What should I do?
Hello, doctor...
I really want to quit smoking, but I have tried several times without success.
My cravings are very strong; I can smoke up to two or three packs a day.
I want to quit, but whenever I feel the urge to smoke and can't, I become anxious and irritable, and I find it hard to concentrate.
Is it because my cravings are too strong that quitting suddenly is so painful? I have also tried chewing gum, but it doesn't seem to be very effective.
Every time I have a dry mouth, I feel the urge to smoke.
Could you please advise me on some methods to help? Thank you!
A-Liang, 10~19 year old female. Ask Date: 2003/09/20
Dr. Tang Xinbei reply Smoking Cessation
Dear Ah Liang,
I am glad to hear that you decided to quit smoking at a young age! Quitting smoking is an endeavor that requires multiple attempts and ongoing effort.
Research from abroad indicates that each year, 34% of smokers attempt to quit, but less than 10% are successful in doing so (and many of them relapse later).
Given your current situation, you may need professional assistance, including smoking cessation medications and related counseling, to alleviate the discomfort caused by nicotine withdrawal symptoms such as anxiety, irritability, difficulty concentrating, and dry mouth.
I recommend that you visit a healthcare facility that offers smoking cessation clinics nearby.
Additionally, you might consider keeping a smoking diary to record the time, location, circumstances, activities, and people you are with when you smoke.
This can help you identify the situations that trigger your smoking and allow you to avoid them.
You can also try cutting each cigarette you buy by one-third or half and strictly limit the maximum number of packs you smoke each day.
For cravings, besides chewing gum, you can use licorice, sour plums, or olives as alternatives.
Research has also shown that individuals who want to quit smoking typically need to attempt it an average of seven times before succeeding.
You can review your past efforts to identify the reasons for your unsuccessful attempts and try to overcome and adjust your strategies using different methods.
Wishing you peace, joy, and success in quitting smoking!
Reply Date: 2003/09/20
More Info
Overcoming a strong smoking addiction can be a challenging journey, especially for someone who has been smoking heavily, as you described. It's commendable that you are seeking to quit smoking, and understanding the complexities of nicotine addiction is the first step toward success. Here are some effective strategies that can help you manage your cravings and ultimately quit smoking.
Understanding Nicotine Addiction
Nicotine is a highly addictive substance found in tobacco. When you smoke, nicotine quickly reaches your brain, creating pleasurable sensations that reinforce the habit. Over time, your body becomes dependent on nicotine, leading to withdrawal symptoms when you try to quit. These symptoms can include irritability, anxiety, difficulty concentrating, and physical cravings, which can make quitting feel overwhelming.
Strategies for Quitting Smoking
1. Set a Quit Date: Choose a specific date to quit smoking. This gives you time to prepare mentally and physically. Mark it on your calendar and commit to it.
2. Identify Triggers: Keep a smoking diary for a week. Note when you smoke, what you are doing, and how you feel. This will help you identify your triggers—situations or emotions that prompt you to smoke. Once you know your triggers, you can develop strategies to avoid or cope with them.
3. Nicotine Replacement Therapy (NRT): Consider using nicotine replacement products such as patches, gum, lozenges, or inhalers. These can help reduce withdrawal symptoms and cravings by providing a controlled dose of nicotine without the harmful chemicals found in cigarettes. Research shows that NRT can double your chances of quitting successfully.
4. Prescription Medications: Talk to your doctor about prescription medications that can help with quitting. Medications like bupropion (Zyban) and varenicline (Chantix) can help reduce cravings and withdrawal symptoms. These medications work differently than NRT and can be effective for many people.
5. Behavioral Therapy: Engaging in counseling or support groups can provide you with strategies to cope with cravings and stress. Cognitive-behavioral therapy (CBT) is particularly effective in helping individuals change their smoking-related behaviors and thoughts.
6. Mindfulness and Relaxation Techniques: Incorporate stress-reduction techniques such as deep breathing, meditation, or yoga into your daily routine. These practices can help manage anxiety and improve your focus, making it easier to resist the urge to smoke.
7. Stay Active: Regular physical activity can help reduce cravings and withdrawal symptoms. Exercise releases endorphins, which can improve your mood and reduce stress. Aim for at least 30 minutes of moderate exercise most days of the week.
8. Healthy Substitutes: When you feel the urge to smoke, try chewing sugar-free gum, snacking on healthy foods like fruits or vegetables, or drinking water. Keeping your hands and mouth busy can help distract you from cravings.
9. Avoid Alcohol and Other Triggers: Alcohol can weaken your resolve to quit smoking. Try to avoid drinking, especially in social situations where you might be tempted to smoke. Additionally, steer clear of places or activities that you associate with smoking.
10. Celebrate Milestones: Acknowledge your progress, no matter how small. Celebrate milestones such as one day, one week, or one month smoke-free. Reward yourself with something enjoyable, like a movie or a meal out.
Conclusion
Quitting smoking is a process that often requires multiple attempts. It's important to be patient with yourself and recognize that setbacks can happen. If you find that your cravings are overwhelming or if you are struggling with withdrawal symptoms, don't hesitate to seek professional help. Support from healthcare providers, counselors, or support groups can significantly increase your chances of success. Remember, every effort you make brings you one step closer to a healthier, smoke-free life. Good luck on your journey to quitting smoking!
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