“Getting high” is always subjective. It can be a lot of things. For one, the euphoric feeling a drug gives can lead the user to feel an elevated sense of happiness, among other things. An elevated sense of certain perceptions is a “high”.
Also, if you look at the drugs uptake by the body as a linear graph, it looks somewhat like a mountain. You start at the bottom, then rocket to the top concentration of the drug in your blood (peak), then plateau there for a while. On a linear graph, your plateau is the “highest” you get. Then you come down on the other side.
TLDR: Think of how people feel when at the “high” point in their life. High is associated with positive feelings.
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