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Nasia Davos

55 Quit Smoking Tips that Make Quitting Really Easy

by Nasia Davos 4 Comments

You’ve decided to stop smoking. Great! You can do this! There are many quit smoking tips that can make it easier. 

And in this article, we’ve collected the best tips that can help you succeed.

Some of those stop smoking tips are things you can do ahead of time, and others can help you stay away from cigarettes after you quit.

Quit Smoking Tips for Preparing to Quit 

Preparing to quit smoking is important. You’re more likely to succeed if you prepare both mentally and physically. 

Tips to Prepare Yourself Mentally

1. Set a quit date. Give yourself time to get ready, but not too much time. A date within the next week or two is usually best.

2. Put the date on your calendar. Regard that date as definite, not maybe. Think of it as a promise to yourself.

3. Think about your motivation. Why do you want to quit smoking? What is the real reason you want to do this?

This reason will be your motivation throughout your quit smoking journey. It will help you stay on track no matter what difficulties, temptations, or setbacks you face.
4. Create your motivation list. Make a list of the reasons you want to be a non-smoker and keep it handy, so you’ll be able to look at it if you feel tempted to change your quit date.
Having a motivation list is one of the most useful quit smoking tips.
5. Take pictures of your children and loved ones. Do you want them breathing in your smoke? Of course not! Keep those photos with you and look at them when you need to remind yourself why quitting is important to you.

mother photographs daughter motivation

6. Know your triggers. Figure out when you usually smoke (first thing in the morning, after work, after a meal). Make a list of the things you usually do while you’re smoking (talking on the phone, having a drink, driving your car). Everyone’s list will be different.

Once you have that list with your smoking triggers, you’ll be more prepared when you automatically think of having a cigarette at these times. You can plan to do something else instead. Think about what you can do instead of smoking.

7. Make a plan for managing cigarette cravings. What will you do if you want a cigarette? You’ll be able to manage cravings more easily if you have a plan for handling them.

8. Follow the 4 Quit Smoking Stages. There are 4 stages your brain follows when it gets attached or detached from a habit or an addiction.

If you skip any of these stages, quitting becomes hard. But going through the stages, in the right sequence, can make quitting easy. Because the 4  stages of the CBQ method help you overcome the mental dependence on smoking. 

9. Think of yourself as a non-smoker who smokes, instead of a smoker who’s trying to quit. To apply this quit smoking tip, start spending 2 minutes every day in front of a mirror saying: “I AM A NON-SMOKER.” This simple ritual can gradually train your mind to associate your image with the idea of being a non-smoker.

tips-to-quit-smoking-CBQ-mirror

More Tips to Quit Smoking…Get Support from Others

1. Tell your family and friends that you’re quitting. They’ll probably be glad to support you. Getting encouragement and support from other people can increase your commitment and help you succeed. 

2. Make quitting a group effort. See if any of your friends or family members want to quit smoking. If they do, you can quit at the same time and encourage each other.

quit smoking support group3. Ask for advice. If you know someone who has quit successfully, ask for their stop smoking tips as well as suggestions and support. Ask if you can call or text if you feel discouraged.

4. Ask other smokers for help. If you have friends or family members who are smokers, try to enlist their help, too. Ask them not to smoke in front of you and ask them not to leave cigarettes around.

Cleaning House

1. Get rid of your cigarettes. Make sure there aren’t any in your house, workplace, or car. It’s too easy to have “just one” when they’re readily available.

2. Freshen up your house. Clean it, air it out, do your best to get rid of the smell of cigarette smoke.

Be sure to remove the ashtrays. Just the sight of an ashtray can make you think of smoking. It’s better to remove all those visual reminders of your smoking days.

3. The same goes for your car. Get it washed, empty the ashtray, clean the interior.

quit-smokingQuit Smoking Tips for Your Quit Day (and All Your Non-Smoking Days Afterwards)

Nicotine withdrawal symptoms are likely to start on your first non-smoking day. They’re usually strongest on the first three to six days, and then start to ease up. They may be unpleasant at first, but they’re manageable, and they will subside soon.

Also, a big part of smoking is habitual. You’ve probably gotten used to having a cigarette at certain times of day, or when you do certain activities. If you make some changes in your routines, it will be easier to stay away from cigarettes.

Quit Smoking Tips to Keep Busy

1. Stay active. Go for a walk. Ride a bike. Do some exercises. Being physically active gets your blood pumping and increases the oxygen supply to your tissues. It also reduces stress and lifts your mood. 

couple biking quit smoking

2. Spend time at places that don’t allow smoking. Go to a movie, a store or a restaurant where you can’t smoke. This is especially important on your quit day.

3. Spend time with other people. Make plans with a non-smoking friend or family member. Plan something active together. Spending a lot of time alone on your quit day can make it more difficult for some.

4. Keep your hands busy. You’re used to holding a cigarette. Give your hands something else to do. 

Take up knitting, crocheting, embroidery, or other needlework. You’ll need to use two hands, and it will keep your hands busy. Take your materials with you when you go out.

Do crossword puzzles or number puzzles. Again, it will keep your hands busy. And it will keep your mind occupied, too.

5. Hold a pencil in your hand or fake-smoke a straw. It can take the place of that cigarette you’re used to holding.

6. Get things done. Do those tasks you’ve been avoiding. Clean a closet, do the laundry, wash your dog, organize your papers. Put your photos in an album, go through your email, mow the lawn. Do whatever needs doing. It will keep you busy, and it will also help you feel good!

Quit Smoking Tips for What You Eat and Drink

1. Stay hydrated. Drink lots of water or juice. Dehydration can trigger anxiety, and that can trigger the desire to smoke.

2. Eat regular meals. Skipping meals can make your blood sugar drop. A craving for sugar feels very similar to a craving for a cigarette.

3. Find a healthy snack food. Nicotine suppresses your appetite, so you’re likely to be hungrier after you quit. Be prepared with some nuts or fruit or another healthy snack that’s ready to grab and eat.

