A. Habituation
Habituation is a major problem because nicotine is a potent chemical that has been conclusively shown to produce ‘‘addiction’’ and dependence. The smoker will go to extremes to purchase his or her cigarettes and ensure that they are readily available.
B. How to Stop
1. Motivation
Motivation is the key but this is difficult to sustain. Most individuals recognize that nicotine has addicting potential but this does not alter thinking of young individuals age 10–18 of those under stress who require the effects of smoking a cigarette. More important, perhaps motivation may be derived from the following thought:
• Carbon monoxide in cigarette smoke is potentially as
dangerous as carbon monoxide in a home with a
defective furnace or the fumes from a running motor
car engine in a closed garage.
2. Strategies
• Craving and hunger can be satisfied by smoking a
cigarette or by chewing nicotine-containing gum,
wearing a nicotine patch, or use of a tablet.
• Participation in stop-smoking clinics and other groups that emphasize educational and behavioral modifi¬cation; hypnosis for selected individuals.
• Help health programs: American Cancer Society ‘‘I quit kit’’. National Cancer Institute: ‘‘Helping smokers quit’’.

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