They relied on marijuana to get through the day. But then days felt impossible without it

BROOKLINE, Mass. (AP) — For the past several years, 75-year-old Miguel Laboy has smoked a joint with his coffee every morning. He tells himself he won’t start tomorrow the same way, but he usually does.

“You know what bothers me? To have cannabis on my mind the first thing in the morning,” he said, sparking a blunt in his Brookline, Massachusetts, apartment. “I’d like to get up one day and not smoke. But you see how that’s going.”

Since legalization and commercialization, daily cannabis use has become a defining — and often invisible — part of many people’s lives. High-potency vapes and concentrates now dominate the market, and doctors say they can blur the line between relief and dependence over time so that users don’t notice the shift. Across the country, people who turned to cannabis for help are finding it harder to put down.

Overall, alcohol remains more widely used than cannabis. But starting in 2022, the number of daily cannabis users in the U.S. surpassed that of daily drinkers — a major shift in American habits.

Researchers say the rise has unfolded alongside products that contain far more THC than the marijuana of past decades, including vape oils and concentrates that can reach 80% to 95% THC. Massachusetts, like most states, sets no limit on how strong these products can be.

Doctors warn that daily, high-potency use can cloud memory, disturb sleep, intensify anxiety or depression and trigger addiction in ways earlier generations didn’t encounter. Many who develop cannabis use disorder say it’s hard to recognize the signs because of the widespread belief that marijuana isn’t addictive. Because the consequences tend to creep in gradually — brain fog, irritability, dependence — users often miss when therapeutic use shifts into compulsion.

Laboy, a retired chef, began seeing a substance-use counselor after telling his doctor he felt depressed, unmotivated and increasingly isolated as his drinking and cannabis use escalated.

Naltrexone helped him quit alcohol, but he hasn’t found a way to quit marijuana. Unlike alcohol and opioids, there is no FDA-approved medication to treat cannabis addiction, though research is underway.

Laboy, who first smoked at 18, said marijuana has long soothed symptoms tied to undiagnosed ADHD, childhood trauma and painful experiences — including cancer treatment and his son's death. Through decades in restaurant kitchens, he considered himself a “functional pothead.”

Lately, though, his use has become compulsive. After retiring, he began vaping 85% THC cartridges.

“These days, I carry two things in my hands: my vape and my cellular — that’s it,” he said. “I’m not proud of it, but it’s the reality.”

Cannabis eases his anxiety and “settles his spirit,” but he’s noticed it affects his concentration. He hopes to learn to read music, but sustaining focus at the piano has grown difficult.

He’s seen an addiction psychiatrist for six months, but he hasn’t been able to cut back. The medical system doesn’t seem equipped to help, he said.

“They’re not ready yet,” Laboy said. “I go to them for help, but all they say is, ‘Try to smoke less.’ I already know that — that’s why I’m there.”

Younger users describe a similar slide — one that begins with relief and ends somewhere harder to define.

Kyle, a 20-year-old Boston University student, says cannabis helps him manage panic attacks he’s had since high school. He spoke on the condition that only his first name be used because he buys cannabis illegally.

In the Allston apartment he shares with fraternity brothers, they have a communal bong.

When he’s high, Kyle feels calm — and able to process anxious thoughts and feel a sense of gratitude. But that clarity has become harder to reach when he’s sober.

“I think I was able to do that better a year ago,” he said. “Now I can only do it when I’m high, which is scary.”

He said the brain fog and feeling of detachment develop so gradually they become “your new normal.” Some mornings, he wakes up feeling like an observer in his own life, struggling to recall the day before. “It can be tough to wake up and go, ‘Oh my God, who am I?’” he said.

Still, he doesn’t plan to stop anytime soon.

Kyle says cannabis helps him function — more than seeking professional treatment would. Doctors say that ambivalence is common: many people feel cannabis is both the problem and the solution.

Anne Hassel spent a month in jail and a year on probation for growing cannabis in the 1980s. She cried when Massachusetts’ first dispensaries opened — and left her physical therapy career to get a job at one.

