Treatment Recommendations: Counseling (Continued)
Common elements of practical counseling (problem-solving/skills training)
|Practical counseling (problem solving/ skills training) treatment component
|Recognize danger situations—Identify events, internal states, or activities that increase the risk of smoking or relapse.
- Negative affect and stress.
- Being around other tobacco users.
- Drinking alcohol.
- Experiencing urges.
- Smoking cues and availability of cigarettes.
|Develop coping skills—Identify and practice coping or problem-solving skills. Typically, these skills are intended to cope with danger situations.
- Learning to anticipate and avoid temptation and trigger situations.
- Learning cognitive strategies that will reduce negative moods.
- Accomplishing lifestyle changes that reduce stress, improve quality of life, and reduce exposure to smoking cues.
- Learning cognitive and behavioral activities to cope with smoking urges (e.g., distracting attention; changing routines).
|Provide basic information—provide basic information about smoking and successful quitting.
- The fact that any smoking (even a single puff) increases the likelihood of a full relapse.
- Withdrawal symptoms typically peak within 1-2 weeks after quitting but may persist for months. These symptoms include negative mood, urges to smoke, and difficulty concentrating.
- The addictive nature of smoking.
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