I really don't know what to do?
Hello, doctor: My boyfriend works night shifts, so he uses smoking to stay alert.
Every time I mention quitting smoking, he says he won't have energy without it.
He also claims he will gradually reduce the amount he smokes, but I feel that isn't really effective.
How can I help him quit smoking? Does smoking really help with alertness? Are there alternatives to smoking that can achieve the same alertness effect without harming the body? (He has been smoking for about four years.)
Cang Tian Sha Nan, 20~29 year old female. Ask Date: 2004/10/18
Dr. Chen Mingzhe reply Smoking Cessation
Dear Ms.
Kurata Shanan,
Hello! You are a wonderful girlfriend who cares deeply for your boyfriend, as you are teaching him to quit smoking for his health.
However, I need to share some important information about cigarettes.
Cigarettes contain nicotine, which has a stabilizing effect on the nervous system.
Therefore, smoking does not actually provide stimulation but can induce a calming effect.
During the process of quitting smoking, individuals may experience restlessness, fatigue, lack of energy, and yawning.
These symptoms are what your boyfriend refers to when he says he feels low energy without smoking; in reality, it is due to insufficient nicotine intake.
Your boyfriend works night shifts, returning home around 8 or 9 AM.
After having breakfast, he takes some time before sleeping for 7 to 9 hours, waking up around 8 or 9 PM to have dinner before preparing for work again.
This means he does not have the opportunity to smoke much during his off hours, and he tries to maintain his "ladies' man" image by not smoking excessively.
Thus, he compensates for his daily nicotine needs during his night shifts.
Do you understand?
If he truly wants to quit smoking, he can seek consultation at smoking cessation clinics in various hospitals.
However, your love and concern are the best remedies.
As for ways to boost his energy, you can prepare green tea (2000cc) for him to take to work during his night shifts.
Your thoughtful green tea, along with your phone call asking, "How's it going? Are you tired? Keep it up!" will surely lift his spirits more effectively than energy drinks.
Try it!
Reply Date: 2004/10/18
More Info
Helping a partner quit smoking, especially when they rely on cigarettes to stay energized during night shifts, can be a challenging but rewarding endeavor. It’s commendable that you want to support your boyfriend in this journey. Here are some strategies that can help him quit smoking while also addressing his concerns about energy levels.
Understanding the Role of Smoking
Firstly, it’s important to understand why your boyfriend feels that smoking helps him stay awake. Nicotine, the addictive substance in cigarettes, can indeed provide a temporary boost in alertness and concentration. However, this effect is short-lived and often followed by a crash, leading to a cycle of dependence. Over time, the body becomes accustomed to nicotine, and the withdrawal symptoms can include fatigue, irritability, and difficulty concentrating when he tries to quit.
Strategies to Help Him Quit
1. Open Communication: Start by having an open and honest conversation about his smoking habit. Express your concerns about his health and the impact of smoking on both of you. Encourage him to share his feelings about quitting and what he believes are the barriers.
2. Set a Quit Date: Encourage him to set a specific quit date. This gives him a goal to work towards and allows both of you to prepare for the changes ahead.
3. Gradual Reduction: If he is hesitant to quit cold turkey, suggest a gradual reduction plan. He can start by reducing the number of cigarettes he smokes each day. For example, if he smokes ten cigarettes a day, he could aim to reduce it to eight for a week, then six the following week, and so on.
4. Identify Triggers: Help him identify situations or feelings that trigger his urge to smoke. This could be stress, boredom, or even social situations. Once identified, he can work on strategies to cope with these triggers without reaching for a cigarette.
5. Healthy Alternatives: Introduce him to healthier alternatives that can help boost his energy levels without the harmful effects of smoking. Here are a few suggestions:
- Physical Activity: Encourage him to take short walks or do light exercises during breaks. Physical activity can increase energy levels and improve mood.
- Hydration: Drinking water or herbal teas can help keep him hydrated and alert. Dehydration can lead to fatigue, so staying hydrated is essential.
- Healthy Snacks: Suggest healthy snacks like nuts, fruits, or yogurt. These can provide a quick energy boost without the crash associated with nicotine.
- Breathing Exercises: Teach him simple breathing exercises or mindfulness techniques to help manage stress and improve focus.
6. Support Groups: Encourage him to join a support group or counseling. Sometimes, talking to others who are going through the same experience can provide motivation and accountability.
7. Professional Help: If he struggles significantly with withdrawal symptoms, consider suggesting he consult a healthcare professional. They can provide resources, counseling, and possibly recommend nicotine replacement therapies or medications that can ease the transition.
8. Celebrate Milestones: Celebrate small victories along the way. Whether it’s a week without smoking or a reduction in daily intake, acknowledging these milestones can boost his confidence and motivation.
Conclusion
Quitting smoking is a journey that requires patience, support, and understanding. By being there for your boyfriend and encouraging him to explore healthier alternatives for energy, you can help him navigate this challenging process. Remember, it’s essential to approach the topic with empathy and support, as quitting smoking can be a significant lifestyle change. With your encouragement and the right strategies, he can successfully quit smoking and improve his overall health.
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