Why quitting seems so hard
The pleasures of smoking
It’s not easy to let go of something that’s been such an integral part
of your life for so long. That little stick of tobacco has stuck with you through thick
or thin, rain or shine, day or night. With minimal effort it has provided hours of
comfort and activated the pleasure centers in your brain. No wonder the thought of
quitting seems so daunting. Who wants to give up something that can temporarily make
sadness, stress, and boredom evaporate into thin air? Just thinking about it can stop
you in your tracks. But that’s exactly what’s needed. Stop for a moment
and think about why smoking is in your life. What purpose does it serve?
How to get your smoking needs met without smoking
Whatever your reasons are for having smoking in your life, there is an alternative
behavior you can substitute in place of smoking which will achieve the same result
in the end. Only you can determine what will work for you. Some examples include:
| Purpose of Smoking |
Sample Substitute Behaviors |
Relaxation or stress reduction |
Deep breathing exercises, meditation, massage or
exercise |
Boredom or Loneliness |
Find something you’re passionate
about such as art, music, or literature |
To feel more comfortable in social situations |
Counseling, enroll in a public speaking class, join
a support group or splurge on a makeover |
A meal doesn’t feel quite complete
without a cigarette |
Eat a healthy meal and then top it off
with a delicious dessert |
Tips for creating your personal stop smoking plan
Designing your personal game plan
Tailoring a personal game plan to your specific needs and desires can be a big help.
A good place to start is with the online
guide from smokefree.gov. They recommend thinking
about why you want to quit and then writing down all your reasons. The site goes
on to give you helpful tips and options. Some of your choices include: quitting smoking
cold turkey, systematically decreasing the number of cigarettes you smoke, reducing
your intake of nicotine gradually over time, using nicotine replacement therapy or
non-nicotine medications to reduce withdrawal symptoms, utilizing nicotine support
groups, trying hypnosis, acupuncture, or counseling using cognitive behavioral techniques.
Questions to ask yourself
To successfully detach from smoking, you will need to identify and address your
smoking habits, the true nature of your dependency, and the techniques that work
for you. These types of questions can help:
- Do you feel the need to smoke at every meal?
- Are you more of a social smoker?
- Is it a very bad addiction (more than a pack a day)? Or would a simple nicotine
patch do the job?
- Is your cigarette smoking linked to other addictions?
- Are you open to hypnosis therapy and acupuncture?
- Are you someone who is open to talking about your addiction?
- Are you interested in getting into a fitness program?
Take the time to think of what kind of smoker you are, which moments of your life
call for a cigarette, and why. This will help you to identify which tips, techniques
or therapies may be most beneficial for you.
Stop smoking plan (START)
S = Set a quit date.
T = Tell family, friends, and co-workers that you plan to quit.
A = Anticipate and plan for the challenges you'll face while quitting.
R = Remove cigarettes and other tobacco products from your home, car, and work.
T = Talk to your doctor about getting help to quit.
For a more info see the Surgeon General’s Tobacco
Cessation Help Pages
How Jerry quit
Jerry kicked a 1/2 pack a day habit by reducing his intake, one cigarette at a
time. First he cut out the morning cigarette that he always had with his coffee by
substituting a warm cinnamon bun. After two weeks he dropped the mid-morning cigarette
break. Then every other week he dropped another scheduled smoke time until he was
totally smoke-free. Because he weaned himself off the nicotine so slowly he was able
to quit without feeling any severe withdrawal symptoms.
Laura’s motivation to stop smoking
Laura smoked more than a pack a day for 10 years. She had tried quitting a few
times over the years but always ended up retrieving the crumpled cigarette pack from
the wastepaper basket. Nothing seemed to work until the day she got the jolt of her
life; her doctor told her she had cancer. This event forced her to take stock of
her life and started her on the path to quitting again. That was three years ago
and she hasn’t lit up since. When you ask her how she did it, she’ll
tell you it was sheer willpower and the support of family and friends.
