In the Adrenlin software, are you using Radeon Chill or the Frame Rate Target Control (FRTC)?
If you're using one of the options, then try disabling the one that you normally use and try enabling the secondary frame capping option to see if it will address the issue.
P.S. For the smoothest experience, you'll want to do the following:
* In-Game Settings: Turn off V-Sync and allow the Frame Rate to run "Unlimited, Unlocked, (or whatever the highest value is available)."
* Adrenlin Software: Select "Always On" for "Wait for Vertical Refresh," along with capping the FPS value to either 160 or 162 (max). By doing this -- in tandem with FreeSync Premium (or Open Forum VRR) -- you'll be able to avoid any screen tearing since the FPS won't ever exceed your monitor's 165Hz refresh window.
* PC Specs: Ryzen 9 7950X3D | Radeon RX 7900 XTX (ASRock Taichi White) | 64GB DDR5-6000 CL30 (G.Skill Trident Z5 Neo RGB White) | Crucial T500 2TB PCIe Gen4 NVMe M.2 SSD | Windows 11 Pro 24H2