Within a year, though, “my dream job turned into a nightmare,” she said.

Hassel, 58, said some consultants pushed staff to promote high-potency concentrates as “more medicinal,” downplaying their risks. After trying her first dab — a nearly instantaneous, “stupefying” high — she began using 90% THC concentrate several times a day.

Her use quickly became debilitating, she said. She lost interest in things she once loved, like mountain biking. One autumn day, she drove to the woods and turned back without getting out. “I just wanted to go to my friend’s house and dab,” she said. “I hated myself.”

She didn’t seek formal treatment but recovered with the help of a friend. Riding her green motorcycle — once named “Sativa” after her favorite strain — has helped her reconnect to her body and spirit.

“People don’t want to acknowledge what’s going on because legalization was tied to social justice,” she said. “You get swept up in it and don’t recognize the harm until it’s too late.”

Online, that realization unfolds daily on r/leaves, a Reddit community of more than 380,000 people trying to cut back or quit.

Users describe a similar push-pull — craving the calm cannabis brings, then feeling trapped by the fog. Some write about isolation and regret, saying years of smoking dulled their ambition and presence in relationships. Others post pleas for help from work or doctors’ offices.

Together, they paint a portrait of dependence that is quiet and routine — and difficult to escape.

“When people talk about legalizing a drug, they’re really talking about commercializing it,” said Dave Bushnell, who founded the Reddit group. “We’ve built an industry optimized to sell as much as possible.”

Dr. Jordan Tishler, a former emergency physician who now treats medical cannabis patients in Massachusetts, said low doses of THC paired with high doses of CBD can help some patients with anxiety. Many products have high levels of THC, which can worsen symptoms, he said.

“It’s a medicine,” he said. “It can be useful, but it can also be dangerous — and access without guidance is dangerous.”

Dr. Kevin Hill, an addiction director at Boston's Beth Israel Deaconess Medical Center who specializes in cannabis use disorder, said the biggest gap is education, among both consumers and clinicians.

“I think adults should be allowed to do what they want as long as it doesn’t hurt anybody else,” but many users don't understand the risks, Hill said.

He said the conversation shouldn’t be about prohibition but about balance and informed decision-making. “For most people, the risks outweigh the benefits.”

A joint is seen Friday, Nov. 14, 2025, in Brookline, Mass. (AP Photo/Robert F. Bukaty)

An advertisement for a cannabis delivery company is seen on a public trash bin Sunday, Nov. 16, 2025, in Boston. (AP Photo/Robert F. Bukaty)

A gram of cannabis is seen Friday, Nov. 14, 2025, in Brookline, Mass. (AP Photo/Robert F. Bukaty)

A package of fruit-flavored cannabis gummies is displayed at a dispensary Friday, Nov. 14, 2025, in Brookline, Mass. (AP Photo/Robert F. Bukaty)

Anne Hassel, former cannabis user, poses next to her motorcycle, Nov. 6, 2025, in Chicopee, Mass. (AP Photo/Robert F. Bukaty)

A customer holds a gram of cannabis purchased from a dispensary on Friday, Nov. 14, 2025, in Brookline, Mass. (AP Photo/Robert F. Bukaty)

Kyle, a college student, smokes cannabis out of a bong, Oct. 29, 2025, in Boston. (AP Photo/Robert F. Bukaty)

Miguel Laboy, a daily cannabis user, vapes, Friday, Oct. 3, 2025, in Brookline, Mass. (AP Photo/Robert F. Bukaty)

Miguel Laboy shops at a cannabis dispensary Friday, Nov. 14, 2025, in Brookline, Mass. (AP Photo/Robert F. Bukaty)

Miguel Laboy smokes a joint on Oct. 3, 2025, in Brookline, Mass. (AP Photo/Robert F. Bukaty)

FILE - A cannabis bud is seen at a medical marijuana facility in Unity, Maine, on April 22, 2016. (AP Photo/Robert F. Bukaty, File)

