| Summary: | Cannabis is the most commonly used illicit drug worldwide including India. The role of Cannabis in the causation of psychiatric disorders, especially psychosis remains debatable. Cannabis use has been reported to present with symptoms similar to those of schizophrenia and bipolar affective disorder. The distinction between Cannabis-induced psychoses and primary psychotic disorder is important from management perspective as it would determine the need and duration of antipsychotic medications, as well as relative focus on the management of substance use. At times, however, such a distinction may be difficult to make. We present a case where we were faced with difficulty labeling the origin of psychotic symptoms in a patient who was otherwise a heavy user of Cannabis. Management options considered in the presence of insoluble diagnostic problem have also been discussed.
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