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This qualitative study examines perceptions of how cannabis use impacts psychiatric symptoms among twenty emerging adults (ages 18\u201324) at high risk for psychosis. Participants completed a survey and semi-structured interview. Thematic analysis revealed two overarching themes: relief-oriented cannabis use (e.g., coping with social anxiety, depression) and negative sequelae from cannabis use (e.g., social withdrawal, exacerbating symptoms of psychosis). These findings suggest that using a harm-reduction approach as opposed to cannabis abstinence may be more realistic and attainable for this population. Also, future interventions are needed that address patients\u2019 perceived inadequacy of psychiatric medications, build social and distress tolerance skills that do not involve cannabis use, and provide psychoeducation regarding dose and potency dependent risks.<\/jats:p>","DOI":"10.1177\/21676968261499756","type":"journal-article","created":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T04:36:32Z","timestamp":1792470992000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Perceived Relationships Between Cannabis Use and Mental Health Symptoms Among Emerging Adults at High Risk for Psychosis: A Qualitative Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7367-8419","authenticated-orcid":false,"given":"Kayla K.","family":"Giorlando","sequence":"first","affiliation":[{"name":"Rhode Island Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8310-140X","authenticated-orcid":false,"given":"Jennifer E.","family":"Merrill","sequence":"additional","affiliation":[{"name":"Brown University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan","family":"Moitra","sequence":"additional","affiliation":[{"name":"Warren Alpert Medical School of Brown University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth M.","family":"Olsen","sequence":"additional","affiliation":[{"name":"Warren Alpert Medical School of Brown University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trisha","family":"Arnold","sequence":"additional","affiliation":[{"name":"Rhode Island Hospital"},{"name":"Warren Alpert Medical School of Brown University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avery","family":"Leigland","sequence":"additional","affiliation":[{"name":"Rhode Island Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5906-8910","authenticated-orcid":false,"given":"Julie","family":"Hugunin","sequence":"additional","affiliation":[{"name":"Warren Alpert Medical School of Brown University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana M.","family":"Abrantes","sequence":"additional","affiliation":[{"name":"Warren Alpert Medical School of Brown University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Whiteley","sequence":"additional","affiliation":[{"name":"Warren Alpert Medical School of Brown University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,19]]},"reference":[{"key":"e_1_3_4_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/bcp.13703"},{"key":"e_1_3_4_3_1","doi-asserted-by":"crossref","unstructured":"Bou Nassif Y. 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