Hard Habit to Break
July 3, 2010 3:54 AM Subscribe
Do you have any suggestions for wanting to
want to quit smoking? And what's the latest and greatest in smoking cessation these days anyway?
I am a serious smoker. I've been smoking for twenty years and I smoke two packs a day. Obviously, I know I should quit smoking and I know all the reasons why - health, smell, finances, etc.
But everyone says the key to successfully quitting is that you have to really want it, and I don't think that's me. Knowing I should and wanting to are not really the same thing.
I have tried to quit in the past with patches (made me itch and get a rash) and with the Alan Carr book (made interesting reading while I smoked.)
Still, the money is horrifying and there's a ton of very concrete stuff I'd prefer to do with that amount of cash every year besides light it on fire. I'm also not a fan of the smell and would prefer my house not smell this way. In terms of health, I've lost 30 pounds in the past year and have 20 to go; with less weight, I'd like to be a little more active and not being able to breathe doesn't really work with that.
So my questions are:
1. Is wanting to want to quit good enough? If it's not, how do I get more motivated.
2. Can I do this without gaining weight? I've worked so hard to lose these 25 pounds and I'm doing so well, I really really do not want to mess that up.
3. What are some of the more successful mechanisms for quitting that are not patches? Zyban? E-cigarettes? Hypnosis?
4. What do you do about the pattern-ingrained stuff? I smoke while I work; I'm utterly terrified that if I quit smoking, I will also lose my ability to earn a much-needed living.
4a. I have struggled with some anxiety issues in the past few years. Is the loss of my favourite crutch likely to make that worse in the short term?
FWIW I would consider myself heavily addicted. Cold turkey does not feel like an option. My doctor is generally easy to work with, and I do have some cash for buying in quitting aids if they will help.
Thanks!
posted by DarlingBri to health & fitness (39 answers total) 24 users marked this as a favorite
I am most familiar with the medical methods. Aside from patches, don't forget that there is the gum too, although it's expensive, just compare the costs to what you'll be saving.
Zyban is basically Wellbutrin (an anti depressant) repackaged with a different name. It is meant to be pretty good. I think it could help with the potential psychiatric issues you're worried about, I'm sure others will post with personal experiences.
Chantix is the newer agent. There are some rare psychiatric side effects that you should be aware of, but I know a number of people who have had great success with this drug.
The main thing I would focus on for you is coupling the medical intervention with a detailed plan for behavioral interventions. This will make your plan much more likely to succeed, and you are basically already preparing to do it, i.e., thinking 'what do I do at work when I want to smoke?' You need to have a plan for this since it's obviously going to be a major factor. For example. at work when you want to smoke, you can take a 5 minute walk outside. You can have a piece of gum. You can have a glass of water. You can go talk to your friend who really wants to help you quit smoking and will give you a high five for your resistance efforts. Whatever it is, but have several different plans lined up. You need to have plans like this for work, home, the car, all the places that are 'triggers' for you to smoke. Also, all the *things* that are triggers, like specific friends at work who go smoke with you, or going out to bars and getting drunk. While you are quitting, you make sure that friend is well aware and not going to tempt you, and you don't go out getting drunk, at least until you're a month or two into it. You get the idea. You definitely will not lose your ability to work because of quitting smoking! Being afraid of that is just a defense mechanism to keep you from making the leap to a new healthier lifestyle.
The other thing I've heard will increase success is setting a date, and on that date, when you're really psyched up to quit, you throw out everything that you have that's related to smoking. You want to get rid of all your cigarettes, ashtrays, and lighters, so that if you are driven to smoke, you would have to go through a number of steps to get to that point - put barriers in front of yourself to keep you on track.
Also remember that quitting is an ongoing effort, and just because you might have a little relapse doesn't mean you can't keep on quitting. People are more likely to have permanent success when they make multiple efforts.
Finally, congratulations on wanting to quit and your plan to quit smoking! It is the best thing you can do for your health! I see many people suffering from the effects of both smoking and secondhand smoke in my work. I really feel passionately about helping people quit and send you an e-round of applause for your interest in this.
posted by treehorn+bunny at 4:09 AM on July 3, 2010 [2 favorites]