4. Limit your caffeine. Nicotine affects how quickly caffeine enters your bloodstream. When you quit smoking, you’ll feel the effects of caffeine more strongly. It might make you feel irritable and restless. And those feelings can make you feel tempted to smoke. 

But it’s best to cut down on caffeine, not eliminate it entirely. Otherwise, you may have headaches, feel tired, or have other symptoms of caffeine withdrawal.

5. Be careful around alcohol. It can reduce your motivation to quit. And for a lot of people, alcohol is a trigger for smoking.

The Best Quit Smoking Tips for Cigarette Cravings

1. Use a timer. Cravings usually last for only 3-5 minutes but it feels longer. Use a timer to see how times passes. If you can manage without a cigarette for a few minutes, the craving will pass. And remember that you’ll have fewer cravings as time goes on.

2. Imagine the craving as an ocean wave. It grows larger as it approaches, then becomes smaller and disappears. Your craving will disappear, too.

3.  Focus on your breathing when you crave a cigarette. Taking slow, deep breaths will help you relax. 

woman deep breathing cravings

4.  Drink cold water. Often the craving for cigarettes feels like thirst. Drink 2 big glasses of cold water when you have a craving and it will go away.

5. Chew gum. If you’re used to smoking while you drive, keep some sugar-free gum or hard candy in your car, right within reach.

6. Sing a song when you want a cigarette. Or whistle a tune. This is something you can do while you’re driving or doing chores. 

7. Do something else. If you can, stop what you’re doing and do something different. Stand up, stretch, do a few exercises. A short burst of physical activity can help.

Change Your Habits

1. Change what you drink. If you’ve always had a cigarette with your cup of coffee, your brain has come to link the two together. Drink a glass of juice instead. Or have tea instead of coffee.

2. Change your routines. There are probably times when you always had a cigarette. Get in the habit of doing something else instead. 

If you always had a cigarette first thing in the morning, try doing some quick exercises or going for a short jog before breakfast. If you’re used to smoking while you drive, start chewing a stick of gum as soon as you get in the car. Find a new routine that works for you.

non-smoking couple fun

3. Have a new after meal behavior. Are you used to having a cigarette at the end of every meal? Start getting up from the table as soon as you finish eating. Move to a different room or go outside for a while. Try taking a ten-minute walk after each meal.

4. Change where you shop. Where did you buy cigarettes? Don’t shop there–your brain associates it with buying cigarettes. 

5. Spend time with non-smokers. If you’re in a social situation, there are probably both smokers and nonsmokers around. Try to keep your distance from the smokers so you won’t be tempted to bum a cigarette from someone. Stay with the non-smokers instead.

Keep a Positive Attitude

1. Focus on the moment. Don’t think about never smoking again. Just focus on not smoking right now. That’s all you need to do. Stay away from cigarettes right now. 

2. Boost your confidence. Remember the difficult things you’ve done in the past. If you could overcome those challenges, you can handle this one, too. And if you can handle this one, then you can do anything.

3. Keep a journal. Write about how you’re feeling. Write down what you did to win over nicotine today. 

trying to quit smoking with these tips

4. Look at your list of reasons for quitting smoking. Write another copy of the list if you feel the urge to smoke. It will keep you busy until the urge passes.

5. Remind yourself that you are a nonsmoker. Practice saying, “I don’t smoke anymore.”

6. Visualize yourself as a healthier person. Picture your lungs becoming cleaner and the toxins in cigarette smoke leaving your body.

7. End each day by congratulating yourself on not smoking. It’s important to recognize your progress and celebrate it.

Do Things That Make You Feel Good (Zen Quit Smoking Tips)

1. Get a massage. It relaxes your muscles, helps reduce tension and stress, and lifts your mood.

2. Get more sleep. Nicotine is a stimulant. When you smoke, your adrenal gland releases adrenaline. It speeds up your heart rate, which means more blood is supplied to your muscles and brain. You feel more alert and energetic.

Your body will adjust to the lower adrenaline levels, but it’s likely that you’ll feel tired at first. And stress is tiring, too. Be kind to yourself and allow yourself more time to sleep.

3. Take a yoga class. There are different types of yoga, but all involve controlled breathing and holding physical poses. Doing yoga can lower your blood pressure and heart rate and reduce stress and anxiety.

4. Learn to meditate. When you meditate, you focus your attention and relax your breathing. You can meditate while sitting quietly, perhaps with music playing. It helps to reduce stress and negative emotions.

5. Practice mindfulness. That means paying attention to what you’re thinking and feeling right this minute. Focus on your breathing, how your body feels, what you hear, and smell. It will help both your body and mind relax.

In a study, participants who used mindfulness techniques cut down 37% of their smoking 

6. Think of your happy place. Imagine a place where you feel relaxed and safe. It might be a beach or garden, or someplace that’s special for you. Try to visualize all the details. Think about what you would hear, smell, and feel if you were there. This is another way of reducing stress and becoming calmer.

woman happy non-smoker7. Calculate your savings. How much did you spend on a pack of cigarettes? Multiply that by the number of packs you smoked each day, and then figure out what you spent on cigarettes each month. Aren’t there other things you’d rather do with that money?

8. Give yourself a reward. You’ve earned it! Use some of the money you saved by not buying cigarettes. Buy yourself a piece of clothing or sports equipment, or something else that you’ve wanted.

9. Do something nice for someone else. Focus on other people, not on yourself. Doing a good deed will keep you busy, and it will probably make you happier, too.

Filed Under: Uncategorized

Nicotine Addiction 101: Everything You Need to Know about Nicotine

by Nasia Davos

Nicotine addiction affects millions around the world. It can be in the form of tobacco addiction, vaping, smokeless tobacco, nicotine patch, or nicotine gum addiction. 

Just why is nicotine so addictive? How does it affect the body? And why does it cause withdrawal symptoms when you try to quit it?

We’ll answer all those questions. But first, let’s see what nicotine is.

