upvote
I’m not from a place where cannabis use was common, but it was present.

Growing up I definitely knew some people who had their demons who turned to drugs.

However we also had a lot of people who were in good situations who picked up drugs for purely recreational reasons. One of my friends at the time even boasted that drugs were actually more appropriate for people like him who were educated, in good situations, and rational (his description of himself) because they knew how to manage themselves and their usage better. He even had links to some subset of the rationality community who had become pro-recreational drugs with a lot of justifications.

His turn to drug use marked the end of his promising academic career. He started struggling with mental health in ways that were obviously related to the drugs. Holding a job had never been a problem until he starting smoking, which marked his turn toward job struggles. His friends and family relationships started declining and falling apart.

He’s not the only one I know like this. The first person I knew who had to go to rehab for drug addiction was a happy, successful guy who started using drugs as a way to party more and for longer. He thought his life was awesome and he was invincible.

I think there’s become a belief that drug use is purely a symptom, but I’ve seen enough people go from happy to falling apart as an obvious result of the drug use. Most of the people I know who started using drugs didn’t do it at their homes in private to cope, they started doing it at parties with friends.

This is even well known with alcohol: There is common belief that being a “social drinker” is a different risk profile than someone who does their drinking alone.

I think it’s a comforting idea that we tell ourselves that nobody chooses to use drugs, they are driven to do so by circumstances out their control. We like removing blame from people and hoisting it on to the world. I don’t think it’s always true, though. Many people use drugs because drugs are rewarding (at first) and they like the way the drugs make them feel. The negative consequences come later.

reply
I feel by your logic, no one should ever use drugs or alcohol lest they become addicted to how good they make them feel. An abstinence approach. very modern!
reply
Science agrees with no alcohol. The other drugs are not studied enough to be sure but things point in that direction.

I can have fun without drugs.

reply
>I can have fun without drugs.

Yes!!! I love this approach! unironically

reply
Not everyone has a low ACE score and/or the means to dig out of a deep hole.

The US a survival society where the first time you trip, you're fixed to that level unless you have benefactors.

reply
I have largely stopped smoking because when I smoke regularly I end up weighing 20-30lbs more from eating everything.

Going on an actual calorie restricted diet while consuming cannabis is basically impossible for me.

Then instead of walking 60 minutes I end up sitting and listening to music.

There is really not anything for me that correlates with healthy behavior when I smoke.

reply
You ever taken a hike or nature something and try it in that different context?

Set and Setting are also relevant too. If you do it a soecfic way with other soecific tools and activities while on it, that all gets packaged and reinforced.

reply
That's good you have the self-awareness. You're kind of on the edge of NLP territory. Is it the act of smoking or is that simply your internal slang for cannabis use? Can you walk and listen to music at the same time? (Fine, maybe you need to walk someplace where you won't get hit by a car or someone on an electric scoot.)

As the other comment says: set and setting. And it works both ways, you can take some memento with you, and when you're being quiet and introspective and you're feeling good fondle some fob: a keychain, a rosary, buddhist prayer beads, some macrame you're working on, it doesn't matter. Point is later when you're in a different situation, you can replay that ritualistic behavior and it will probably reach in and remind your body, which will then remind you mind. This is human nature: it's known that e.g. humans remember / forget things when passing through doorways, and some forms of acting use cues like this especially for emotional resonance.

reply
Yeah this was a big one for me, weed has lots of little knock on impact into other CV risk factors
reply
> stress, unrest, impending depression, friction with parents

Well, Id guess these are reasons for any case of substance missuse?

reply
Wouldn't they also be potential causes that lead to worse heath outcomes that were not measured in the study?
reply
I believe it’s an “artificial” reward mechanism for some people. The ability to control one’s own rewards is an easy habit to take up. If the rewards aren’t coming from externalities one needs to get them from somewhere.
reply
If I had to guess, this is also the appeal of many video games.
reply
Absolutely. I have abused games this way, and the only way I can play them responsibly is physically present multiplayer.
reply
Nothing more biological than looking for rewards.
reply
True.
reply
Esp the last wording: "friction with parents" (which is by the way are very noble wording here, I have to state)

I have not met ANY regular drug user (regardless which drugs), who didnt had "frictions with parents" early in their life. (and some for which its still persisting into their 40ies)

reply
deleted
reply
this is true of most risk factors though, diet, excercise, relationships, work , all suffer under stress. it's the job of medical reseach to sift this stuff as best they can.
reply
> I have always felt that the heavy cannabis smokers had something to compensate

I am lonely. Weed makes me to fucked to care.

reply
Definitely. The healthy sport academic types stay pretty far away from any kind of mind altering drugs.
reply
Not really, it more depends if you are east coast or west coast. East coast has stigma associated with loss of control. They have a stick up their ass basically.
reply
not alcohol, they will use that no problem, they can handle it unlike others
reply
Yeah I think for any of the significant pot smokers I've known it's a way of avoiding other issues. As a positive it's probably much better they descend into pot than alcohol which I'm sure many would if it was the only other easy coping mechanism.
reply
Yeah that's me. I quit for short periods but usually continue because my other coping mechanisms that replace it aren't any better. I naturally smoke little when life is busy and going well
reply
In my country, California, we have so much cannabis use and it’s by basically everyone. People with spouse and children, fulfilling careers and exercise regimes. The culture of a place really can change the outcomes. It’s part of why Silicon Valley beat Route 128.
reply
In American collegiate and professional athletic circles almost everyone uses marijuana. I was a nationally ranked junior tennis player and even in that sport almost every other top junior I knew smoked weed.
reply
These nerds that have to biohack and optimize to be physically fit are coping by claiming that jocks don’t get high. Sporty types are genetically different and have plenty of capacity for cannabis use.
reply
> Sporty types are genetically different and have plenty of capacity for cannabis use.

I’m not sure what the first sentence is after, but this one reminded me of Michael Phelps.

reply
It was never the healthy sporty types with fulfilling relationships, good grades or a nice career that smoke cannabis heavily (like daily)

^^ many of those are boring people.

reply
That is an opinion. I for one prefer talking to a happy, healthy mind, healthy body-type over someone with a life riddled with substance experiments. In fact, it was why I hardly talked to some of my family for a long time. Every weekend was the same, they were always angry and in the end they nearly killed themselves. I'm happy they got out of it and we have a much better relation now.
reply
Weird as the only normal folks in my family are the pot smokers. Others along with neighbors seem to want to fight folks on a dime
reply
Should have added that in this case it wasn't (just) pot.
reply