Table of Contents

1 The Consequences of Smoking and the Nature of Tobacco Dependence
    Health Consequences of Smoking
    The Nature of Tobacco Dependence
    The Natural Course of Smoking
    Key Points
2. Preparing Smokers to Quit
    Starting the Process
    The Five A’s
    Exploring Ambivalence
    Increasing Motivation to Quit
    Triggers for Smoking
    The Five R’s
    Key Points
3. Time to Quit
    Set a Quit Date
    Steps Prior to the Quit Day
    How to Cope When Triggers Remain
    If Quitting Right Away Is Too Difficult
    Structuring a Treatment Plan
    Key Points
4. Medications to Aid Quitting
    Optimum Cessation Treatment Involves Both Counseling and Medication
    Nicotine Replacement
    Bupropion
    Varenicline
    Other and Experimental Medications
    Why Cessation Medications Often Fail
    Key Points
5. Handling Withdrawal and Dealing with Lapses
    Nicotine Withdrawal
    Relapse Prevention: How to Deal with Slip-Ups
    Key Points
6. Addressing Weight Gain Concerns
    Weight Gain, Weight Concerns, and Quitting Smoking
    Cognitive-Behavioral Treatment (CBT) to Decrease Weight Gain Concerns
    Effects of Cessation Medications on Weight
    When and How to Lose Weight
    Key Points
7. Cessation Treatment for Subpopulations and Smokers with Comorbid Disorders
    Subpopulations of Smokers Requiring Special Attention
    Smokers with Comorbid Medical Conditions
    Smokers with Comorbid Psychiatric or Substance Abuse Disorders
    Key Points
8. Follow-Up and Long-Term Maintenance
    Need for Long-Term Follow-Up
    Follow-Up Procedures
    Conclusions
    Key Points
Appendix: Internet Resources for Smoking Cessation Information
References