Donald E. Bartholomew, JD, MS, Attorney  
( Maj,USA,Ret. & prior Navy)
Protecting Clients' Rights Since 1983
  1179 Hilltop Drive, Redding, CA 96003   Tel. (530)246-1621
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Smoking Cessation

       Smoking Cessation During Substance Abuse Treatment: What You Need To Know, by Baca et al 2008   -    Nicotine addiction is a deadly, life consuming personal and social problem. It can be dealt with successfully while treating alcoholism.  In fact, more alcoholics die from smoking related disease than all people combined who die from all illicit drugs, and alcohol every year !   If you are alcoholic, and treat your nicotine addiction at the same time, your chances to remain both alcohol free and nicotine free are greatly improved.  Your 'triggers' for alcohol use likely include smoking, and ... guess what - your alcohol use is likely a 'trigger' to smoking....     http://smokingcessationleadership.ucsf.edu/baca-yahne_smoking_cessation_sa_treatment.pdf
      SAMHSA -  Substance Use Cessation During Substance Abuse Treatment Counseling  (2011)  11-4636 Clin          
http://store.samhsa.gov/shin/content/SMA11-4636CLIN/SMA11-4636CLIN.pdf

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WhyQuit.com  may be The best, free, effective smoking cessation program & support network:  Download & study their literature if you are serious about nicotine addiction recovery.  Find out why and how your excuses, rationalizations and failures/relapses to nicotine addiction can be resolved successfully, forever - and you can regain an addiction free life!

www.whyquit.com   Best program to provide:  Motivation, Education and Support for 'Cold Turkey Nicotine Cessation'   It works, it is free, but it depends on you..... 

You should Download and read, study, and internalize the information and plan explained in this free e-book (291 pages, with citations to authoritative resources/experts/studies supporting the methods set forth).  No drugs, no gimmicks, no excuses, just scientifically supported, and real-world supported program to stop nicotine addiction.  Many of the sections you must read over and over again until you understand. But, it is definitely worth your while & may save your life. And, if you have already written off your life, try to understand the information in this book & pass the book onto someone you care about : 

http://whyquit.com/ffn.pdf

Another book to download: http://whyquit.com/NTAP_large_print_212_pages.pdf 

Here are some local, free, health care education resources - Shasta Community Health Center has a FREE smoking cessation program, so, check it out: 

http://www.shastahealth.org/patient-education-health-promotion 

If you are a parent, or grandparent, is nicotine addiction the role model you want to maintain for your kids and grandkids?  Is the legacy you leave for your kids and grandkids that they became smokers just like you?   Second hand smoke, and third hand smoke (on clothing, rugs, upholstery, papers, etc) does harm folks, especially children ! 




The next time you are in counseling for drug abuse and or alcoholism, ask your therapist/counselor if he/she smokes.  If they are smokers, ask them if they believe smoking, for them, is an "addiction".  Then take note of what they say to rationalize, excuse, or 'explain' their addiction !   Then ask them, "What's your plan to help me and you to recover from OUR addiction to nicotine? It's far more likely to kill me than alcohol or drug abuse. Aren't you aware of this?"  If they seem to be "in denial", ask them "Why should I believe ANYTHING you have to say about recovery from alcoholism or drug addiction? If you don't believe in what you are saying about the treatment of addictions, why should I?" 
What excuses will your counselor provide? "I don't want to seem like a hypocrite. But,You should do as I say, not as I do, right, hah hah hah?. It must seem like I'm powerless to recognize my addictions or to change my own destructive, crazy dysfunctional behaviors. I'm putting it all in God's hands - I'm not responsible for my own behaviors. But, let's talk about you now, we only have a few minutes left and we can go take a smoke break together, o.k., doesn't that sound good? Oh, you are out of smokes, no problem, I'll share with you. "

Scientific, medical and psychiatric literature shows that the 'worst' effects (craving & other symptoms) of nicotine withdrawal are over within 72 hours of your last "puff". And within 3 weeks (provided you don't take anymore "puffs" to replenish your body's nicotine) your physical addiction is no greater than that of a non-smoker.   Your greatest challenge will be to successfully resist taking "just one more puff", "just one more cigarette, how can it hurt?"  

The Law of Addiction states, "administration of a drug to an addict will cause re-establishment of chemical dependence upon the addictive substance at the old level of use or greater."  Yes, just one puff after quitting and within ten seconds up to half of your brain's dopamine pathway receptors will become occupied by nicotine. While you'll likely walk away from relapse thinking you have gotten away with smoking just once, your brain will soon be wanting for more.
Just one puff and you'll again face up to 3 additional days of nicotine detox.
We're simply not that strong. There is one rule that if followed provides a 100% guarantee of success to all ... no nicotine!  Don't take 'just one more puff'.

For help, go to Whyquit.com  or local smoking cessation resources (ie Shasta Community Health Center, Shasta County Health Department, The Veterans Administration Outpatient Clinic on Hartnell Ave in Redding). 