What Is Nicotine? Facts & Definition

Nicotine is a toxic colorless or yellowish oily liquid which is the chief active constituent of tobacco. It acts as a stimulant in small doses, but in larger amounts blocks the action of autonomic nerve and skeletal muscle cells.

Nicotine Definition
  • You can find nicotine in the leaves of tobacco plants. Tobacco is a plant and nicotine is a chemical compound that occurs naturally. 
  • There’s a small amount of nicotine in the leaves of the nightshade plants like tomatoes, potatoes, eggplant, chili peppers and bell peppers.
  • Nicotine occurs naturally but that doesn’t mean it’s good for you. Nicotine is a natural insecticide and keeps plants from being eaten by insects.
  • When in the human body, nicotine is a drug.
  • As a drug, nicotine is a stimulant and a sedative.
  • Does nicotine cause cancer? The jury is still out on whether or not nicotine is a carcinogen. Although it’s not considered to be a carcinogen, many studies have found nicotine to promote the genesis of tumors. Nicotine can also create resistance in chemotherapy.

Symptoms of Nicotine Addiction

Using nicotine, in any form, can quickly lead to nicotine dependence.

Nicotine dependence is an addiction to products that contain nicotine. Being addicted means you can’t or don’t want to stop using the product you’re addicted to. 

Below are some signs of nicotine addiction:

  • Planning your activities and interests to allow smoking.
  • Enjoying the taste and smell of cigarettes. 
  • Experiencing cravings for nicotine.
  • Not enjoying socializing with non-smokers as much as you do with other smokers. 
  • Experiencing mental and physical withdrawal symptoms when you try to stop. Mood changes, irritability, headaches, increased appetite, restlessness, insomnia, are some of these symptoms.
  • Continuing smoking or using nicotine despite health problems that would improve if you stopped.
  • Rationalizing your behavior and finding reasons to smoke, vape or chew. 

How Nicotine Addiction Works

Cigarette smoke or vapor is drawn into your lungs when you inhale. The smoke particles carry the nicotine into your lungs.

Once it reaches your lungs, nicotine is quickly absorbed into your bloodstream. And then your blood carries the nicotine to your brain.

The process happens so quickly that it takes only about 10 seconds for nicotine to reach your brain after you inhale. 

When nicotine reaches your brain it releases dopamine and creates a buzz. This nicotine buzz has to do with why nicotine is addictive.

Smokeless Tobacco Addiction

If you chew tobacco or use snus or snuff, nicotine goes into your blood through the tissues lining your mouth. That takes a little longer than being absorbed through your lungs. 

But once the nicotine is in your blood, it goes to your brain and affects it the same way other forms of nicotine do.

The CDC reports that the nicotine you absorb from smokeless tobacco lasts in the blood longer than the nicotine you inhale.

Effects of Nicotine on the Brain

Once the nicotine is in your brain, it binds to the receptors of some of your brain cells. Think about these receptors as a lock and the nicotine as a key. 

It just so happens that nicotine can lock into these receptors, that are now called Nicotine receptors. (To be technical for a moment, their full name is nicotinic acetylcholine receptors, or nAChRs.)

The nicotine receptors are activated whenever a chemical binds to them. It’s usually acetylcholine, another chemical, that binds to these receptors, but nicotine can also bind to them. 

In other words, nicotine “steals” the place of acetylcholine and binds to the receptors. This causes a release of happy chemicals or else, a nicotine buzz.

brain synapses

After a while, your brain releases less acetylcholine. Now you need nicotine to bind to the receptors. And that’s how nicotine becomes addictive.

What happens if you don’t get nicotine?

If the addicted brain doesn’t get nicotine, the receptors aren’t activated and you don’t feel right. That explains a lot of the irritability and discomfort that come with quitting smoking. 

After you cut off nicotine and break the nicotine addiction, your level of acetylcholine will return to normal. You’ll be able to feel fine without nicotine.

Why is Nicotine Addictive

The nicotine receptors are located in the areas of your brain that have to do with pleasure and reward. 

When a receptor is activated, there’s a release of neurotransmitters. They are chemical substances that convey nerve impulses. And dopamine is one of these neurotransmitters that causes and sustains addictions.

Dopamine and Feeling Good

Dopamine has a lot of functions. It contributes to movement, memory, attention, and lots of other activities. When it comes to smoking, the function that’s most important is feeling rewarded. 

When a large amount of dopamine is released, you feel good. That’s why it’s the “feel-good hormone.”

A dopamine release is like getting an emotional reward.

woman rewarded calm

And because nicotine reaches your brain so quickly, that reward-like feeling comes within seconds after you inhale. That instant gratification reinforces the nicotine dependence.

Dopamine is very important. It encourages us to repeat the behaviors that ensure our survival. Our brain rewards us when we eat, drink water, or have sex. Otherwise, we would starve to death and the human species would go extinct. 

But this dopamine reward system can make harmful behaviors, like smoking, seem important, too.

Nicotine is neither food nor water and it does not protect our survival. It just tricks our brain into thinking we need it, just like we need food. That’s what nicotine addiction is. It makes us believe we can’t live without the thing we’re addicted to. 

The mechanism of nicotine addiction is the same type of emotional reward you see in other addictions–to alcohol, cocaine, narcotics, and other drugs.

Dopamine and quitting smoking

Your brain releases dopamine not only when you do something pleasurable, but also when you expect to feel pleasure. So just the thought of doing something enjoyable, like having a delicious drink, can trigger a dopamine release.

smoothie dopamine release

For smokers, the sight of someone smoking can trigger that release. But if that sight–that expectation of a reward–isn’t followed by the nicotine your brain is expecting, your dopamine levels can drop. Now you have a low mood instead of pleasure.

And there are all sorts of cues and triggers that you’ve learned to associate with that reward. It might be a cup of coffee, a glass of wine, or taking a break.  

You’ve taught your brain to expect nicotine when you do these things. So when you first stop smoking, your brain still expects those dopamine releases from nicotine. That causes cigarette cravings.

With time, your brain’s expectations will change. You’ll have fewer cravings and your brain will start releasing dopamine naturally, without relying on nicotine.  

