinue Olanzapine but simultaneously talk to your psychiatrist to prescribe Risperidone to manage those hallucinations. Having said this, I would like to inform you that we need to have a one-to-one discussion to make a proper diagnosis and design the best strategy to cure your problem. This can be done through online consultation, provided you are comfortable with the idea of online consultation.

I hope this information will help you.

Thanks.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Although your statement about medication psychosis can be true, none of the prescribed medications cause psychosis. They help the person with psychosis. If you are still experiencing psychotic symptoms while on medication, it often indicates a poor effect of medications, and there will be a need for a change of medication. For example, if you have hallucinations while on Olanzapine, changing to some other antipsychotic such as Risperidone, Paliperidone, or Quetiapine can help. In cases with cannabis-induced psychosis, medication can be weaned off after a certain period, say after two years of complete remission. If that stage is not achieved, it will be better to continue with medication. Once the required duration of remission is achieved, medication is tapered off gradually. Consult a specialist doctor and take medications with their consent.

I hope this information will help you.

Thanks.