      Quit Smoking Tip Sheet :

http://whyquit.com/joel/Joel_03_01_tip_sheet.html

       Here is a more extensive Quit Smoking Tip Sheet.....

http://whyquit.com/pr/053106.pdf



Another free program....   1-800-no-butts [ Note: it's a kind of a 'we don't want to offend you' program & not particularly in-your-face that nicotine is a deadly addiction..... but, take a look at it......  And, if you are still too full of excuses and rationalizations..... then nobutts.org may be the most you can tolerate now without having to immediately light up another cigarette just thinking about it all, or causing your head to explode...]

http://www.nobutts.org/Top10Tips.html?gclid=CIfq_pGzqMACFU2Rfgod8CgAsQ
        

Top 10 Tips to Help Smokers Quit

 

Counselors from the California Smokers’ Helpline provide their top-10 tips for quitting successfully. “Quitting smoking can feel like an overwhelming task,” said Dr. Gary Tedeschi, who serves as the Helpline’s Clinical Director. “If you break it down into smaller steps it starts to seem more doable.”

 

1. Figure out why you want to quit. Do you want to improve your stamina? Save money? Whatever gets you fired up, write it down. A strong reason can get you started. And it will help you stay quit when you’re tempted to smoke.

 

2. Make a plan. Think about when you’ll want to smoke. Plan something else for those times, to keep your hands busy and your mind off cigarettes. Common triggers are stress, alcohol, and socializing. What’s your plan to get through these times without smoking? Examples: drink water, talk to a nonsmoker, take a walk, make a telephone call to a friend, listen to music....

 

3. Call 1-800-NO BUTTS. People who call the Helpline are twice as likely to quit for good. A trained coach will help you with your plan to quit and offer support along the way. It’s free, and it works!

 

4. Seek out support from friends and family. Discuss your plan to quit with the people you trust. Let them know what they can do to help. In return, they will enjoy cleaner air and a longer, happier life - with you still in it!

 

5. Use a quitting aid. Nicotine-replacement therapies and other FDA-approved medications are helpful and may be available through your health care or Medi-Cal benefits. Products like nicotine patches and gum make withdrawal easier. They also increase your chance of success. Talk to your doctor about which quitting aid is right for you.        My Note:  These may help some folks, but -  many addicts really like drug therapies, promises of no pain, promises of 'it will be easy', and the false hope of not ever feeling the least bit uncomfortable ! 
But, what the heck, if prolonged nicotine withdrawal is your thing, or doing withdrawal from nicotine over and over again is what you do, and you have already done it a dozen or so times, then go for it...  Does this sound a little like going from whiskey to wine, then to beer. then to water?  At the tail end of your nicotine delivery system use ("NRT" - Nicotine Replacement Therapy -  'therapy' makes it sound almost credible doesn't it?!) you will still have nicotine in your blood stream/brain, and then what?  You will still have to go through a short period of nicotine withdrawal.   

 

6. Make your home and car smoke-free. This will help you stay off smoking. And as your sense of smell improves, your nose will thank you!    My Note: Destroy all cigarettes, matches, lighters  & ashtrays (these are your "drug paraphenalia")- shred the cigarettes & flush them down the toilet or into the dumpster mixed with cat litter. If you are giving them away what kind of a friend are you to the person you give them to?  If you keep your stash of cigarettes, "just in case", or "I can show that I'm strong enough to resist them",  if you cannot bring yourself to destroy your cigarettes & related drug paraphenalia then just what sort of lies & mind games are you playing with yourself?

 

7. Set a quit date. Choose a date when you will quit. This shows you’re serious.   My Note: Why not  right away? or will you kick it out there into the future and then find a million reasons to postpone..... ie. not just now, I'm under too much stress.... I have just too much on my plate now.....  I'm in a 'complicated' relationship and I just don't know if he/she could handle this too.... etc etc  Do the research - read up, learn the suggested ways to avoid smoking again, make your list of why you do not want to smoke again & carry it with you 24x7 & re-read it many times each day, read the ebooks cited above- over and over again, join a help line and just do it! God gave you a brain, for goodness sake use it.

 

8. Quit on your quit date. Sounds obvious, right? But what good is a quit date unless you actually try to stop smoking? Planning is good - doing is even better.

 

9. Envision yourself as a nonsmoker. After you quit, you have a choice to make. Are you a smoker who’s just not smoking for now? Or are you a nonsmoker? For nonsmokers, smoking is not an option in any situation. Choose to see yourself as a nonsmoker.

 

10. Keep trying. Most people make several attempts before they quit for good. Slips don’t have to turn into relapses - but if they do, remember each time brings you closer to your goal. If you keep trying, you will succeed!


My note:  To reduce ANXIETY, avoid all coffee & beverages containing caffeine during your start of smoking cessation, the 1st 72 hours is crucial, and the first 1-2 weeks thereafter as well -  During this time time especially caffeine will dramatically increase your anxiety, make you jittery as hell !   Nicotine which was in your blood stream/body before you stopped smoking actually caused your body to dump/burn up/excrete much of the caffeine you drank -  Without the nicotine in your body drinking just one cup of coffee (or soda) will be like drinking TWO ! 

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Also see:  "TobaccoFree.Org"   The Foundation for a Smokefree America

http://www.tobaccofree.org/quitting.html
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                   Living the Dream !





It's in my genes.... My parents smoked.... I need something to do with my hands....