the Link Between Marijuana Use and Schizophrenia: A Personal Journey

I developed schizophrenia as a result of using cannabis?

Hello, doctor: I was exempted from military service due to a diagnosis of schizophrenia.
This was about eight or nine years ago when my lifestyle was chaotic, and I was using marijuana.
I have been seeing a psychiatrist at National Taiwan University for over six years now.
Currently, I have a good friend from the psychology graduate program at National Cheng Kung University who knows about my situation and helps me.
Back then, we used to listen to heavy metal and use marijuana together, but I was using it in larger quantities and without moderation.
I am currently attending regular follow-up appointments, and everything seems to be going well; my doctor thinks so too!
I do not have a formal girlfriend at the moment, and I am wondering how to face a girlfriend and friends in the future.
Good friends can understand, but I am unsure how to tell a girlfriend.
Will I have to continue seeing a psychiatrist for the rest of my life? Currently, I am taking two and a half tablets of Olanzapine prescribed by my doctor at National Taiwan University, and occasionally I take two tablets of Trazodone when I have trouble sleeping, but it doesn't seem to help with my insomnia.

I also developed gout due to excessive use of marijuana and alcohol, so I realize that both substances can be harmful.
However, I still cannot understand why some Western rock musicians who also use marijuana and alcohol do not develop schizophrenia or gout.
Is it related to their constitution? I am not trying to make a nonsensical comparison; it just feels like foreigners can use these substances and find happiness, while my outcome has been illness.
Is it okay for me to use these substances in moderation? Marijuana is not a chemical drug, so I wonder if moderate use could have side effects.
As for alcohol, I now occasionally drink two or three small glasses, which should promote metabolism, right?
Lastly, I really do not know how much longer I need to see a psychiatrist in my situation! Thank you.

Xiao Yong, 20~29 year old female. Ask Date: 2001/02/28

Dr. Dai Wanxiang reply Psychiatry

The causes of schizophrenia are not yet fully understood.
However, it is generally believed to be related to both genetic and environmental factors.
The genetic factors mentioned include various elements such as heredity, viral infections during embryonic development, and brain injuries.
Typically, a vulnerable constitution, combined with environmental stressors, alters brain function and leads to the onset of the disorder.
Currently, there is no evidence to suggest a causal relationship between cannabis use and schizophrenia.
Since the causes are related to brain function, medication treatment is very important.
The duration of medication should be determined based on individual factors such as the frequency of episodes, recovery status, and severity, which should be discussed with your physician.
Additionally, psychological and rehabilitation therapies can enhance patients' resilience to psychological stress and improve their functional abilities, making them indispensable.
Due to the variability in prognosis for schizophrenia, which can differ greatly among individuals, it is difficult to provide a specific explanation regarding your situation.
However, generally speaking, if medication is taken regularly, psychological resilience and stress tolerance are strong, and there is sufficient family support, along with good baseline functioning, the prognosis tends to be more favorable.
Regarding friendships and marriage, as long as the condition is stable, patients encounter situations similar to those of the general population.
It is advisable to initially engage with the opposite sex in a friendly manner, gradually getting to know each other.
When the time is right, you can share your situation with her and discuss it together.
This way, she will not perceive you solely through the lens of a mental illness label, allowing for a more authentic connection and enabling her to make an informed decision.
Of course, if marriage is considered in the future, it is important to take into account more complex factors such as your financial situation, interpersonal relationship management skills, and the attitudes of the partner's family.
These matters can also be discussed with your physician and relevant professionals.
I apologize for the delayed response due to my recent vacation, and I hope you don't mind.
If you have any other questions, feel free to ask.
Wishing you all the best.

Reply Date: 2001/02/28

More Info

Your journey with mental health and substance use is both complex and deeply personal. It's commendable that you are seeking to understand the implications of your past marijuana use and its potential link to your diagnosis of schizophrenia. Let's break down your concerns and questions regarding marijuana, mental health, and your future.

Understanding Marijuana and Schizophrenia
Research has shown a significant association between marijuana use and the onset of psychotic disorders, including schizophrenia. While not everyone who uses marijuana will develop schizophrenia, studies indicate that heavy and frequent use, especially during adolescence, can increase the risk. This is particularly concerning for individuals with a family history of mental illness or those who may be genetically predisposed to such conditions.

Your experience of using marijuana heavily in your youth, combined with a chaotic lifestyle, may have contributed to the development of your symptoms. It's important to recognize that the effects of marijuana can vary greatly from person to person, influenced by genetic factors, the age of first use, and the amount consumed. Some individuals may use marijuana without experiencing adverse effects, while others, like yourself, may face significant mental health challenges.

Current Treatment and Medication
You mentioned that you are currently taking medications prescribed by your psychiatrist, including Depon and occasionally using sleep aids like Ulotin. It’s crucial to maintain open communication with your healthcare provider about your medication regimen, especially if you are experiencing difficulties with sleep. Insomnia can be a common issue for individuals with schizophrenia, and your doctor may need to adjust your treatment plan to better address this symptom.

Social Relationships and Disclosure
Regarding your concerns about disclosing your mental health history to potential partners, it's understandable to feel apprehensive. Honesty is important in any relationship, but the timing and manner of disclosure can vary based on the relationship's context. It may be helpful to wait until you feel a level of trust and comfort with a partner before discussing your mental health history. When you do choose to share, focus on your journey, how you manage your condition, and the support you have in place. This can help frame your experience positively and show that you are proactive about your health.

Lifestyle Choices and Substance Use
You also raised questions about the use of marijuana and alcohol in moderation. While some individuals may use these substances without apparent harm, your history suggests a need for caution. Given your past experiences with substance use and its consequences, it might be wise to avoid marijuana altogether, especially since it has been linked to your mental health issues. Alcohol, while socially accepted, can also exacerbate mental health conditions and lead to other health issues, such as gout, which you mentioned.

Ongoing Treatment and Future Outlook
As for how long you will need to continue seeing a psychiatrist, this varies widely among individuals. Some may require long-term management, while others may find that their symptoms stabilize over time. Regular follow-ups are essential to monitor your mental health and adjust treatment as necessary. Your psychiatrist can provide guidance on when it might be appropriate to reduce visits or consider other forms of support, such as therapy or support groups.

Conclusion
In summary, your experiences with marijuana and mental health are significant and warrant careful consideration. It's essential to maintain your treatment plan, communicate openly with your healthcare provider, and approach relationships with honesty and care. While the journey may seem daunting, with the right support and management, many individuals with similar experiences lead fulfilling lives. Remember, you are not alone in this, and seeking help is a strong step toward recovery.

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