Siyamak sits down with Heidi Swan, author of A NIGHT IN JAIL, and cannabis-induced psychosis expert. She will talk about why California needs to have more transparency on legalizing cannabis.
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My guest today is Heidi Swan. She's an author and advocate. She's here to talk to us about
why the state needs to have more transparency on legalized cannabis.
I'm Siamak Khorrami. Welcome to California Insider. Heidi, it's great to have you on. Welcome.
Thank you so much for having me, Siamak.
We want to talk to you about an important topic that hasn't been really discussed. You know,
when we talk about homelessness and we always think, some people have come on the show and
told us is a lot of drug addictions and mental illness. You have personal stories and you've
been studying this for many years. One part that's completely ignored or haven't really
talked about is the marijuana side of things. Can you tell us what you've discovered?
Well, we've had marijuana that's been legal in our state and that's been federally legal
since the 1980s. You can get a prescription from your doctor if you have cancer and we legalized
that in the 80s and then also in the 1990s for people with AIDS wasting syndrome. It's THC
and THC is the ingredient that gets people high. It's what people love about marijuana.
And so the FDA studied it and there's a package insert and the amount that a person can get is
2.5 milligrams, 5 milligrams, 10 milligrams, but no more than 30 milligrams in a day. And
in the package insert that you get from your pharmacist, it warns about things like paranoia
and hallucinations and nausea. And this is very low dose THC. And so back in the 90s, our legal THC
was, I'm sorry, I'm repeating myself there, but the drug that was available in the 1990s,
the illegal marijuana that people would get was like about 5% THC. But today it's gone up to 99%.
99%. Does it have to do anything with the legalization with Prop 64?
Oh, it's 100% about legalization because these products that are so much stronger
were really not in existence before big business got involved. And so the stronger
the psychoactive product is, the more addictive it is. And then the more you have customers
needing to use it. And so they come back again and again. And this is most especially the case
when you have a teenager or a brain under the age of 25, they're most susceptible to marijuana
addiction or addiction of any kind. So they need to addict a young brain to guarantee a customer.
Up to 99% THC.
Yes. And that's totally legal in our state. And the industry has fought any kind of a potency cap
on this. And so they can make pretty much whatever they want at whatever potency
and call it medicine and people can legally purchase it. And so when the FDA says that it's
have up to 30 milligrams a day, the legal marijuana market in California will allow
a user, a medical marijuana patient to get 2000 times that dose.
Wow.
Every day, every day. And so what do we think happens with that excess product? Nobody could
use that much in a day. And so where does it go? This is one way that completely legal marijuana
is making its way into the illicit market. And then if you think about an 18 year old can get
a medical marijuana card without their parents permission. And so this is oftentimes a high
school student can say, oh, I have a headache and I want to get a medical marijuana card,
or I have a backache from a sports injury and they can get a medical card and they can get
as much as they want. And then they can resell the extra product that they have out of their locker
at school.
So the medical one is allowing up to that much, right? Or is it just, so these dispensaries that
are out there, how do they work? Can you just go in and buy it without really having a medical card?
You can, if you're 21 and up, you can go in and you can buy marijuana and then there's a limit
to how much you can get. But if you have a medical card, you can be 18 with parent permission,
you can be younger than 18 and then you can get pretty much as much as you want because that's
what it says. The law says that they can get eight ounces of marijuana every day or if the
doctor recommends more, they can get more. And so that is far more than the FDA says is safe to use.
And remember, this causes hallucinations and paranoia and that's as per the FDA. And a lot
of people refuse to acknowledge that. So you have had your own personal experience with this,
but before we go into that with your family members, before we go into that, do most people
know that because most of the parents and people that voted for this proposition, Proposition 64,
did they think that marijuana that is legalized is going to be very different from the one that
it was supposedly natural and it had some health benefits? Right. Well, so I think it does have
health benefits. And like I mentioned, you know, our FDA approved it and I used to volunteer for
people with AIDS back in the 90s. And so I would see people getting medical marijuana at the dose
that the doctor said was safe and I would see that they were being helped by this. And so when
Prop 64 came around and I was actually writing a book about the mental health harms of marijuana
and there were all these promises that were made with Prop 64 and I was like,
well, it makes so much sense. If people are going to use it anyway, let's go ahead and
legalize it and regulate it and get rid of the black market. It all just sounded so
common sense. And I thought that they were talking about the marijuana that I used back in the 1980s,
like three or four or five percent THC. I had no idea how marijuana had changed. And
the vast majority of people that I've spoken to don't have any idea now. And so when I
try to tell them, they oftentimes think that I'm exaggerating or I have ulterior motives for
doing so. But no, it's true. The potency of marijuana in the plant, what you would call
the natural plant, has been genetically engineered so that it's four times stronger
than what it was in the 1990s. Now, that's the green crackly stuff that most of us think of
when we think of legal marijuana. But then there are the high potency products. They're called
dabs, wax, shatter. It's what the kids are vaping. And we've all heard about vaping. And so these are
really high potency products. So if the 1990s was like five percent THC, the concentrates,
what they're vaping, dabbing, is like 50 to 100 percent THC. And they're so deceptive because
they have fruity flavors. They smell like bubble gum. And they're really easy to conceal. And kids
are vaping them at school on a regular basis in the classroom because they don't have an odor.
