How to Help a Loved One Overcome a Severe Smoking Addiction? - Psychiatry

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My father has a severe smoking addiction (he has also had a history of alcohol addiction) and smokes a pack or more of cigarettes every day.
I have asked him to quit smoking, but he responded, "Are you trying to get me killed?" He has been smoking for over 20 years.
I also asked him if he would continue smoking if a doctor told him it would lead to death, and he replied, "Of course!" How can I encourage him to quit smoking?

Ruo, 10~19 year old female. Ask Date: 2016/01/29

Dr. Zhang Gengjia reply Psychiatry


Addiction disorders are not only a type of brain disease but have also been confirmed as a highly heritable physiological condition (Uhl and Grow, Arch Gen Psychiatry, 2004), with a higher heritability coefficient than Parkinson's disease or asthma.
Treatment is the most effective way to change the impact of the disease on the patient's life.
The Taiwan National Health Bureau has established smoking cessation clinics, where the treatment model begins with a one-on-one consultation between a professional smoking cessation counselor and the patient.
This session focuses on understanding the patient's motivation to quit and the severity of their addiction.
Following this, a physician will evaluate and provide treatment.
To create a smoke-free medical environment, our hospital has specifically set up a special smoking cessation clinic to alleviate the suffering caused by nicotine addiction.
Wishing you peace, joy, and well-being.
Zhang Gengjia, March 25, 2016, at Chianan Psychiatric Hospital, General Psychiatry.

Reply Date: 2016/01/29

More Info


Helping a loved one overcome a severe smoking addiction can be a challenging and emotionally taxing journey, especially when the individual has been smoking for many years and exhibits a strong resistance to quitting. In your case, your father has been smoking for over 20 years and has a history of addiction, which complicates the situation further. Here are some strategies and insights that may help you support him in his journey to quit smoking.


Understanding the Addiction
First and foremost, it's essential to understand that smoking is not just a habit but a powerful addiction. Nicotine, the primary addictive substance in cigarettes, alters brain chemistry, leading to physical dependence. When someone has been smoking for a long time, their body becomes accustomed to nicotine, and withdrawal symptoms can be severe, including irritability, anxiety, cravings, and physical discomfort. This is why many smokers find it incredibly difficult to quit, even when they are aware of the health risks.


Open Communication
Start by fostering open and non-judgmental communication with your father. Instead of confronting him about his smoking, try to express your concerns from a place of love and care. You might say something like, "Dad, I care about your health and well-being, and I want to support you in any way I can." This approach can help him feel less defensive and more willing to discuss his smoking.


Educate and Inform
While your father may dismiss the dangers of smoking, providing him with factual information about the health risks associated with smoking can be beneficial. Share statistics about smoking-related illnesses, such as lung cancer, heart disease, and respiratory issues. You can also discuss the benefits of quitting, such as improved health, increased energy, and financial savings. However, be careful not to overwhelm him with information, as this can lead to resistance.


Encourage Professional Help
Suggest that he seek professional help, such as counseling or a smoking cessation program. Many healthcare providers offer resources specifically designed to help individuals quit smoking. These programs often include behavioral therapy, support groups, and sometimes medication to help manage withdrawal symptoms. If he is resistant to the idea of quitting, you might suggest that he at least speak with a healthcare professional about his smoking habits, even if he doesn't commit to quitting right away.


Supportive Environment
Creating a supportive environment is crucial. If possible, try to reduce triggers in his surroundings that may encourage smoking. This could mean avoiding situations where smoking is prevalent or encouraging activities that do not involve smoking. Additionally, if you smoke or if there are other smokers in the household, consider reducing or quitting yourself to set a positive example.


Gradual Reduction
If your father is not ready to quit smoking entirely, encourage him to consider a gradual reduction in his smoking. This could involve setting a limit on the number of cigarettes he smokes each day or designating certain times when he can smoke. Gradual reduction can sometimes make the process feel less daunting and more manageable.


Be Patient and Understanding
Quitting smoking is a personal journey, and it often takes multiple attempts before someone is successful. Be patient with your father and understand that he may experience setbacks. Celebrate small victories, such as reducing the number of cigarettes he smokes, and provide encouragement along the way.


Emotional Support
Lastly, be there for him emotionally. Addiction can be tied to deeper emotional issues, and your father may be using smoking as a coping mechanism for stress, anxiety, or other challenges. Encourage him to explore healthier coping strategies, such as exercise, meditation, or engaging in hobbies he enjoys.


Conclusion
In summary, helping a loved one overcome a severe smoking addiction requires a combination of understanding, support, and encouragement. By fostering open communication, providing education, encouraging professional help, and creating a supportive environment, you can play a significant role in your father's journey to quit smoking. Remember that change takes time, and your unwavering support can make a difference in his life.

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