The More You Smoke, the More Addicted You Become

The number of nicotine receptors actually increases in smokers. If you’ve been smoking heavily for years, you probably have more nicotine receptors than you did before you started smoking. 

Having more nicotine receptors means you need more nicotine to bind to them. When receptors aren’t activated, you can begin to feel withdrawal symptoms. 

When you smoke regularly, you build up tolerance for nicotine and you stop experiencing the nicotine buzz.

Instead, you need to smoke just to avoid feeling withdrawal. 

woman break cigarettes

Genetic Factors of Nicotine Addiction

Genes play a role in addiction, too. 

You can inherit how your nerve cells respond to nicotine. And the way your nerve cells respond affects how easily you become addicted or how much you smoke, vape, or chew.

In fact, some researchers believe that the risk of becoming addicted is, 50 to 75%, due to your genes!

The number of nicotine receptors in your brain increases if you’re a heavy smoker. But how much that number increases depends on your genes. 

Some people don’t develop many nicotine receptors, no matter how much they smoke. If you’re one of those people, you are a light smoker.

But if you’re someone who has formed a lot of additional nicotine receptors, you probably consume more than a pack a day.

Nicotine Side Effects on the Brain

One of the most significant dangers of nicotine is that it throws the brain chemicals, like dopamine and endorphin, out of balance. Research shows nicotine also prevents the genesis of new brain cells.

Side effects of nicotine on the brain of adults:

  • Dizziness
  • Disrupted sleep patterns
  • Blood flow restriction

Side effects of nicotine on the brain of teenagers and young adults:

  • Nicotine creates lasting impairments in memory, attention, and learning. The brain changes until the age of 25, and nicotine has a negative impact on that change. 

Is Nicotine Bad for You? What Does Nicotine Do to Your Body

Cigarette addiction has other physical effects, too. Nicotine affects the cardiovascular, respiratory, gastrointestinal, renal, and reproductive systems of the body. 

Nicotine affects your blood circulation and heart 

  • Causes plaque on the artery walls, known as atherosclerosis, which may lead to a heart attack.
  • Blood vessels lose their elasticity which limits the oxygen that flows to your organs. 
  • Your heart rate increases as your heart tries to take in more oxygen which in turn, increases your risk of high blood pressure, cardiovascular disease and stroke.

Nicotine affects your insulin levels, contributing to the risk of diabetes

  • It stimulates the adrenal gland to release adrenaline. It’s a hormone, also known as epinephrine, that speeds up your heart rate by supplying more blood to your muscles, brain and heart. While this makes you feel more alert and energetic, it burdens your heart.
  • Adrenaline also makes your body release more glucose into your blood. And it slows the release of insulin from your pancreas. The result is a higher blood glucose level, and insulin resistance.

Nicotine affects the respiratory system and the lungs

  • It plays a role in the development of emphysema.
  • Causes airway resistance by stimulating the parasympathetic ganglia.
  • Nicotine affects the Central Nervous System and alters respiration.
  • Nicotine can contribute to pneumonia.
  • Vaping also increases the risk of pneumonia, according to a study published in the European Respiratory Journal has found.
healthy lungs

Nicotine affects your gastrointestinal system

  • Nicotine is linked to Gastro Esophageal Reflux Disorder (GERD) and peptic ulcer disease (PUD).
  • It causes dry mouth, heartburn, and nausea.

Nicotine affects pregnancy

  • The Americal Lung Association reports that nicotine during pregnancy can harm the brain and lung development of the fetus. 
  • Nicotine addiction also affects the mental and physical health of the mother, causing low birth weights, premature birth, or stillbirth.
  • Research shows nicotine can also cause obesity, hypertension, high blood pressure, type 2 diabetes, problems with brain and behavior development and even respiratory failure.

The Mental & Behavioral Side of Nicotine Addiction

Another reason why nicotine is addictive is that it becomes part of your routine and a coping mechanism. This creates a mental and psychological dependence on nicotine.

While nicotine goes to your brain and creates this dopamine release, you’re usually doing certain things or activities. 

So your brain has learned to link smoking and nicotine to those activities, routines, habits, and situations.

These situations become triggers. If you usually smoke while talking on the phone, then after a while talking on the phone will trigger cravings.

There are 4 types of smoking triggers: emotional, environmental, social, and double-habit triggers. Some of them are:

  • Emotions you want to escape (anxiety, boredom)
  • Seeing other people smoking or smelling cigarettes
  • In between tasks
  • After a meal
  • Morning coffee or tea
  • Alcoholic drink
  • Talking on the phone
  • Taking a break
  • Driving
  • Celebrating
  • Socializing

With time, these situations seem incomplete or unenjoyable without cigarettes or nicotine. If you smoke when bored, then your brain has learned to expect a dopamine release when you feel that way.

If this dopamine release doesn’t come then you momentarily feel down. You may even think that boredom is unbearable without smoking, vaping, or nicotine.

That’s natural. The more you smoke, the more you rely on nicotine to cope with life. If you feel stressed or anxious, you probably smoke. After a while, it’s easy to think you can’t calm down or relax without that cigarette.

Fortunately, that’s not the case. Everything you do as a smoker you can do better as a non-smoker. 

woman meditation

When you are nicotine-free your brain gradually breaks the association between your triggers and smoking. Just like your brain learned to expect nicotine, it can learn to not expect it. 

Breaking the Cycle of Nicotine Addiction

The only way to break the cycle of addiction is to stop using nicotine.

Smoking is a mental and a physical addiction, so to quit for good you need to deal with both aspects. 

It’s natural to feel a sense of loss when you quit smoking. After all, addiction taught your brain to release most of its dopamine when nicotine is present. 

In the beginning, you may feel irritable, restless, angry, or sad. It can be tempting to reach for a cigarette to try to deal with these emotions.

Keep in mind that staying away from smoking is the fastest way to overcome those feelings. Get moving, stay busy, keep a positive attitude. You can do this! 

