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Removing tobacco/nicotine doesn’t mean your entire strategy for managing stress has to go away. Many things you are doing ARE healthy and genuinely calming to your body and mind.

Reasons why you may feel calmer after taking a smoke break at work:

*  Getting away from your work area

*  Getting away from the people that you work with (that may be contributing to your stress)

*  Fresh air/being outside

*  Movement-walking from place to place or pacing around outside

*  Deep breathing as you inhale

*  Looking off into the distance, versus looking at something right in front of you or at a screen

*  Talking to co-workers outside of the office (maybe even venting a bit!)

*  More open space, especially if you work in a crowded, noisy environment

Why else do you feel taking a smoke break is calming for you?

Modified smoke break strategy ideas:

*  Plan to step away from your work for 5-10 minutes.

*  Walk to a drinking fountain or bathroom far away from your desk to get in extra movement.

How can you practice taking a tobacco-free break today or tomorrow?

*  What are you really good at?

*  What have you overcome in your life?

*  How do you help others?

*  How do you take care of yourself?

Trust that the things that make you strong will continue to be there during your quit attempt. Repeat after me: “I am strong.” Say it again. And again. Say it out loud to add some ‘oomph’ to your statement. Continue to repeat as needed!

S.M.A.R.T. in Action

Before: “I want to cut back.”

S.M.A.R.T. Goal: “Today I will put 12 cigarettes in an empty pack instead of the 15 I usually have. I will keep my emergency pack of substitutes (gum, toothpicks) with me and will leave my cigarettes behind. I will cut back by 1 cigarette each day this week.”

Practice Goal-Setting

Strengthen your goal using the S.M.A.R.T. tool. Start with a simple statement about what you want to do. Next, write how your goal will be specific, measurable, attainable, relevant, and time-based.

The maintenance phase of quitting starts after you have been quit for about six months. At this point, your tobacco/nicotine free lifestyle has started to feel more normal and routine. It can take years to feel like tobacco/nicotine is truly in the past, though. In this phase, you may not be thinking of your old habit on a daily basis, but reminders are still all around you. Your new habits are still young.

What do you enjoy about being tobacco/nicotine free?

What challenges have you overcome to get here?

If you have quit before and relapsed, what tripped you up?

Stress is one of the most common triggers for relapse. This guide has many tools for responding to things that happen to you. While it may not be possible to control what happens in your life, you can control your response.

Deepen your motivation, understand your barriers (even if you already overcame them), and build a supportive team you can lean on when the going gets tough.

Maybe you have started this program in the action phase-you are already quitting or have just quit. While you may have a quit date in mind, this phase is more than just one day. This phase usually lasts about six months for any behavior change. It starts when you start putting your plan into place and continues as you go through challenges and practice your new way of living.

In a few words, describe your current quit plan.

Who is supporting you?

Remember, you may be moving back and forth between stages during your quitting process. Some days may be easier than others. It is important to stay very alert during the active phase, as slip-ups are very common. You will probably face many new challenges, from new stressors to different times of the year and holidays.

Even if you have started this program in the action phase, work through the guide in order. Building a strong foundation will help you get through the first few months of quitting-and beyond.

1.Be patient.I am trying to free myself from tobacco/nicotine. Quitting may make me tense, anxious, and prone to sudden mood swings. This is because I am doing without something I was used to having. Soon I will be secure in my ability to manage and I will be better than ever. Please bear with me a little longer.

2.Be curious.For years I have been using tobacco/nicotine to pass the time, to reward myself, to calm myself, to wake up, to help me think, and to get through stressful events. Now I am coping all on my own. Ask me how I am managing; ask me what my life is like without nicotine. It’s all very new to me and I may want to talk about it.

3.Be sensitive.All day long I must deal with the urge to use tobacco/nicotine. Sometimes it seems as if just about everything makes me think about it: getting ready for work, talking on the phone, ending a meal… I could really use your help to distract myself from these thoughts. Unless I mention it first, please don’t bring up the subject of my quitting.

4.Be supportive.I really need someone to root for me right now, someone to be on my side. I enjoy the special attention (like rewarding my first week without tobacco/nicotine with a special treat) that you give me while I am in the “crawling” stage of quitting.

5.Be positive. Sometimes I feel it is hard to remember all the good things that come with quitting. I like it when you notice the positive changes that you see in me. It means a lot to know that you are proud of me.

6.Be confident.I want to make it, but sometimes I am not sure that I have what it takes to quit. I need the people around me to believe that I can do it… and to say so.

What else will be helpful to you? Share this with those who want to support you.

Heart Disease

Smoking is the greatest risk factor for heart disease. A smoker’s chance of having a heart attack is 3 times that of a non-smoker. High blood pressure is a major cause of stroke and a prime risk factor for heart disease. High blood pressure is more severe in smokers. People with high blood pressure can lower their risk of heart disease by 50% when they quit.

1. Carbon monoxide reduces oxygen going to the heart.

2. The heart works harder to move  the oxygen through the body. Breathing speeds up.

3. Nicotine causes the blood vessels to constrict. Blood pressure goes up. The heart becomes more stressed.

4. A greater amount of cholesterol forms on the blood vessel walls.

5. Over time, less oxygen puts strain on the heart and heart cells die.

Cancer

Cigarette smoke has been proven to contain cancer-causing agents (carcinogens) and co-agents (co-carcinogens). The parts of the body that come into direct contact with smoke are more likely to develop cancer: lungs, mouth, trachea, esophagus, and larynx. The breakdown products in smoke also affect other organs that do not come into direct contact with smoke:  the pancreas, kidney, and bladder.

Chronic Bronchitis

Chronic bronchitis can make it very hard to breathe. This is because the lining of your bronchial tubes (the tubes that air goes through to get to your lungs) becomes inflamed and irritated. While acute (temporary) bronchitis caused by a cold or virus usually goes away within a few weeks, excess mucus and lung damage can mean months and months of coughing and breathlessness.

1. Cigarette smoke paralyzes hair like fibers (cilia) that line and clean the bronchial tubes.

2. Excess mucus is produced in the tubes. The result is a mucus plug.

3. Chronic coughing is the way a smoker removes the plug so oxygen can get in.

Emphysema

Emphysema can also make it very difficult to breathe. This problem develops in a different way than chronic bronchitis:

1. Oxygen enters the blood stream through air sacs in the lungs. The ‘tars’ from cigarette smoke gather on the lung walls and burst the sacs.

2. These heavy tars also make the lungs longer and less able to stretch.

3. Breathing becomes difficult.