They're doing it in the restrooms. And this is harming them. And this is why I speak out,
because these high potency products are especially, especially damaging to a developing brain.
And our surgeon general actually warned about this in 2019. And he issued the first warning
on marijuana in 30 years. This is Dr. Jerome Adams, our former surgeon general. And he said
these new high potency products are increasing the risk for psychosis, schizophrenia, anxiety,
depression. And they increase the risk to suicide by five times. And developing brains are more at
risk than adult brains. And here we are. These kids are being marketed to. Some of these kids
don't even know what it's like to live without marijuana being marketed to them on their phones,
on billboards. And nobody is telling them that there are risks to it. Now, it doesn't happen
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back to the interview. So we have legalized it here in California. I don't hear much. Is the
state of California doing anything about it? No, they are not and this is one of the other reasons
that I reached out to you and I'm so grateful to you for letting me come in and speak to you.
I volunteered for to work on a bill last year called SB 1097 and it was to add mental health
risks to warning labels on THC products. THC products are carcinogen, excuse me, and that's
known and it also causes birth defects. That's known also and those are on the warning labels,
but they say nothing about the mental health problems and so I volunteered with that bill
and I was the go-between between the victims and Dr. Lynn Silver who is a pediatrician and from
the public health initiative and my job was to tell the victims, okay, you need to get ready
to testify for the bill in this committee or send your emails to this committee, you know,
I was doing that. So I am very familiar with the stories of the people who are victims and when I
say victims, I'm not talking about the users themselves. I'm talking about the families
who are surviving from these kids because a lot of the victims are victims of suicide because,
like our Surgeon General said, it increases the risk for suicide by five times. Some of them,
their child is homeless now and they can't function at all and it all started with their
use of marijuana that made them completely psychotic and then one of them I'll speak to
specifically. I remember in your interview with Zach who is the wonderful hero, yes, and he says
and when he talks about the homeless, he's such a kind person and he said you've got to look to
the heart. What is the reason that they were using in the first place and the people that I know,
the people that were testifying in California and sharing their family stories, these are good
families. These are educated families. These are families that went to church, that provided
everything for their kids. These aren't the sad stories that Zach was talking about but these
are the parents of children who believed the promises of the industry. It's healthy. It's
wellness product. It's good for you and so they used it. So my friend Lori Robinson from Ventura
County, she started an organization called Mom Strong and it was one of the first websites to
speak about the mental health harms of marijuana because her son who was in his 20s, he had
some kind of a sports injury and he hurt his knee and he couldn't deal with the opioids.
They were making him sick and so he went on to medical marijuana and in a short amount of time,
he became psychotic and this is a young man who was married. He had a job. He had a great family.
Everything was going well so he wasn't using marijuana because he wanted to escape his
troubles. He was using it to deal with his pain and he believed that it was safer than pharmaceuticals
so one night he became completely psychotic and his parents were called and they were
driving him to a psychiatric hospital and they were driving on the 101 freeway going 60 miles
an hour and their 24-year-old son was looking out the window going, look at these buildings. They're
being bombed. They're bombed. I've got to get out. I've got to save Barack Obama and he tried to jump
out of the car when it was going 60 miles an hour. So this is what psychosis looks like when somebody
completely loses touch with reality and then when you think of the FDA and they provided warnings
about paranoia and hallucinations at 10 milligrams of THC and yet people have access to 50, 60, 70,
80 milligrams of THC. It's not hard to see how this could happen. So now the state didn't even
want to have the warning label. I mean that's that's such a small thing right like to just
have a warning label on a product right? Yeah it made it it meant almost all the way through the
whole legislature so everybody everybody in the senate heard and almost everybody in the assembly
heard and then by the time it was almost at the finish line the industry pressured so hard and the
bill was so watered down and they took out all the mental health warnings out of it so it was just
pointless to have the bill at all and so the bill was pulled. It seems like Prop 64 we have had
people here on the show to explain to us what illegal growers are doing. It seems like the
illegal grows the business boomed after Prop 64 instead of did you vote for Prop 64? Yes I did.
