Struggling to Quit Smoking: Overcoming Stress and Bad Habits - Smoking Cessation

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I want to quit smoking?


I have been smoking for nearly ten years.
I want to quit, but I find it very difficult.
It might be related to my personality; I tend to bottle up all my stress and worries.
When I'm feeling down, combined with work pressure, I always revert to smoking.
I really don't know what to do.
Perhaps I lack patience.
I have tried to quit smoking, but I find it easy to become anxious, and my mental state and sleep quality suffer.
I have taken medication prescribed by a psychiatrist, but I realize that only I can help myself, yet I still can't manage to do it.
What should I do?

Xiao Yu, 20~29 year old female. Ask Date: 2003/07/30

Dr. Tang Xinbei reply Smoking Cessation


Dear friend: I am glad that you are willing to start working towards overcoming the dangers of smoking.
Of course, in the beginning, there will always be some discomfort testing the determination and willpower of those trying to quit.
In the early stages of quitting smoking (about one to two weeks), some withdrawal symptoms may occur: (1) mood swings or feelings of sadness (2) insomnia (3) irritability, frustration, or anger (4) anxiety (5) difficulty concentrating (6) restlessness (7) decreased heart rate (8) increased appetite or weight gain (9) others, such as dry mouth, vivid dreams, headaches, tingling sensations in the skin, and cravings (a strong desire to smoke again).
The appearance of these withdrawal symptoms can often lead to emotional ups and downs and internal conflict, causing one to question whether they have truly made the right decision, which may result in thoughts of giving up.
In fact, quitting smoking is like a "revolution"; it often takes many attempts before achieving success.
Each time you try with a different approach, even if it is not successful, you gain valuable experiences that can help you accumulate new energy and improve your methods! I recommend discussing your strategies with your physician to identify the reasons for any setbacks and difficulties, and then develop new strategies and methods.
Wishing you peace, joy, and success in quitting smoking!

Reply Date: 2003/07/30

More Info


Quitting smoking is a significant challenge, especially for someone who has been smoking for nearly a decade. The struggle you are facing is not uncommon, and many individuals find themselves in similar situations when attempting to break free from the habit. The combination of stress, emotional turmoil, and the ingrained habit of smoking can make the process feel overwhelming. However, there are effective strategies and insights that can help you navigate this journey.

Firstly, it’s essential to understand that nicotine addiction is a physiological and psychological condition. When you smoke, nicotine enters your bloodstream and affects your brain, creating a temporary feeling of pleasure and relaxation. Over time, your body becomes dependent on nicotine, and when you try to quit, withdrawal symptoms can manifest, including irritability, anxiety, and difficulty concentrating. These symptoms can be particularly challenging when combined with external stressors, such as work pressure or personal issues.

One of the most effective approaches to quitting smoking is to develop a comprehensive plan that addresses both the physical and psychological aspects of addiction. Here are some strategies that may help:
1. Set a Quit Date: Choose a specific date to quit smoking. This gives you a clear target and allows you to mentally prepare for the change.

2. Identify Triggers: Keep a journal to track when you smoke and what triggers the urge. Understanding your triggers—whether they are stress, social situations, or certain times of the day—can help you develop strategies to cope without smoking.

3. Stress Management Techniques: Since you mentioned that you tend to internalize stress, it’s crucial to find healthier ways to cope. Techniques such as deep breathing exercises, mindfulness meditation, and yoga can help reduce stress and improve your emotional well-being. Regular physical activity is also beneficial, as it releases endorphins, which can enhance your mood and reduce cravings.

4. Nicotine Replacement Therapy (NRT): Consider using nicotine patches, gum, or lozenges. These products can help alleviate withdrawal symptoms and reduce cravings by providing a controlled dose of nicotine without the harmful effects of smoking.

5. Seek Support: Don’t hesitate to reach out for help. Support groups, counseling, or talking to friends and family can provide encouragement and accountability. Professional support from a healthcare provider can also be invaluable in managing withdrawal symptoms and developing coping strategies.

6. Healthy Alternatives: Find alternative activities to replace smoking. This could include chewing gum, snacking on healthy foods, or engaging in hobbies that keep your hands busy. Keeping your mouth and hands occupied can help distract you from cravings.

7. Focus on the Benefits: Remind yourself of the reasons you want to quit. Whether it’s improving your health, saving money, or setting a positive example for others, keeping these motivations at the forefront of your mind can help reinforce your commitment.

8. Be Patient with Yourself: Quitting smoking is a process that often involves setbacks. If you slip up, don’t be too hard on yourself. Reflect on what led to the relapse and use it as a learning experience to strengthen your resolve.

9. Monitor Your Sleep and Mood: Since you mentioned issues with sleep and mood, it’s important to prioritize good sleep hygiene. Establish a regular sleep schedule, create a relaxing bedtime routine, and limit caffeine and screen time before bed. If mood issues persist, consider consulting a mental health professional for additional support.

In conclusion, overcoming the challenge of quitting smoking requires a multifaceted approach that addresses both the physical addiction and the emotional triggers associated with smoking. By implementing these strategies and seeking support, you can increase your chances of successfully quitting. Remember, the journey may be difficult, but the health benefits and improved quality of life that come with quitting smoking are well worth the effort. Stay committed, and take it one day at a time.

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