Clinical

Schizophrenia

A severe psychiatric disorder characterized by psychosis, cognitive impairment, and negative symptoms. High-potency THC is a risk factor; CBD may have antipsychotic properties.

In Depth

The relationship between cannabis and schizophrenia is complex and bidirectional. High-potency THC use increases schizophrenia risk 3–5 fold in genetically predisposed individuals. Conversely, CBD has demonstrated antipsychotic effects in clinical trials — a Phase 2 RCT (McGuire et al., 2018) showed CBD reduced positive psychotic symptoms in schizophrenia patients. CBD's antipsychotic mechanism may involve D2 receptor modulation, 5-HT1A agonism, and GPR55 antagonism. CBD is being investigated as an adjunct to antipsychotic therapy.