I did. I believed all the the promises that they were making that they would get rid of the illegal
market that these would be safe and regulated and they keep it away from kids and none of these
things have happened and the products that they're selling on the market I didn't vote for. I didn't
vote for these potency products that are like 99 percent THC. I didn't vote for candies and cookies
that would be marketed towards kids. I didn't vote for fruity vapes. No I thought that I was voting
for the low potency THC marijuana like three percent marijuana that people with cancer and
people with AIDS would want to use that are people with cancer who want to treat their nausea because
this is not a treatment for cancer let me just be clear about that but people use it for nausea
and so that's what I thought I was voting for this feels like a bait and switch what we have now
these products they don't even look like marijuana so for people to say oh you voted for it I didn't
vote for that so you think most Californians that voted for this they didn't really know what they
were voting for yeah I think it was a lack of imagination that the industry knew about and they
were ready for this and they just said okay you voted for it and now you know and there were no
controls on potency or products or anything and so they're allowed to make really high high potency
addictive products that are not natural in any way and even if they were natural they should
still be telling people what the risks are with the low potency products so when I had psychosis
that was very low low potency THC and so I can only imagine someone with my genetic vulnerability
to THC taking a hit off of a fruity vape at a party what would have happened to me I would be
one of those people in the emergency room I have no doubt about that and so I am passionate about
about protecting our youth about telling them the truth about not leaving out this very important
side effect again it doesn't happen to everyone but it only needs to happen to a few people to
make a huge difference I mean what what's the percentage of people who are allergic to peanuts
it's like less than three percent yet we all know what has nuts in it and here we have this product
that's being marketed as a wellness product as a health product and we're not telling people that
it can make some people very very sick and a long-term mental illness it's not only cruel to
other human beings but it's harming California and one of the ways is that it makes some people
like I described my friend Lori her son who was trying to jump out of the car because he was
convinced he had to save Barack Obama but the there are several mass shooters who are marijuana
users there is one from Ventura California his name was Ian David Long and he served our country
and he was well decorated and he used marijuana to deal with his PTSD and he went on to the
borderline bar and grill and he killed 12 people now the data shows that THC use may provide
temporary relief for people with PTSD but in the long term it can worsen symptoms now his
toxicology report came out two years after the shooting and when he was murdered or when he was
killed and it showed that he had coffee nicotine and THC in his system and that's it now had he
known that there were long-term problems with marijuana use maybe he wouldn't have chosen to
use it to treat his PTSD additionally there was another young woman also in Thousand Oaks and
she was on a date with a guy who was a regular marijuana user and she didn't use hardly at all
and so they decided that they would get high and he got her really high and all of a sudden she
started hallucinating and she thought that she was dead and there were voices telling her that she
had to the only way that she could survive is if she fought for herself and so she grabbed some
knives and she stabbed her date to death and then she started stabbing her dog and then the voices
told her she had to stab herself and she was stabbing herself when the police came in and
and stopped the whole thing and the only drug in her system was marijuana now if she knew if there
was some kind of a warning somewhere that marijuana can cause hallucinations and paranoia in some
people maybe she would have said you know what maybe I don't really want to try it so it's
causing violence in other people there was a gentleman 24 years old flying from Seattle to
China and he he'd flown like 150 times in his life because his mother worked for the airlines
and so he decided I'm gonna buy some THC because I want to sleep on the plane and he bought some
gummies and while they were in the air he started hallucinating and he became really aggressive and
paranoid and he punched the stewardess and she punched other people and and he said that he
was completely psychotic and that this was not him at all never happened to him before it never
happened to him since and he said but what did I do wrong I thought it was legal here in in Washington
State and and he was right and did they have any warnings about it I mean maybe if he knew that it
could make people aggressive and violent and paranoid and delusional maybe he wouldn't have
tried it maybe he wouldn't have taken it before he got on the plane and so we've had over in the
dozens of reportings of FAA incidents of marijuana users on our planes and we have got to be honest
with people about what can happen and they talk about unruly passengers we need to test we need
to test them for what is in their system and usually what you hear is we're not allowing
people to drink before they get on the flight or have any alcohol while they're on the flight
but what about other drugs we should be testing for everything we should have mandatory toxicology
reports on all violent crime from unruly passengers on an airplane from mass shootings
to car crashes to suicides to murders we should have a full toxicology panel so that and make it
public immediately so that the public understands what these drugs are doing to people's brains and