When you quit smoking, your brain will adjust so that you can enjoy pleasurable activities without nicotine. When that happens, you will feel happier as a non-smoker. Look at this as a learning curve.

The best treatment for nicotine addiction is to change how you think about nicotine and learn how to be happy without it. This might take some time, but it will be worth it.  

Cravings for Nicotine

After 3-6 days most nicotine will be out of your body so the physical cravings for nicotine will subside. Any cravings you experience after that are mental cravings.

Mental cravings are thoughts of smoking, vaping, or chewing.

But they’re thoughts, not commands.

happy couple car

If you stay away from nicotine,  those extra nicotine receptors in your brain will disappear and you’ll be back to normal levels of receptors in about a month.

Your body will heal from the effects of nicotine and smoking. And you’ll learn to enjoy life without a cigarette, even if it seems impossible at first.

Truth is, nicotine offers you nothing at all. If you believe it does, it’s because of the addiction. Once the addiction goes, you will start adapting to a new lifestyle that’s more fulfilling. 

Nicotine Withdrawal 

Just as the nicotine addiction has physical and psychological causes, nicotine withdrawal has both physical and psychological symptoms. 

Headaches, tremors, and trouble sleeping are a few of the physical symptoms. Changes in mood–anxiety, sadness, anger, irritability–are some of the psychological symptoms. You can learn about the nicotine withdrawal symptoms here.

Every withdrawal is different. Some smokers find that they crave sweets and gain weight, while others exercise more and lose weight. 

If you experience withdrawal symptoms, keep in mind that they will pass. They’re most troublesome in the first few days after you quit smoking, and will lessen over time.

You’re simply going through an adjustment period where you have to learn to live as a non-smoker. 

Your Future as a Happy Nonsmoker

Ups and downs are a natural part of life. You’ll have them whether you smoke or not. 

But if you stay away from nicotine, you’ll overcome the smoking addiction and learn other ways of coping.

Soon enough, you’ll learn to relax without having a cigarette. 

You’ll be healthier, you’ll breathe more easily. You’re likely to live longer.

And think of all the money you’ll save!

Filed Under: Uncategorized

Depression After Quitting Smoking

by Nasia Davos 11 Comments

Some people report feelings of depression after quitting smoking. Mood changes and irritability are common in the first few weeks after you quit smoking. And so are sadness and depression. 

More severe depression can happen, too. 24% of smokers with a history of depression and 14% of smokers with no history of depression report mild to major depression after quitting smoking.

Most times, these low moods are temporary nicotine withdrawal symptoms and quitting smoking will eventually decrease depression.

And there are many things you can do to speed the process and begin feeling better. 

So if you’re struggling with sadness or depression, or if you’re worried that you will after quitting smoking, keep reading to learn why this happens and how to cope. 

(And if you’re concerned about someone else, there are things you can do to help.)

Remember, You’re not alone! 

What Is Depression?

While experiencing sad feelings and low moods is common after quitting, this is not always depression and it’s not always because you stopped smoking. 

Depression is a mood disorder. It affects how you feel and think, and how well you’re able to cope with life.

Some of the signs of depression are:

• feeling sad or empty

• feeling discouraged or hopeless

• losing interest in things you usually enjoy

• having difficulty concentrating or making decisions

• feeling restless or irritable

• losing your appetite or eating too much

• feeling tired or without energy

• having difficulty sleeping or, for some people, sleeping too much. 

Depression or Sadness?

Feeling sad and being depressed are two different things.

Feeling sad is usually a response to something difficult, disappointing or hurtful. This lasts a day or it can be a longer phase, and there’s a specific cause in most cases.

Feeling depressed isn’t a response to a specific event. It’s a general feeling of unhappiness–usually about everything in one’s life.

Depression is persistent, not a sadness that comes and goes. As a general rule, if a low mood lasts for more than three weeks, it’s probably depression. 

Is quitting smoking to blame if you feel depressed?

Not always. 

Having bad days and going through bad phases is normal.

We all have days or weeks when nothing seems to go right; smokers, ex-smokers and non-smokers alike.

The sadness may be in response to something else that’s happened in your life. But this time, you’re going through this challenge as a non-smoker. 

If you feel down shortly after you quit, then it could be because you cut off nicotine and your brain adjusts back to normal health.

But if you feel bad months after you quit, then it probably doesn’t have to do with quitting smoking. 

woman depressed

When you have bad days, and you probably will, you might think that quitting is to blame and that smoking is the solution.

Remember that smoking put you in this situation in the first place and that if you smoke, a bad day may turn to many bad days of guilt and struggle. 

Instead, focus on your freedom, and know that at the end of a bad day, you won and persevered. And a smoke-free day is a good day after all.

Nicotine and Depression

When you inhale tobacco smoke, nicotine passes into your bloodstream and quickly reaches your brain.

Nicotine hijacks your brain, takes the place of acetylcholine, another neurochemical, and stimulates the release of neurotransmitters like dopamine.

Higher dopamine levels improve your mood and your feeling of wellbeing. In fact, it’s sometimes called the “feel-good hormone.”

Why Would Quitting Smoking Make You Depressed?

It has a lot to do with dopamine. 

Dopamine is released when you do something pleasurable, like have a nice meal, and also when you expect to feel pleasure. 

Dopamine is also the reason why you use cigarettes as a reward and as a way of managing emotions. 

The problem is that, over time, your brain learns to release most of its dopamine when you smoke. 

So when you stop smoking, the reward–the expected cigarette–doesn’t follow, and your dopamine level drops. So you momentarily feel unhappy or dissatisfied.

Think about it this way.

Nicotine is a stimulant. But after stimulation comes depression.

So you have to keep taking the stimulating drug to avoid the depressive effects.

This creates a vicious cycle of stimulation and depression and the only way to break it is to stop taking the stimulating drug; the nicotine. 

Another Reason Why You May Feel Depression After Quitting Smoking

Some other chemicals in the brain are involved, too. One of them is MAO-A. (That stands for monoamine oxidase A.)

