Reply To: MI – harm reduction – cannabis

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I like Robert’s idea of focusing the MI on their goals, and if “not wanting to experience psychosis again” is the goal, seeing if they can use that as a motivation to change their substance use. I have also found some success in the harm reduction strategy of exploring the use of lower-THC, higher-CBD strands of marijuana. Anecdotally a few EPI clients I have worked with have actually found that they no longer enjoy THC and prefer CBD as the THC reminds them of the previous episodes of psychosis they have experienced.