Summary: Management of Tobacco Use Part 2 Dr. Dawn-Elise Snipes, PhD, LPC-MHSP, LMHC Executive Director, AllCEUs.com Podcast Host: Counselor Toolbox & Happiness Isn’t Brain Surgery Objectives ~ Barriers to Engagement ~ Screening ~ Preparing for Change ~ Practical Interventions ~ Relapse Prevention ~ Essential Education ~ Motivational Interviewing Techniques ~ Tips for Supporters Barriers to Engagement ~ Lack knowledge about: ~ How to identify smokers quickly and easily ~ Which treatments are effective ~ How such treatments can be delivered ~ Relative effectiveness of different treatments. ~ Inadequate clinic or institutional support for routine assessment and treatment of tobacco use ~ Time constraints ~ Lack of insurance coverage for tobacco use treatment, or inadequate payment for treatment Getting Started: Screening ~ 5 As ~ Ask about tobacco use ~ Advise quitting ~ Assess needs and readiness for change ~ Assist in quit attempt or employ a motivational intervention ~ Arrange Helping Clients Get Ready: STAR ~ Set a quit date within 2 weeks. ~ Tell family, friends, and coworkers about quitting, and request understanding and support. ~ Anticipate challenges to the upcoming quit attempt, particularly during the critical first few weeks. ~ Remove tobacco products from your environment. ~ TIP: Prior to quitting, avoid smoking in places where you spend a lot of time (e.g., work, home, car). ~ TIP: Make your home smoke-free Practical Tools ~ Abstinence. ~ Past quit experience: Identify what helped and what hurt in previous quit attempts. Build on past success. ~ Quitline support (1-800-QUIT-NOW). Practical Skills ~ Relapse Triggers and Traps (Baseline and chaining) ~ Negative affect (Boredom, depression, anger, anxiety) ~ Being around other tobacco users ~ Experiencing urges ~ Smoking cues and availability of cigarettes ~ Strengths Based Coping Skills ~ Anticipate and avoid temptation and trigger situations Practical Skills cont ~ Accomplish lifestyle changes that reduce stress, improve quality of life, and reduce exposure to smoking cues. (Define a RML) ~ Learn cognitive and behavioral activities to cope with urges and improve mood ~ Activities, Contributions, Comparisons, Emotions, Pushing away, Thoughts, Sensations ~ Imagery, Meaning, Prayer, Relax, One at a time, Vacation, Encouragement Practical Skills cont… ~ Create peaceful times in your everyday schedule. ~ Try relaxation techniques ~ Rehearse and visualize your relaxation plan. ~ When you quit smoking, drinking coffee or tea without smoking may make you feel sad. Focus on what you’ve gained by quitting. ~ Switch to decaffeinated coffee or tea for a while, particularly if you are irritable or nervous. ~ Avoid foods that increase your urge to smoke Practical Skills cont… ~ Call a friend or take a walk as soon as you’ve finished eating. ~ Brush your teeth or use mouthwash right after meals or even chew on a toothpick ~ Wash the dishes by hand after eating—you can’t smoke with wet hands! Emergency Options for Distress ~ Wait 15 minutes, and then ask yourself if you can wait another 15 minutes, etc. ~ Hold ice ~ Bite into a hot pepper or chew a piece of ginger root. ~ Rub liniment or Vicks Vapor Rub under your nose. ~ Take a cold bath/shower. ~ Scream or scream-sing your favorite song. ~ Stomp your feet…a lot. In heavy shoes (not heels…) ~ Flatten cans or boxes for recycling, as fast as possible ~ Rip an old newspaper or phone book apart. ~ Throw a tennis ball against a wall ~ Crank up the music and move. ~ Run up and down the stairs at work Education ~ Addictive nature of tobacco ~ Effects of E-Cigarettes ~ Relapse Prevention: Any smoking (even a single puff) increases the likelihood of a full relapse ~ Understanding 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. ~ How To Handle Withdrawal Symptoms and Triggers Education cont… ~ Details about the harm-
