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Cannabis-induced psychosis masquerading schizophrenia or vice-versa? A diagnostic dilemma

Rachit Sharma, Ayushma Shah

Industrial Psychiatry Journal October 1, 2021 DOI: 10.4103/0972-6748.328842 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Case study Case report Peer reviewed
Sample size 1
Population A person with Cannabis Dependence Syndrome presenting with first-rank symptoms of schizophrenia
Topics Cannabis
Key findings The authors present a case in which a person with Cannabis Dependence Syndrome first presented with first-rank symptoms of schizophrenia, namely thought insertion, thought withdrawal, and delusion of control, highlighting the overlapping clinical features between schizophrenia and cannabis-induced psychosis.

Abstract

Clinical features of schizophrenia and cannabis-induced psychosis (CIP) share many overlapping characteristics. We present a case of Cannabis Dependence Syndrome, whose first presentation was with first-rank symptoms of schizophrenia in the form of thought insertion, withdrawal and delusion of control.

Comparable studies

Other case reports and case series on cannabis, most cited first.

Study Year Design Participants
Hallucinogen persisting perception disorder after psilocybin consumption: a case study 18-year-old man with HPPD after mixed psilocybin and cannabis intoxication 2005 Case study n = 1
Cannabis‐induced Koro in Americans American men aged 22-26 with years of cannabis experience who reported negative... 2001 Case series n = 3
“Hallucinations” Following Acute Cannabis Dosing: A Case Report and Comparison to Other Hallucinogenic Drugs Healthy 30-year-old male 2018 Case study n = 1
Hallucinogen persisting perception disorder: A literature review and three case reports Patients with hallucinogen persisting perception disorder 2018 Case series n = 3
Cannabis Psychosis in Young Psychiatric Inpatients Consecutive psychiatric hospital admissions of patients aged 35 and under 1986 Case study n = 25

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