SMoking

Question 1

what is an addiction

Answer 1

A BioPsychoSocial disease of brain:

• episodic loss of control
• continued use despite consequences
• an element of compulsion

Question 2

the cycle of nicotine addiction?

Answer 2

• Nicotine binding , increase dopamine release
• Dopamine decrease between cigarettes , causing withdrawal symptoms of irritability and stress
• Chronic exposure to nicotine desensitization
• Withdrawal symptoms without nicotine (4-6h), as nicotine levels decrease, and receptors become resensitized

Question 3

concern about quitting

Answer 3

Withdrawal
- short lived

Cravings
- last 3 5 minutes, diminish rapidly

Stress reduction

• validate, normalize
• find other ways to cope

Weight gain
not inevitable
- 1/3 gain: 5 8 lbs

Question 4

What are the 2 components of smoking cessation

Answer 4

• pharmacological action of inhaled
  nicotine
• the other related to behavioural factors

Question 5

what are the Pharmacological therapies used?

Answer 5

1. NRT products (gum, inhaler, patch, lozenge)
2. non nicotine medications
   - Bupropion ( Zyban ® ) and Varenicline
   Tartrate ( Champix ™)
3. E cigarettes

Question 6

when is withdrawal the worst

Answer 6

Peaks in 2 days and lasts up to 1 to 6 weeks

Question 7

symptoms of withdrawal

Answer 7

• Depressed mood, sadness
• Insomnia
• Irritability, frustration, anger
• Anxiety
• Impaired concentration
• Restlessness
• Increased appetite

Question 8

What is precontemplation

Answer 8

Unaware and/or unwilling

• consciousness raising new
  information
• re evaluation of personal
  experience
• use the 5 R

Question 9

what is contemplation

Answer 9

beginning to think about making the

change

Question 10

what is preparation

Answer 10

Change planned for within a

month

Question 11

what is action

Answer 11

Have made the change up to 3-6

months

Question 12

what is maintenance

Answer 12

Behaviour now practiced for six

months!

Question 13

Prevent Relapse

Answer 13

Move back from one stage to any

stage