Tag: cessation

Start with changing how you react to minor annoyances, like traffic or a chatty co-worker. Work to reduce the number of things that push your buttons. It is not the event itself that determines your feelings-it is what you tell yourself about it. You may have some truly big, serious stressors in your life. Avoid piling the little things on top.

“Men are not disturbed by things, but by the views they take of them.”  – Epictetus

Let’s pretend you got stuck in a traffic jam on the way to work today. You feel angry and upset. But it is not the traffic jam that makes you upset. It is what you tell yourself that upsets you: “I’m going to be late for work.” “I have so much to do.” “This is such a waste of time.”

You cannot change the fact that you are stuck in traffic. Getting angry serves no purpose. If you can look at the delay as a minor problem that you can’t control, rather than a major event, you will feel much better. When your mind stays calm, you may even see ways around the issue, like taking another route or using hands-free calling to join a meeting you’re running late for.

Your outlook on quitting is also very important. If you tell yourself that quitting will be awful, chances are the process will be as bad as you think. If you accept the fact that you will have urges, but nothing you can’t handle, you will have an easier time quitting. Focus on what is gained from quitting, not on what is being lost or the minor discomfort along the way.

Thinking Differently

You can change how you think, feel, and react to any event. The ABCDE model can help you do this.

Activating Event:An event that triggers thoughts and feelings. Example – “I am trying to quit smoking and this event is making me anxious.”

Belief:What you think or say to yourself about the activating event. Examples – “I just can’t quit.” “I don’t have any willpower.”

Consequence:How you feel in response to your beliefs. Examples – “I feel discouraged.” “I feel embarrassed and defeated.”

Dispute:Question your earlier beliefs. Examples – “Wait a minute here, I can do hard things!” “I don’t need to rely on willpower to quit. I can apply skills I’m learning in QuitWell™.”

Effect:How you feel after you dispute your earlier beliefs. Examples – “I can succeed.” “I feel my actions are within my control.” “I can handle this.”

Keeping your motivation and values in mind is a great way to encourage yourself when quitting gets tough. Look for ways to connect your motivation and values to your attitude and actions.

How do your attitudes and actions show what is important to you? If you feel there is a mismatch, it might be time for a new point of view!

Old view:Quitting is going to be horrible. I like to do what I want, when I want.

New view:I value time with my family and want to be a good role model for my kids. It will be awesome to enjoy family time without the interruption of smoke breaks. I can model healthy behavior for my kids.

Anytime you are given a reward for something you do, chances are you will do it again. For example: If a person popped out and handed you a $100 bill each time you walked around the block, you would take a lot of walks.

The more rewards you get for quitting (from yourself and others), the more likely you will be successful.

Ciggy Bank

Take a jar and place it next to your “Butt Bottle.” Each day put the amount of money you would have used to buy tobacco in the jar. Write a reward you might buy with the money. Past QuitWell™ participants have taken vacations with their family, bought tickets to sporting events and concerts, and even bought a boat with the savings from quitting.

The Little Things

Give yourself a reward each day that you are successful. Choose things and activities that bring you joy. They don’t have to cost money.

*  Buy or pick flowers

*  Picnic in the park

*  Call an old friend

*  Take your car to the carwash

*  Rent or stream a movie

Creative imagination is the acting out of an event or activity in your mind before it really happens. It allows you to work through the event or activity ahead of time so that you will be better prepared to deal with it. Many athletes practice an upcoming game in their heads before stepping onto the playing field.

A study was done to compare “creative imagination” to actual practice with a group of basketball players. Three groups of students were used.

*Group 1– Practiced making free throws every day for 20 days.

*Group 2– Threw the ball on the 1st and 20th days, but did not practice in between.

*Group 3– Threw free throws on the first day and then spent 20 minutes a day for the next 20 days imagining that they were throwing the ball. If they missed, they had to imagine changing their aim.

On the 20th day:

*  Group 1 – Improved their scores by 24%

*  Group 2 – No improvement

*  Group 3 – Improved their scores by 23% by using creative imagination

Mental practice can help you change your feelings about day-to-day events. Picture yourself succeeding with your goals and getting through trigger situations. The power of your mind to change what you imagine to be real is vast; all it takes is a little thinking and practice.

What would you like to imagine doing differently? Picture yourself doing things the way you want. Repeat this practice every day for at least 2 weeks.

Start to plan your response to slip-ups even before you have fully quit. Slip-ups are very common, especially in the first few weeks of trying to be tobacco/nicotine free. A slip-up is also called a ‘lapse’. The better you manage a lapse, the easier it will be to avoid full relapse. Relapse refers to going back to a regular habit of using tobacco/nicotine products.