MAO-A levels are higher than usual in people with depression. And they’re very high in the first few days after quitting smoking.

Why does that matter?

Well, high levels of MAO-A reduce the amount of serotonin in your brain.  And low levels of serotonin are linked to depression.

What happens when you stop taking nicotine?

Regular smoking changes your brain chemistry. And when you quit, your brain chemistry changes again. 

Once you stop taking nicotine, your brain will eventually bounce back and stop waiting for nicotine to release dopamine.

Instead, it will release the feel-good chemical when you do something that gives you real pleasure. 

happy family

During that transition period is when you’re most likely to feel sad or depressed.

You probably smoked when you did things you enjoyed. Maybe you had a cigarette after a meal, after sex or while talking with friends.

You can learn to enjoy all of these things without smoking, but it may take some time. 

Also, when you stop using cigarettes as a way to manage emotions–whether positive or negative–you may feel your emotions more strongly. You’re not suppressing them, so they may feel more intense. 

This is temporary–you’ll adjust.

You’ll learn other ways of coping, feeling rewarded and managing emotions without cigarettes. And your feelings of sadness or depression will begin to subside. 

happy woman

It takes a while for your brain chemistry to go back to the way it was before you started smoking.

But if you stay away from nicotine, you’ll go back to normal levels in about a month.

Your brain won’t need that nicotine supply any longer.

How Long Does Quit Smoking Depression Last? 

These feelings can last for up to 4 weeks after you are nicotine free, but it varies from one person to another.

If you’re a heavy smoker, you’ve developed extra nicotine receptors in your brain.

Nicotine binds to these receptors. And withdrawal symptoms develop when the receptors aren’t activated.

The number of nicotine receptors will go back to normal levels and you will start feeling better if you stay away from nicotine.

It usually takes about a month, but that can vary from one person to another.

It’s important to be consistent and remain nicotine-free. If you smoke, you’ll just prolong the quitting process.

quit-smoking

Using nicotine patches or chewing nicotine gum or vaping will prolong the process, too.

Nicotine is addictive, whether it’s in a cigarette or in some other form. It will take longer to reduce the number of nicotine receptors in your brain if they’re still being exposed to nicotine.

If you stay away from nicotine completely, you’ll probably find that your mood gradually improves.

There’ll be times when you find yourself feeling more energetic and more excited about something you’ve planned. 

Pay attention to the good feelings and increased energy you feel at times. You can expect more of these positive changes. 

Keep your expectations realistic, though.

It’s not unusual for feelings of sadness to return at times, and for your moods to vary. That’s normal for everyone. 

But with time, any sadness or depression that was linked to quitting smoking should end. 

Ex-smokers who have gone for a year or more without a cigarette report being happier than smokers.

And they report being much happier than they were when they were smoking.

So don’t let a short period of adjustment keep you from your goal of becoming a non-smoker.

What If You Were Already Depressed Before You Quit Smoking?

A lot of smokers suffer from depression. In fact, smokers are more likely to experience depression than non-smokers. Scientists aren’t sure why.

And smokers with depression or anxiety disorders often smoke very heavily. People experiencing depression or anxiety are more likely to reach for a cigarette whenever they feel uncomfortable.

You might be pleasantly surprised to find that quitting smoking makes you feel less depressed. For some people, quitting smoking is as effective as taking antidepressants!

Several studies have reported a decrease in depression and an improvement in “psychological quality of life” in people who quit smoking. And this is true whether or not they suffered from depression or anxiety.

So don’t worry that quitting smoking will make you even more depressed in the long run. That’s not likely to happen.

How to Cope with Sadness and Depression after Quitting Smoking

There are a number of things you can do to help yourself feel better. 

  • One of the most important is to go easy on yourself. This isn’t the time to make a major life decision or start a big project. Give your body and your mind time to adjust to being free of nicotine first.
  • Talking to someone can help. 
group quit smoking depression counselling
  • Take care of yourself. Make a point of eating regular meals. Focus on healthy foods, like lean meats, fresh fruits, and vegetables.
  • Avoid sugar. You may find that you crave sweets and carbohydrates, but they’re not the best choice. Scientists are finding links between depression and consumption of sugar and refined carbohydrates–the kind in white bread and pasta. They may make you feel good at first, but your mood is likely to crash later as your blood sugar drops.
  • Reduce alcohol. Don’t rely on alcohol to improve your mood. Drinking may help you feel better for a little while, but it makes depression worse in the long run. And having a drink can reduce your motivation to quit smoking.
  • Pay attention to your grooming. Take a shower, even when it seems like a lot of work. 
  • Try to stay active. Exercise releases endorphins into the bloodstream. Endorphins create a sense of calm and relaxation and improve our mood. The feeling they create is so good that it’s often called a “runner’s high.”

So go for a run, take a walk, ride your bike, go to the gym. Do what you can.

You could also invite someone to exercise with you. Spending time with other people can help you feel more connected and motivated. 

  • Socialize. Call a friend or family member. Meet someone for coffee or a meal. Make plans to go to a concert or see a movie. 
  • Be sure to get outside and get some sunlight. If you can’t get outside, open the blinds and let more light into your home. Sunlight helps boost serotonin levels. It’s a neurotransmitter that influences mood. It isn’t clear why, but it’s usually lower in people with depression.
  • Walk your dog. If you don’t have one, walk someone else’s dog. Animal shelters are usually glad to have volunteers come in and take a dog out for a walk. Even a brief time spent with an animal can ease depression. And walking a dog can help you connect with other people in a relaxed way.
  • Do something that you usually enjoy, even if it doesn’t appeal to you right now. It’s hard to take action and get moving when you’re depressed, but you’ll almost always feel better once you do.
  • It’s a good idea to make plans for your day. Be sure to include something enjoyable in your plans, to give yourself something to look forward to. 
overcome depression today
  • Keeping a gratitude journal can also help. It’s a list of things you’re thankful for. They can be as simple as seeing a beautiful sunset, or as basic as having a safe place to live and food to eat. And of course, friends and family can go on your gratitude list, too.
  • This too shall pass. Remember that your low feelings won’t last forever. You’ll adjust–physically and mentally–to being nicotine free. And the odds are that you’ll be much happier once you do.