Fear is a powerful motivator but you don’t have to wait until something frightening
happens to stop smoking.
Tips to quit smoking and manage cravings
Cravings associated to sugar levels
When you stop smoking, your body reacts very quickly to the lack of nicotine in your
system. Over the course of three to five days, you are likely to experience a number
of the following physical symptoms as the toxins are flushed from your body:
- Increased irritability, frustration, or anger
- Anxiety, tension or nervousness
- Restlessness
- Difficulty concentrating
- Fatigue
- Headaches
- Trouble sleeping
- Increased appetite and weight gain
As you smoke, nicotine is absorbed into your bloodstream and within 3 minutes, chemical
reactions cause your body to trigger the release of sugar. After quitting, you
may feel dizzy, restless, nervous or even have strong headaches. This is because you
are lacking the immediate release of sugar that cigarettes provide – and why
you may have a bigger appetite. These sugar-related cravings should only last a few
days until your body adjusts to this new smoke-less state of being. So, for the first
3 or 4 days after you quit, make sure you keep your sugar levels a bit higher than
usual by drinking plenty of juice. It will help prevent the craving symptoms triggered
by a lack of sugar and help your body re-adjust back to normal.
Smoking cessation and high sugar levels
When you quit smoking try eating healthier. Cravings can lead to over-eating to
make up for the lack of instant sugar that was released in your body when you were
smoking. Speak to a nutritionist if you are concerned, high sugar levels can be dangerous.
For more information, read Tips
for a Healthy Diet : Guidelines for developing a plan for healthy eating
How to manage cigarette cravings
Remnants of old habits such as smoking with your morning coffee, after meals or business
meetings, and while you’re stuck in traffic can trigger cravings. There are ways
to anticipate those moments and deal with the possible withdrawal symptoms.
Cravings associated with meals
For some smokers, having a cup of coffee after a meal goes hand-in-hand with lighting
up, and the idea of giving that up may look like a hard prospect. People have been
able to successfully replace that special moment, at least in the early stages, with
something that works for them. It could be a piece of fruit, a dessert, or a piece
of dark chocolate. Eventually, you will re-discover the real savor of a good meal or
a nicely brewed cup of coffee and will find that cigarette smoke spoils its taste.
Alcohol and cigarettes
Many people have a habit of smoking when they have an alcoholic drink. If you feel
cravings after drinking with friends or family you may have to try non-alcoholic drinks.
Nuts and chips to munch on are also great cigarette substitutes.
Social Smoking
When friends, family, and co-workers smoke around you, you are in risk of never being
able to give up smoking. If you don’t address this directly it can increase your
risk for relapse. Talking about your decision to quit is the first step, your social
circles need to know that you are changing your habits. It may involve a change of
habit on their part too, for example, they won’t be able to smoke when you’re
in the car with them or in your presence.
Know that in every social circle there are non-smokers, sometimes former smokers,
and people that can be of some inspiration in finding new and better habits. In your
workplace, don’t take all your coffee breaks with smokers only, do something
else instead, and find other non-smokers to have your breaks with. Your decision to
quit could be a good role model for your friends and give them the incentive to quit
as well.
The main thing is to stay strong and not compromise. This is a crucial change in
your life. Let others around you know that you are serious about quitting.
Tips to deal with common cravings and withdrawal symptoms
- Stay active: Keep yourself distracted and occupied, go for walks.
- Keep your hands/fingers busy: Squeeze balls, pencils, or paper clips
are good substitutes to satisfy that need for tactile stimulation.
- Keep your mind busy: Read a book or magazine, listen to some music you love.
- Find an oral substitute: Keep other things around to pop in your mouth when
you’re craving a cigarette. Good choices include mints, hard candy, carrot
or celery sticks, gum, and sunflower seeds.
- Drink lots of water: Flushing toxins from your body minimizes withdrawal symptoms
and helps cravings pass faster.
