Table 6.19Common elements of practical counseling (problemsolving/skills training)

Practical counseling (problemsolving/skills training) treatment componentExamples
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 problemsolving 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

From: 6, Evidence and Recommendations

Cover of Treating Tobacco Use and Dependence: 2008 Update
Treating Tobacco Use and Dependence: 2008 Update.
Tobacco Use and Dependence Guideline Panel.
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