You’ll be healthier, too. And more energetic. So there’s a lot to look forward to.

  • You’re working towards the goal of being smoke-free. You may want to try working towards another goal, too. It can be in any area of your life–financial, health, career.

Any steps you take towards reaching your goal can focus your energy on something productive, bolster your self-esteem and help improve your mood.

Seeking Outside Help

Sometimes depression is so severe that self-help measures like exercise and socializing with others aren’t enough.

If that’s the case for you, seek professional help. It’s especially important if you find yourself thinking about suicide or otherwise harming yourself.

Cognitive behavioral therapy (CBT) can be very helpful, and so can other forms of psychotherapy. You talk with a counselor about your thoughts and feelings. Together, you work to try to understand them better. And your counselor helps you learn new ways of coping.

Just remember: help is available. You don’t need to cope with depression alone.

Filed Under: Nicotine Withdrawal, Uncategorized

Smokers Cough: Before & After Quitting Smoking

by Nasia Davos

Smoking irritates your lungs. That’s why smokers cough. 

Not all smokers have a chronic cough, though. People who have been smoking for a long time are the most likely to develop smoker’s cough or sore throat from smoking.

Specifically, about a third of smokers don’t have a cough or other respiratory symptoms related to smoking. But even these smokers undergo changes in their lungs. 

What is Smokers Cough

Smokers cough is the cough that develops in smokers and lasts for more than two or three weeks. This cough can develop while smoking or after quitting smoking.

Smoker’s Cough Symptoms

If you have smokers cough you probably experience:

  • Frequent cough
  • Sore throat
  • Shortness of breath
  • Coughing up phlegm or mucus
  • Wheezing
  • Chest pain

What Causes Smokers Cough

Mucus

The lungs become irritated and inflamed when they’re regularly exposed to smoke. The extent of irritation varies from one smoker to another, in part depending on the amount of smoking.

There’s a substance called mucus that’s formed by the cells lining the respiratory passages. It’s a slippery fluid that has some important functions. Mucus (or phlegm) protects lung tissue, it has a moisturizing effect and it traps irritants, like dust or smoke particles.

Each time you smoke, you inhale irritating particles. In response, the cells that make mucus grow larger and increase in number. They make more mucus, and it’s thicker than usual. This thicker mucus is harder to cough up so it gets stored.

Mucus clogs up your airways, which contributes to smokers cough.

Cilia

Cigarettes have a lot of other ingredients besides tobacco. When you light up, these ingredients can combine to form harmful chemical compounds. Formaldehyde is just one of these harmful byproducts.

cilia lungs

Inhaling formaldehyde and other chemicals can damage the very small hairs, called cilia, that line the airways. Cilia act like a broom, sweeping irritants out of the airways. They move back and forth in unison, hundreds of times a minute.

Movement of the cilia moves mucus upwards, towards the throat. Then it’s either swallowed back or coughed or spit out of the body.

Chemical exposure to the tobacco ingredients irritates and inflames the lungs. It also slows the sweeping action of cilia. And with repeated exposure to chemicals, some of the cilia are shortened or destroyed.

With fewer and slower cilia to clear the airways, and thicker mucus clogging them, smokers cough.

How the Damaged Cilia Affect your Lung Health

Smokers don’t just cough more than other people, they also get sick more often. They’re more likely to get colds and respiratory infections, like bronchitis and flu. 

The symptoms are usually more severe in smokers and the illness lasts longer than it does in nonsmokers.

There are a number of reasons for this. One is that the cilia aren’t able to keep your airways clear of irritants. Another is that your immune system becomes less effective when you smoke, so your body has more difficulty fighting off infections.

And of course you know that smoking is linked to lung cancer. It’s the tar in cigarettes that’s the main cause of lung cancer. 

The cilia help to remove tar from your lungs. If they’re damaged or reduced in number, they’re not able to remove as much tar so it can penetrate deeper into your lungs, and do more damage.

Coughing After Quitting Smoking

Although quitting smoking will improve your breathing, you may cough after you stop. Why?

The cilia begin to recover when you stop smoking. Recovery usually starts within 4 to 6 days of quitting, and it can continue for months. Eventually, most people regain normal cilia function.

As the cilia become more active, they can clear more mucus from your lungs. 

As a result, you may find that you cough more often. In fact, you may cough more than you did when you were smoking. 

This isn’t something to worry about. It’s actually a sign of recovery.

How Long Does Smokers Cough Last after Quitting?

The quit smoking cough can continue for a few months after you stop smoking.

In the beginning, the cough can be dry. Later on, you may start coughing up phlegm.

For most people, the coughing lasts only a month or two after quitting smoking. For some, though, it may last as long as 9 months.

What If You Don’t Cough After Quitting Smoking?

Some smokers don’t cough more after they quit. This isn’t something to worry about. 

There are some smokers who develop a chronic cough, and there are some who don’t. There are some who experience quit smoking cough, and some who don’t. Our bodies are all different.

woman cough

If you don’t cough more after you quit smoking, it means that the repair process is occurring more gradually. Or that the phlegm is coming up steadily, but in small amounts, so you don’t notice it.

You may find you need to clear your throat more often. That’s a way of removing mucus and phlegm, too. 

Whether you cough or not, your cilia will regrow and regain their function if you stay away from smoking. And the irritants in your lungs will gradually be expelled from your body.

How to Get Rid of Smokers Cough

Coughing after quitting smoking helps to remove the irritants from your lungs, so it’s not a good idea to try to suppress it with cough medicines. But that doesn’t mean you need to be uncomfortable.

There are things you can do to soothe your sore throat and promote the healing process.

Even if you’re one of the people who isn’t coughing more after quitting, these suggestions can be useful for you, too. They all help to promote good health.

1. Watch What You Eat and Drink

To get rid of smokers cough, start by drinking lots of fluids so you stay hydrated. Water is the best choice, but tea and juices are good choices, too. 

