Cannabis & Psychosis: What Every Boomer Needs to Know | Dr. David Wolinsky, MD – Johns Hopkins

In this episode, Dr. Alex Terrazas sits down with Dr. David Wolinsky, MD, Assistant Professor of Psychiatry at Johns Hopkins University School of Medicine and researcher with the Johns Hopkins Cannabis Science Lab. Dr. Wolinsky specializes in Addiction Psychiatry, focusing on Cannabis Use Disorder and Cannabis Withdrawal Syndrome.

This is a must-listen for any adult cannabis consumer — especially boomers returning to cannabis after decades away, or trying it for the first time.

What You'll Learn:

• What cannabis-induced psychosis actually looks like — and how it differs from anxiety or paranoia
• How cannabis affects the same brain regions implicated in schizophrenia
• The chicken-and-egg causality debate: does cannabis cause psychosis, or do people prone to psychosis seek out cannabis?
• Why today's high-potency THC products are a completely different experience than cannabis from the 60s, 70s, or 80s
• Which route of administration — smoking, vaping, or edibles — carries the most psychosis risk, and why edibles send a disproportionate number of people to the ER
• The critical drug-drug interactions between CBD and common medications like warfarin
• How to tell if high-CBD or low-THC products are actually safer from a psychiatric standpoint
• What to do if you or someone you know has a bad cannabis episode
• What cannabis use disorder looks like in older adults — and why it's likely underdiagnosed
• Cannabis and neurodegenerative diseases: Alzheimer's, Parkinson's, and Huntington's
• Dr. Wolinsky's take on legalization, rescheduling, and the future of cannabis research

Guest: Dr. David Wolinsky, MD Assistant Professor of Psychiatry, Johns Hopkins University School of Medicine Johns Hopkins Cannabis Science Lab

Connect with Cannabis Boomer: 🌐 cannabisboomer.com 📧 cannabisboomer@gmail.com 📸 Instagram: @CannabisBoomer 🐦 X: @CannabisBoomer

2025 marked a pivotal year for cannabis, with a landmark executive order potentially rescheduling cannabis from Schedule I to Schedule III, impacting federal policy and patient access. While some states made progress with medical cannabis initiatives, others faced setbacks, leaving the national landscape with 24 adult-use states and 39 medical programs. Despite challenges like oversupply and testing issues, the cannabis industry continued to grow, generating significant economic impact and tax revenue.

The Cannabis Boomer Podcast covered various topics in 2025, including cannabis use for sleep, pain, migraines, and its effects on older adults and pets. The podcast also explored unexpected topics like female sexual function and sleep apnea. Looking ahead to 2026, the podcast will focus on questions surrounding cannabis rescheduling, banking regulations, and the potential for Medicare coverage of cannabis therapies.

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The Cannabis Boomer Podcast’s top five cannabis movies reflect changing attitudes toward cannabis. The list includes “Up in Smoke” (1978), “Dazed and Confused” (1993), “Easy Rider” (1969), “Pineapple Express” (2008), and “The Nice Guys” (2016). These films capture the evolution of cannabis culture, from its brief moment of mainstream acceptance to its role in counterculture and beyond.

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