you know we have mass shootings and people say we're looking for a motive what if part of the
motive was they're delusional from their use of drugs they're hallucinating because of their use
of drugs that should be included as a motive and THC has got to be included on that list because
to not talk about it is to endanger the rest of the people in California because then people think
that it's safe and then people think it's okay to use it it's not a dangerous drug and that is
absolutely not the case for some people it is very dangerous for some people and I'm one of them
Heidi you have your own personal story can you tell us how did you get involved with this
having volunteered for that bill and um and seeing that our legislature did not pass it
they're not protecting kids I recently spoke for a group of high school and college kids from LA
county and I showed them the warning labels from the FDA what our surgeon general said from Colorado
Connecticut from Canada and then also about the psychosis clinic in the United Kingdom cannabis
psychosis clinic there's also the Schizophrenia Society of Canada and they have cannabis and
psychosis.ca that's that's like a government site okay so they acknowledge what's going on and so I
told these kids and I said and where's your protection here in California and they said it
makes them feel like people don't care about them as human beings that our policymakers don't care
about them that they wouldn't even warn them and then they said that at their schools that some of
them are getting federal funding and the administrators and the professors or teachers
are saying we're afraid of losing federal funding so we're just not going to say anything at all
and to that I say they should lose federal funding if they don't say anything because this is how
dire it is to a developing brain this is how and they're being marketed to and nobody is telling
them about the risks when I was a teenager I grew up in Washington state and marijuana was
just everywhere and nobody really thought anything about it we didn't know if it was good if it was
bad whatever and so one time I was getting high and with a friend and all of a sudden I had an
experience where I didn't know where I was and I didn't know who I was with and it was so scary
and then I'd remember and then I'd forget and then I'd remember and then I'd forget and it was just
back and forth like this for quite some time and I was in the laundry room of my family home with
my best friend oh wow and I didn't know where I was it was so scary and it wasn't until just a few
years ago that I found out there's a name for it and that's called cannabis induced psychosis that's
where a person loses touch with reality from their use of marijuana now my friend was fine but I was
not and that really illustrates how it is with marijuana some people can use it and they can be
perfectly fine but there are some of us who cannot and we cannot even have a small amount
and for us for me and my brother were genetically predisposed to serious mental illness and so
anyone who has mental illness in their family should stay away from marijuana because it can
trigger a psychotic experience that would not have happened otherwise so that's what happened to me
it never happened before and it never happened again and I didn't like it at all so I stayed
away from marijuana but my brother he liked that feeling he liked it a lot he said it was like
being in the fun house and so he did it pretty much every day through middle school high school
college graduate school and he was fully addicted and this is low low potency in marijuana and
then when he got out of graduate school he that's when things really started to show he wasn't just
an addict he wasn't able to his brain wasn't working so well he wasn't able to pass his exams
and and then he was introduced to cocaine and he thought oh well everything went so well with
marijuana why not try cocaine and so and then he was introduced to crack and then he loved crack
and all of a sudden he was homeless and addicted living on the streets and he was suffering
delusions he thought that the CIA was following him he thought he was John the Baptist and he
didn't want help from anybody but he was he had gotten in trouble so many times with the law he
was in jail 18 times and and finally it got to 33 strikes and you're out and so he did not want to
go to prison that was no no so he chose treatment and so he is a really good example of someone who
was forced into getting treatment even though he didn't really want to he would have continued to
live what he calls the party life and I don't know how anyone can describe living outside in the streets
of Seattle Washington has the party life what a horrible horrible experience but he wanted to stay
that way and so I'm really grateful that that he was forced into treatment because it saved him
now Heidi why do you keep talking about this it seems like there is a there's a challenge that
you guys are facing the state is not paying enough attention to it yeah why are you being vocal
despite the challenges you're facing well because like I described with the the youth they don't know
they've never heard this before and this is something that I hear often is that I'm the
first person they've heard say this and that's just wrong I mean we've known about the mental
health harms of marijuana since the 1980s since the 1990s with that FDA packet and so we should
it should be out on the billboards by the way this can cause anxiety depression increase your
risk for suicide cause hallucinations and paranoia now paranoia is one of the side effects that
people readily understand they say oh no I get paranoid on pot but what people don't understand
is that paranoia is oftentimes one of the first symptoms of psychosis and so if a person feels
paranoid on pot that's an indication that your brain is sensitive to it and you need to stop
immediately now there is a large marijuana company and I looked at their website and on their
