Tag: Tobacco Cessation

Change where you keep your tobacco/nicotine products. For example, instead of keeping them in your desk or in a locker, keep them in your car. Better yet, put that pack or can in the trunk of your car. When reaching in the usual place without thinking, coming up empty will be a reminder of what you are working on. If you have always kept a pack in your right pocket, switch to your left.

This pause allows you to be more mindful and deliberate, instead of acting without thinking. This is another way to put a speedbump in your usual way of doing things every day.

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?

Pharmaceutical:

*  Buproprion (brand names Zyban and Wellbutrin) is a prescription, non-nicotine pill. This medication is used to treat depression and help with quitting smoking. To use, begin taking 1 to 2 weeks before your quit date. It must build up in your system before you quit. It can be taken for 7 to 12 weeks. It may cause dry mouth and insomnia.

*  Varenicline (brand name Chantix) is another prescription, non-nicotine pill. It works by cutting the pleasure of smoking and reducing withdrawal symptoms. To use, begin taking one week before your quit date. It must build up in your system before you quit. It is taken once or twice daily for 12 weeks. If quit, it can be taken for another 12 weeks. It can cause nausea, headache, vomiting, gas, insomnia, abnormal dreams, and a feeling that food tastes different.

Non-Pharmaceutical:

*  Counseling or coaching can help you identify triggers and challenges, give you support and encouragement, and help you set personal goals. Coaching can double your chances of success.

*  Text or smartphone apps offer goal setting, reminders, and encouragement. Some even send text messages to keep you motivated.

*  Hypnosis helps you learn to relax and identify triggers. It also helps your subconscious mind look at your habit differently.

*  Acupuncture uses special thin needles placed in specific spots to help you relax and fight cravings for nicotine.

Hypnosis and acupuncture are not proven ways to quit tobacco/nicotine, but they have helped many people. Be a smart consumer when choosing one of these therapies. Continue to work on behavior change and stress management. You will still need these skills to prevent relapse.

Spend time with a pet. Volunteer at a shelter. Spend time with a friend or family member’s pet. Go to a pet store, or look into adopting a rescue animal.

Spending time with a pet can:

*  Decrease production of cortisol, a stress hormone that can put you on edge and make you ill over time.

*  Increase serotonin, which helps you feel relaxed and happy.

*  Help you feel secure. Pets, especially dogs, can love unconditionally and may sense when you need extra support. Some pets are trained to help you manage certain emotions, like anxiety.

Go around your house, car, workplace, and other places you have stored tobacco products. Gather all your tobacco, lighters, matches, and other items related to your habit. Don’t forget to check your coats, purses, and drawers.

If you have quit, throw these products away. Seeing these items will not be helpful to staying quit. If you are still working on quitting, having all these items out of sight will also reduce the unhelpful reminders of your habits. You will be more ready for the day you quit completely.

Relapse triggers can be placed into one of four groups:

1. Emotional relapse triggers

2. Interpersonal relapse triggers

3. Internal relapse triggers

4. Environmental relapse triggers

Emotional Relapse Triggers

These are events in which either uncomfortable feelings, such as boredom, sadness and worry or positive feelings, such as joy, happiness, or being relaxed increase the chances you might use tobacco/nicotine. Which of the following have been triggers for you in the past?

*  When I am happy and celebrating

*  When I am relaxed

*  When I feel tired

*  When I am bored or have nothing to do

*  When I am alone and feeling sad

*  When I am frustrated or angry about something

*  When I feel unsure and rejected by someone

*  When I am worried about a loved one

*  When I am afraid

*  When I am tense and restless

*  When I am put under pressure at my job

Interpersonal Relapse Triggers

These are events in which you may feel either direct or indirect pressure from other people. Which of the following have been triggers for you in the past?

*  When other people around me are using tobacco/nicotine

*  When someone offers me tobacco/nicotine

*  When I want to show how tough, sophisticated, or liberated I am

*  When I want to fit in with others who are using tobacco/nicotine

*  When I want to feel different from other people

*  When I become angry with someone

*  When my friend or spouse goes back to using tobacco/nicotine after quitting

*  When I want to avoid talking to a friend or spouse

*  When I feel “trapped” in a relationship

*  When I am upset that I cannot solve a problem with another person

Internal Relapse Triggers

These are times when you may have an urge without having a clear-cut reason. Which of the following have been triggers for you in the past?

*  When I get a strong craving

*  When I have intense withdrawal signals

*  When I have a feeling of emptiness

*  When I want to test my willpower by smoking just one cigarette (or having just one dip, etc.)

*  When I am curious about the taste of a cigarette, e-cigarette, or chew

*  When I have a difficult time paying attention

*  When I think smoking/vaping/chewing is going to make a situation more fun

*  When I’ve had too much to drink

*  When I am hungry

*  When I have trouble falling asleep

*  When I wake up at night and can’t get back to sleep

*  When I’m having pain in my body (back pain, headache, cramps, etc.)

Environmental Relapse Triggers

Certain times, places, and activities may be linked with your tobacco/nicotine habit. Which of the following have been triggers for you in the past?

*  When I come across a pack of cigarettes, can of chewing tobacco, or discarded e-cigarette

*  When I’m in a store where I used to buy tobacco/nicotine

*  When I take a break from work

*  When I drink coffee

*  When I finish a meal

*  After sex

*  When I first get up in the morning

*  When having fun/doing activities that were triggers in the past (e.g. playing cards, during a concert intermission, fishing, hunting, golfing)

*  When driving

*  When partying

*  When I’m on vacation

*  When I put off an unpleasant task

In this section, you were guided to understand the barriers you face with quitting. By carefully reading, thinking about each part, and answering questions along the way, you are getting yourself ready for success.

*  How have you prepared yourself to quit? Write the steps you have taken, mentally and physically, to get to this point.

*  Look back at your list of barriers. Do any of them feel more manageable now?

*  Which of your strengths do you think will come in handy for quitting? Be confident in what you know you are good at and what makes you a strong person.

Taking small steps can help build confidence. Seeing the “wins” right away can show you how strong and capable of change you are. The activities in this section may not feel very exciting, but they are small on purpose. Once you get going, taking bigger steps will feel easier and you will be more successful with them.

These activities can also help you learn more about what causes your urges and what you do without thinking. These activities can start weakening your old habits and strengthening new, healthy habits.

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.”