I won't generalize on everyone, but from decades of experience with a family member who has smoked their and my entire life, I think it comes down to two things.
1. Not recognizing weed as the source of the exacerbation; and
2. Buying into the 'it's just weed' narrative.
Because the high gives you that instant hit of relief, once that relief wears off and you're left feeling worse than before you smoked, you don't automatically blame the thing that gave you relief. You seek out more of the same feeling. But it becomes this cycle, where you build up an immunity to the high, so you smoke more and more but feel less and less relieved, and so the anxiety is being heightened just through marijuana use alone, let alone other factors. And you can't stop smoking because you get to this place where you can't live without that feeling it gives you, whether it soothes you anymore or not.
And I've seen this person, among others, treat marijuana in the same way you would expect a heroin addict to chase heroin. Using 99% of their paycheck on the stuff and never having enough food or money for bills and rent; causing themselves more problems in life because they need that hit and adding to their troubles; becoming extremely neurotic and downright scary when they can't access their weed; but never once sourcing weed as the issue. Because it's not heroin, it's not meth, it's "just" marijuana.
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