frequently asked questions page there was a question that said I sometimes get paranoid
am I doing something wrong and the official answer from the company was
maybe you chose the wrong string what you should do is go back to a pot shop and talk to one of
our bud tenders and they'll find a different product for you to use and I think that is just
so cruel to tell someone who is suffering from paranoia someone who if they continue to use
because if you continue to have psychotic experiences on marijuana like paranoia because
paranoia if you think about it somebody is convinced something is happening when it isn't
and so you can see how that could lead to a complete disconnect from reality so if a person
is feeling paranoid so it seems like the state has legalized this these products and we've we
have now we have a very high potency that's kind of past the natural zone by multiples yes the state
didn't want to have the leaders didn't want to have the label the warning label which seems like
a very small thing yeah how do you keep going if if we couldn't even get this passed oh because I
don't have a choice I mean it's just in my heart I I can't bear the thought of seeing someone
wind up with a mental illness like my brother or to have other people be victimized like my friends
who testified for the bill many people think that it's their medicine and they don't know that there
are any side effects at all because no one is telling them and it's just so cruel and not only
is it cruel to the individuals but it's harming the rest of California because if we have people
using a substance that they think is safe but increases their risk for schizophrenia
what's going to happen to our homeless population it's just going to keep growing
and if we also and if we don't understand what marijuana is doing to the mental health of our
residents what's going to happen we've we've got magic mushrooms that they're talking about
legalizing that now and so our mental health problems are just going to get worse in our state
and it's just it's too painful for me to see and I don't want to see anyone
become mentally ill like my brother I mean thank heavens I'm I'm so grateful to say that he is
sober today but he will never work he will never drive a car he will never have a family and we
are paying for him as taxpayers because he's mentally disabled and could this disability
been avoided by not using marijuana by not using the one substance that converts the most often to
schizophrenia so there's a few substances that can cause hallucinations and other psychosis and
that's marijuana methamphetamine the hallucinogens and but marijuana converts to schizophrenia at
the highest rate at 47 percent and so we've got to do everything we can to prevent mental illness
in our state if we can and we can prevent some mental illness with by preventing schizophrenia
any substance induced psychosis we can prevent by telling people that there are some substances
that can damage your brain and can damage your mental health in the short term and in the long
term and we have to be honest with them about that so that they can make their own decisions
and now in terms of the the things that the state leaders can do seems like this bill came along and
they got pressure from the industry and and this industry to the people that got into this
industry to build a business what can they do together so that we can avoid some of this damage
that you're mentioning is happening well there's a new bill in the senate sp540 i believe and this
is to put warning labels on thc products and this one is industry-led and it has nothing about mental
health risks on it absolutely nothing and so that bill should not go through because if a bill comes
through that leaves the mental health warnings off it'll be a long time before we'll get any
adjustments to a warning label at all additionally we have a bill ab 1207 and this is one to to put
protections on the thc candies that we've seen because we've had children toddlers eating these
candies that are psychoactive thc candies and we've also had seniors going to emergency rooms
because of overdosing on marijuana products having hallucinations and paranoia and vomiting
and are the emergency room visits went up over 900 in california since legalization and so
california is paying for this just many people don't attribute what they see to marijuana or
they go oh it's just marijuana and it's not a big deal mental health is a very big deal it's a very
expensive deal addiction is a big problem and yes thc is addictive especially at the high potency
products now heidi do you have any other thoughts for our audience yes so one of the first symptoms
of marijuana that one of the things that people should be aware of is that some people get
paranoid on pot and paranoia a lot of people don't understand is one of the first symptoms
of psychosis and if a person continues to use marijuana when they have things like psychosis
then they are more at risk for getting schizophrenia or bipolar disorder both of
those are long-term mental illnesses and so everybody needs to know that if you ever hear
anybody having a paranoid reaction tell that person to stop immediately and there was one
marijuana company who had on their website something about paranoia where in their frequently
asked questions a customer said i sometimes feel paranoid on pot am i doing something wrong
and their official answer was well you don't know where you got the marijuana you don't know what
the potency was and maybe what you should do is just go back to our pot shop and you can talk to
a bud tender and they'll find the pot that's right for you and that is 100 the wrong answer
the right answer is stop using immediately and i think that this should be something
that everybody should be aware of paranoia is an indication to stay away from marijuana
Heidi Swan author and advocate for mental health in california was great to have you
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