- Look for new ways to relax and to cope with depression or anxiety: There are
a lot of ways to improve your mood without smoking. See Depression
Self-Help for some ideas. For tips on ways to deal with stress, visit Coping
with Stress.
Keep a craving journal
For a couple of weeks make entries into a log book to monitor your daily progress.
Think about different moments in your life when you enjoy having a cigarette, these
are your triggers to smoking. Are there certain people or environments that trigger
your cravings? How do you feel when you smoke? Jot down some other things you can do
to feel that way. After you quit, if you’re having a bad day, you can look back
at the comments you wrote in week one to get perspective on how far you’ve come.
Get support from others
Quitting smoking is challenging, and having the right people around you can make
all the difference. Let your friends and family in on your plan to quit smoking and
tell them you need their support and encouragement to stop. Look for a quit buddy
who wants to stop smoking as well. You can help each other get through the rough times.
Keep the pounds off
Weight gain is a common concern when quitting smoking. While it’s true that
many smokers put on weight when they stop smoking, the gain is usually small, on average
3-5 pounds. Weight gain occurs because the oral gratification of smoking is replaced
by the self-soothing mechanism of eating. Don’t let the fear of putting on a
few pounds weigh you down. Eating a healthy diet and staying active can help you maintain
your current weight. See Healthy
Weight Loss.
Finding help to quit smoking
Finding the right combination of things to help you stop smoking is as individual
as you are. Medication can provide support in your effort to stop smoking by easing
withdrawal symptoms, reducing cravings, and improving your chances of successfully
quitting.
Medication therapy
Smoking cessation medications are most effective when used as part of a comprehensive
stop smoking program monitored by your physician. Talk to your doctor about your options
and whether an anti-smoking medication is right for you. U.S. Food and Drug Administration
approved options are:
Nicotine Replacement Therapy
Nicotine replacement therapy involves "replacing" cigarettes with other
nicotine substitutes, such as nicotine gum or a nicotine patch. It works by delivering “small
and steady doses” of nicotine into the body to relieve some of the withdrawal
symptoms without the tars and poisonous gases found in cigarettes. This type of
treatment helps smokers focus on breaking their psychological addiction and makes it
easier to concentrate on learning new behaviors and coping skills.
Non-Nicotine Medication
Non-nicotine medications help you stop smoking by reducing cravings and withdrawal
symptoms. Currently, bupropion (Zyban) and varenicline (Chantix) are the only two medications
that don’t contain nicotine which are approved as smoking cessation aids. These
anti-smoking pills are intended for short-term use.
Non-medication therapies
There are several things you can do to stop smoking that don’t involve nicotine
replacement therapy or prescription medications:
Hypnosis
A popular option that has good results. Hypnosis works by getting you into a deeply
relaxed state where you are open to suggestions that strengthen your resolve to quit
smoking and increase your negative feelings toward cigarettes. Ask your doctor to recommend
a qualified smoking cessation hypnotherapist in your area.
Acupuncture
One of the oldest known medical techniques. Acupuncture is believed to work by triggering
the release of endorphins (natural pain relievers) that allow the body to relax. As
a smoking cessation aid, acupuncture can be helpful in managing smoking withdrawal
symptoms.
Behavioral Therapy
Nicotine addiction is related to the habitual behaviors (the “rituals”)
involved in smoking. Behavior therapy focuses on learning new coping skills and breaking
those habits. The American Lung Association offers a free
online smoking cessation program that focuses on behavioral change.
Motivational Therapies
Self-help books and websites can provide a number of ways to motivate yourself to
quit smoking. One well known example is calculating the monetary savings. Some people
have been able to find the motivation to quit just by calculating how much money they
will save after they quit. One person saved enough money to pay his annual car insurance
premiums.
What to do if you relapse
Quitting smoking didn’t work, now what?