Miguel Laboy plays the keyboard after smoking cannabis, Oct. 3, 2025, in Brookline, Mass. (AP Photo/Robert F. Bukaty)

Miguel Laboy takes a hit of a joint Friday, Nov. 14, 2025, in Brookline, Mass. (AP Photo/Robert F. Bukaty)

Anne Hassel, a former cannabis user, rides her motorcycle, Nov. 6, 2025, in Chicopee, Mass. (AP Photo/Robert F. Bukaty)

Miguel Laboy rolls a joint Friday, Nov. 14, 2025, in Brookline, Mass. (AP Photo/Robert F. Bukaty)

Miguel Laboy smokes cannabis, Oct. 3, 2025, in Brookline, Mass. (AP Photo/Robert F. Bukaty)

CINCINNATI (AP) — Paul Skenes quickly shrugged off the shortest start of his dominant major league career.

Pirates fans shouldn’t worry either after Skenes returned to form on Wednesday.

The reigning NL Cy Young winner allowed one run in five innings and struck out five in the Pirates’ 8-3 win over the Cincinnati Reds.

“I’m pretty insulated from a lot of stuff that’s out there. The stuff that I do see or hear, I don’t really care anyway because it doesn’t have anything to do with the play. I’m just thinking about getting back to execution and executing my pitches,” Skenes said. “Nothing matters except for the game and the pitches.”

Skenes walked Cincinnati’s TJ Friedl, then retired eight straight, including three strikeouts. He walked Friedl twice in three innings before Elly De La Cruz singled for the Reds’ first hit. Two batters later, Nathaniel Lowe doubled in De La Cruz, ending Skenes’ 31-inning scoreless streak against Cincinnati.

Skenes’ scoreless run was the fourth-longest by a Pirates pitcher against an opponent since 1961. Vernon Law holds the mark, blanking the Mets for 40 innings during 1965-66.

The right-hander retired four of the last five batters he faced and departed after throwing 77 pitches, including 51 strikes.

“Definitely progress. Nice to get some volume and be out there for more than two-thirds,” said Skenes, who improved to 5-0 with a 0.53 ERA in six career starts against the Reds. He has 45 strikeouts and only four walks while holding Cincinnati to a .197 batting average.

Further helping Skenes, the Pirates gave strong run support, scoring three in the first on Oneil Cruz’s homer to right.

“With Skenes on the mound, you hate to give them anything early because you know you’re going to have to fight to get anything you can get,” Reds manager Terry Francona said.

Manager Don Kelly said he wanted to avoid overworking Skenes early, especially after his 37-pitch, two-thirds-inning start in the Mets’ opening day win on Thursday. Skenes allowed five runs, tying a career high, with two walks and a strikeout in the 11-7 loss.

“When you’re going off one outing and 37 pitches, we had targeted 80 for him,” Kelly said. “It was something that we need Paul for the long haul, and he did a great job getting through five. As we go, he’s going to be throwing more than five (innings) and 77 (pitches).”

Skenes has a 2.10 ERA through his first 57 starts, the fourth-best mark by any pitcher since 1920. It is also the lowest mark by a Pittsburgh hurler in any span of 57 starts since Babe Adams had a 2.06 ERA between 1918 and ’20.

AP MLB: https://apnews.com/hub/mlb

Pittsburgh Pirates pitcher Paul Skenes throws during the first inning of a baseball game against the Cincinnati Reds in Cincinnati, Wednesday, April 1, 2026. (AP Photo/Carolyn Kaster)

Pittsburgh Pirates pitcher Paul Skenes throws during the first inning of a baseball game against the Cincinnati Reds in Cincinnati, Wednesday, April 1, 2026. (AP Photo/Carolyn Kaster)

Pittsburgh Pirates pitcher Paul Skenes throws during the first inning of a baseball game against the Cincinnati Reds in Cincinnati, Wednesday, April 1, 2026. (AP Photo/Carolyn Kaster)