Cessation Counseling

Can Have a Positive Impact on Patient Outcomes

Reinforce the commitment to quitting cigarettes

Quitting smoking is difficult. Patients are fighting physical addiction as well as psychological triggers.

Physical addiction and smoking

Physical addiction1

Nicotine activates receptors in the brain that cause the release of chemicals, which cause perceived pleasure and/or less anxiety and tension. The brain gets used to these chemicals and wants that release to occur throughout the day to alleviate withdrawal symptoms.

Psychological addiction and smoking

Psychological addiction2

Patients learn to associate smoking with certain behaviors involving people, places, activities, and moods. These situational triggers can derail your patients’ quit attempts if they are not prepared for them.

Nicotine Withdrawal Symptoms

The common nicotine withdrawal symptoms associated with quitting smoking include 2,3:

  • Anxiety
  • Hunger
  • Irritability
  • Depressed mood
  • Restlessness
  • Insomnia
  • Poor concentration

Your patients can find quit smoking tips and ways to deal with common triggers at Quit.com.

More about nicotine replacement therapy products

For cravings that are difficult to overcome with willpower alone, nicotine replacement therapy (NRT) can help.2,4 

more about nrt products a


1. Jarvis MJ. Why people smoke. BMJ. 2004;328(7434):277-279. 2. National Cancer Institute. How to handle withdrawal symptoms and triggers when you decide to quit smoking. http://www.cancer.gov/cancertopics/factsheet/Tobacco/symptoms-triggers-quitting/print. Accessed August 25, 2015. 3. American Cancer Society. Guide to quitting smoking. http://www.cancer.org/acs/groups/cid/documents/webcontent/002971-pdf.pdf. Updated July 8, 2013. Accessed August 25, 2015. 4. Niaura R, Sayette M, Shiffman S, et al. Comparative efficacy of rapid-release nicotine gum versus nicotine polacrilex gum in relieving smoking cue-provoked craving. Addiction. 2005;100(11):1720-1730.