Two steps forward, one step back is a common pattern when you’re trying to replace
unwanted habits with new positive ones. Having a small setback doesn’t mean you’re
a smoker again. Most people try to quit smoking several times before they kick the
habit for good, so don’t beat yourself up if you start smoking again. Turn the
relapse into a rebound by learning from your mistakes. Identify the triggers or trouble
spots you ran into and create a new and improved stop smoking plan.
- You’re not a failure if you slip up. It doesn't mean you can't quit for good.
- Don’t let a slip become a mudslide. Throw out the rest of the pack. It's
important to get back on the non-smoking track now. Remember, your goal is no cigarettes
- not even one puff.
- Look back at your quit log and feel good about the time you went without smoking.
- Find the trigger. Exactly what was it that made you smoke again? Decide how you
will cope with that issue the next time it comes up.
- Learn from your experience. What has been most helpful? What didn’t work?
- Find a quit buddy. You can quit smoking together and gain strength from each other.
- Are you using a medicine to help you quit? Call your doctor if you start smoking
again. Some medicines cannot be used if you are smoking at the same time.
Related articles
Related links for quitting smoking
Ways to Quit Smoking and Stop-Smoking Plans
Online Guide to Quitting – Step-by-step
guide to quitting describes how to make a plan to quit, cope with cravings, manage
withdrawal symptoms, and avoid relapse. (Smokefree.gov)
Quit
Smoking Action Plan – 3-step plan for quitting smoking. Provides additional
resources for support. (American Lung Association)
Double
Your Chances of Quitting Smoking. Ways to improve your chances of quitting smoking.
(American Cancer Society)
Helpful Hints
to Kick the Smoking Habit – Provides advice on how to successfully quit
smoking. Includes a list of smoke-free suggestions. (University of Maryland Medical
Center)
Quit Meter – Calculate
how much extra money you’ll have after quitting. (Defeataddictions.org)
Nicotine Replacement Therapy (NRT)
Nicotine
Alternatives / Nicotine Replacement Therapy (NRT) – Provides an overview,
general warnings, and side effects of NRT. (American Heart Association)
Nicotine
Replacement – Comprehensive fact sheet on nicotine replacement includes
a discussion of specific methods, dosages and side effects. (American Lung
Association)
Preventing Weight Gain after Quitting
You
Can Control Your Weight as You Quit Smoking – Provides suggestions for
what to do before, during, and after quitting smoking to prevent weight gain. (National
Institutes of Health)
Coping with Nicotine Cravings and Withdrawal
Help
For Cravings and Tough Situations – A list of tips to cope with cigarette
cravings. (American Cancer Society)
Nicotine
Dependence Coping Skills – A comprehensive guide to developing alternative
coping strategies when quitting smoking. (Mayo Clinic)
Support for Smoking Cessation
Quitlines – Call
800-QUIT-NOW (800-784-8669) to get the number of your local quitline. (North
American Quitline Consortium)
Smoking Cessation
Programs – Searchable database of smoking cessation programs that you can
locate by state or zip code. Also offers links to free support groups. (Quitnet)
Freedom
From Smoking® Online – Provides a seven module program that supports
you and walks you through a smoking cessation program. (American Lung Association)
Nicotine Anonymous Meetings – Search
for local meetings of Nicotine Anonymous, a 12-Step program modeled after Alcoholics
Anonymous. (Nicotine Anonymous)
Tips for Friends and Family
Helping
A Smoker Quit: Do's and Don'ts – Provides a general list of “do’s
and don’ts” for supporting someone who is quitting smoking. (American
Cancer Society)
How
Can I Help My Friends and Family (PDF) – Describes appropriate ways to
help a friend or family member who is quitting smoking. (California Smokers’ Helpline)
Deborah Cutter, Psy.D., Jonathan Lhrar, Jeanne
Segal, Ph.D.,
and Melinda Smith, M.A., contributed to this article. Last modified:May 08.