No one is perfect. Try not to view the slip-up as a failure of willpower or strength. Remember, you are so strong.

Become hyper-aware of what just happened. It is important to understand the triggers related to a slip-up.

*  Where are you? Is this place still a trigger for you? If possible, try to avoid this area for now. Or, make sure you have substitutes handy, like NRT gum or cinnamon candies.

*  Who are you with? How can this person support you in the future?

*  How are you feeling? Learn to separate your emotional response from situations and feelings. Smoking/chewing won’t change anything about the situation.

What do you need to work on so that you can respond differently next time? Review the urge tamers, call your support person, or give your mind a quiet moment to really answer the question.

How do you want this situation to go next time? Imagine responding differently to the trigger. Use the creative imagination exercise. See yourself doing what you want to do.

There are many ways to practice quitting before getting all the way there. You can improve your health even before you feel “all in”.

*  Leave your pack, can, or vape pen home when you go out for short errands. Try leaving products home when you go to work one day.

*  If you are a smoker, put a certain number of cigarettes in a pack for the day. Try to put one or two less in the pack than you’d normally smoke. If you usually smoke a full pack, take a few out at the beginning of the day so “finishing the pack” means smoking 18 instead of 20 cigarettes. After a few days, cut out one or two more.

*  Put your cigarettes, can, or vape pen out of reach in your car. Maybe keep them in the trunk of your car, or in the backseat. When you want to have one, you will need to pull over to the side of the road to safely get it. When you do, just take one. This makes your habit a lot less convenient. Practice working through an urge while you are deciding if you want to pull over or keep going.

What are some other ways you can practice change?

Over the next week, whenever you have an urge, wait 5 minutes before using your tobacco/nicotine product. If, after 5 minutes, the craving is still there, go ahead and have it. If the urge has gone down to the point where you can put it off further, try stretching that 5 minute “time out” to 10 or 15 minutes. You may find that, with time, the craving goes away on its own.

Waiting 5 minutes is like adding a speedbump to your regular routine. When you approach a speedbump, you probably slow down before carefully going over it. Even if you aren’t ready to quit, this helps you flex your muscle of self-control and show yourself that you can put off tobacco if you really want to.

While there is no healthy level of tobacco/nicotine use, it can be helpful to cut back before quitting completely. This allows you to:

*  Reduce the amount of tobacco/nicotine your body must process every day, reducing the damage and toxic load on the body.

*  Practice strategies without the pressure of quitting completely.

*  Build confidence as you show yourself how strong and capable you are with making changes.

*  Get used to going through different times of the day without a cigarette/dip/vape.

*  Learn which strategies are going to work for different triggers.

*  Gradually change habits and how you respond to triggers.

Remember, every less cigarette, dip, or vape gives your body a break.

Cutting back can be helpful for all stages of quitting.

*  If you aren’t ready to quit completely, cutting back can still give you all the benefits listed above. You may find that the new tobacco/nicotine-free habits stick and you now are at a lower level of tobacco/nicotine. While it can be hard to stay at a low level for a long time, due to the addictive nature of nicotine, you are now more ready to quit in the future.

*  If you are thinking about quitting but not fully ready, cutting back can get the ball rolling. As you see yourself succeed with small steps, you may be ready to take more small steps. Eventually, all those small steps take you to the finish line.

*  If you are fully ready to quit, taking a week to cut back before your quit date can help you prepare for the triggers you may face. It gives you time to try the strategies in this guide and prepare your environment.

Quitting is one of the most important things you can do for your health. Quitting tobacco/nicotine can lead to changes in your weight. There are ways you can manage your weight, as you are quitting and afterwards. You may even find that you lose weight over time as you adopt more healthy habits.

The average person who quits gains 5 to 10 pounds in the months after quitting. This can happen for several reasons.

*  Nicotine has been speeding up your metabolism while you’ve been using tobacco/nicotine products. This means that your body was burning energy (fuel from food) faster. When you quit, your metabolism returns to normal.

*  Nicotine has been raising your blood sugar and interfering with your body’s natural hunger cues. This is the main way that nicotine suppresses your appetite. Now that you are quitting, cravings for sweets may increase as your blood sugar drops. Plan for regular, healthy meals and snacks to help you feel better and avoid eating too many high-sugar foods.

*  You may feel a strong urge to have something else in your mouth, leading to more snacking. If these are high calorie foods that are high in sugar or saturated fat, you are likely to gain weight.

The QuitWell™ program will teach you how to avoid gaining too much weight after quitting. Read on to learn ways to manage urges with food and ways to plan your eating with your health in mind.