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BEHAVIOUR


humans tend to get more stressed when you make changes to their everyday life.


therefore people tend to need at least eight weeks of changing before their mood begins to get better again and the new change begins to become a new habit


WithdraWaL When it comes to withdrawal, it's not about the pleasure, it's about the lowering of the discomfort caused by avoiding it. smoking takes away the feeling of feeling bad, so the smoker goes back to smoking to get the feeling of 'being normal'.


For a start, ex-smokers miss the hand- to-mouth action. that’s why nrt is popular because it keeps the hand- mouth action going.


they didn't smoke just to join in the social aspect of smoking. if they'd gone outside without cigarettes it would have looked weird....


the cigarette enables the smoker to go outside and chat with other people or if they want some time on their own, then it gives them the opportunity to do this also. this means that cigarettes are a really useful social tool for helping cope with a stressful or boring daily life.


so, when people give up smoking they change all these four processes, which are so simple - yet effective - at helping them get through daily life.


they also start to physiologically withdraw from nicotine which is


basically like putting your brain and body though the stress of a changing chemical environment. therefore withdrawal symptoms often mimic the symptoms of clinical stress.


Let's take an example....if you ask people when they smoke the most, they'll tell you that it's when they're stressed or bored....the paradox is that stress is most likely to strike when you have too much to do whereas, when you have nothing to do you become bored....


smoking enables people to go outside. People can also chat to outsiders....when people give up its like losing a friend because they won't be able to hang around with smokers.


so Why is it so diFFicuLt to stoP? after looking at the four processes behind the act of smoking, it’s easy to see that when people give up smoking they have to change all of these four processes, which are so simple - yet effective - at helping them get through daily life. they also start to physiologically withdraw from nicotine which is basically like putting your brain and body though the stress of a changing chemical environment.


therefore withdrawal symptoms often mimic the symptoms of clinical stress (see slide right). therefore people now have had their coping strategy for daily life completely changed in four different ways and


People tend to need at least eight weeks of changing before their mood begins to improve and the new change begins to become a new habit! they need to change their physical routine so that they don’t miss the ‘buzz’ that smoking gave them. •


Facts about nicotine nicotine provides a ‘quick high’. smoking goes to the brain very quickly. When the nicotine hits the brain, there’s a quick high, but, after five to ten minutes, the smoker starts to come down. after half an hour, there's withdrawal and then between half an hour and an hour research has shown that the smoker will light up as soon as the withdrawal hits.


on average, people smoke 15-20 cigarettes every day = one an hour - so that shows that in an eight- week period they have 10,000 'hits'. at that point, smoking is no longer ‘a choice’.


nicotine binds to receptors that trigger dopamine and provide an energy boost, which is very helpful.


caffeine and nicotine are almost identical chemicals. both lower hunger levels - that's why coffee and smoking are so popular with young females, because they want to keep their weight down. if they have a cup of tea or coffee and then a cigarette it's like a double dose.


PharMacy in Focus - 47 SCOTTISH PHARMACIST - 27


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