You can also try taking a spoonful of honey once or twice a day. Try putting it in your tea. Honey will coat the lining of your throat and soothe it.

Honey for smokers cough

It’s best to limit other sweets, though. Candy, cake, cookies and other foods that contain a lot of sugar can prompt your body to make more mucus.

So can dairy products like milk, cheese and yogurt. You’re trying to clear the mucus from your lungs, so it isn’t helpful to eat foods that increase mucus production.

2. Pay Attention to Air Quality

Stay away from people who are smoking! Breathing in secondhand smoke will irritate your lungs, and it can make it harder for you to keep from smoking yourself.

Try to avoid being around fires and wood smoke, too. Smoke of any kind is irritating to your lungs.

Limit your use of household cleaning products that contain ammonia or other strong chemicals. They’re also lung irritants.

A humidifier can be a good idea. If you live in a dry climate, or if your heating system dries out the air in your home, adding moisture to the air you breathe can make you more comfortable.

3. Get More Exercise

Physical activity is good for both your body and your mood. Exercise helps with cigarette cravings, too.

Be forewarned, though–it may make you cough more. That’s because it helps to loosen mucus lodged in your air passages. Coughing it up is helpful, not harmful.

4. Do Deep Breathing

Deep breathing is good for your lungs. It’s also a good way of relaxing and easing stress.

Learn some deep breathing exercises. They’re simple, don’t require any special equipment and don’t take long to do. You just learn to take deep, full breaths instead of the short, shallow breaths that most people take.

  1. Just sit upright in a chair with your feet flat on the floor. Or lie flat on your back on the floor or on your bed.
  2. Put one hand on your stomach, just above your belly button.
  3. Inhale slowly and deeply through your nose, with your mouth closed.
  4. Then exhale slowly. You should be able to feel your belly expand as you breathe in, and flatten as you breathe out. 
couple deep breathing for smokers cough

When to See a Doctor for Your Cough

If coughing lasts longer than a few months, or if you’re concerned about it, visit your doctor for an examination.

There are some other smokers cough symptoms that should prompt a visit to your doctor. If you have difficulty breathing, cough up streaks of blood or find yourself wheezing, you need to let your doctor know.

Smokers have a risk of developing chronic obstructive pulmonary disease, usually called COPD. Emphysema is one form of COPD. It’s most likely to develop in people who’ve smoked heavily for many years. 

The very small air sacs in the lungs, called alveoli, are damaged and destroyed in people with emphysema. The lungs take in oxygen and release carbon dioxide through the alveoli. When they’re destroyed, it becomes hard to get enough oxygen. The result is shortness of breath and difficulty breathing. 

And smokers have a higher risk of lung cancer. That’s why it’s important to see your doctor if your cough doesn’t go away or if you have other symptoms.

If it turns out that you do have COPD, starting treatment early can help limit the damage to your lungs. And if you have lung cancer, the earlier you start treatment, the better.

Coughing can also be a sign of a respiratory tract infection. If you have a high fever, swollen glands in your neck, or a lot of green or yellow phlegm, you might have an infection. Call your doctor if you have any of these symptoms.

Quitting Smoking Improves Your Health

Your lungs start to heal as soon as you quit smoking. With time, irritation and inflammation decrease, mucus production declines and the cilia begin to regrow.

The longer you go without smoking, the more your lung function will improve. Your risk of lung cancer will drop, too.

So even though you may find yourself coughing after you quit, you’re doing something very beneficial for your health. 

Coughing after stopping smoking is helping clear your lungs. Once the irritants are removed from your airways, you should find yourself breathing more easily and coughing much less.

As soon as you stop smoking, you start on a path to better health. Cough is just a temporary inconvenience as you walk that path.

Filed Under: Nicotine Withdrawal, Uncategorized

Nicotine Withdrawal Symptoms: Timeline and Coping Skills

by Nasia Davos

What will you experience when you stop smoking? Will the nicotine withdrawal symptoms make you struggle?

Is withdrawal hard and painful?

Not necessarily. Each smoker has a different experience during withdrawal. 

Keep in mind that every quit attempt is different. Just because last time was hard, it doesn’t mean this time won’t be easy. 

Some people may experience nicotine withdrawal symptoms, at least for a few days. Those who have smoked heavily for years are more likely to have intense symptoms. While others may have no symptoms at all, even if they used to be heavy smokers.

One of the CBQ Method principles is that “How you experience the nicotine withdrawal depends on 1) your overall health 2) your mindset and 3) your nutrition.”

The problem is that the thought of going through severe tobacco withdrawal can discourage you from making a serious attempt to quit. And if you do quit and experience signs of withdrawal, you may be tempted to start smoking again. 

To avoid that, you need to know what are the side effects of quitting smoking, why they occur, and how to face them.

Because when you know what to expect, you can prepare yourself and have a better chance of quitting successfully.

So keep reading to learn what to expect during nicotine withdrawal. 

What Causes Nicotine Withdrawal Symptoms

The definition of nicotine withdrawal is this: you experience nicotine withdrawal symptoms when you stop taking nicotine, and your body and mind start adjusting back to normal health.

In other words, the withdrawal symptoms are signs you’re getting over the addiction – physically and mentally.

(Nicotine replacement products can reduce the intensity but also prolong the nicotine withdrawal.)

To better understand the signs of nicotine withdrawal, you first need to know about the physical and psychological dependence on nicotine. 

Physical Dependence on Nicotine

If you smoke every day, you most likely have some physical dependence on nicotine.

When you inhale tobacco smoke, nicotine quickly passes into your bloodstream. It reaches your brain in just seconds. 

Once in the brain, nicotine attaches itself to some of your brain cells and tricks them into releasing neurotransmitters. Neurotransmitters are chemical substances that convey nerve impulses.

When it comes to smoking, the most important of these neurochemicals is dopamine.

nicotine and dopamine

Dopamine

Dopamine is very important to feelings of pleasure. A dopamine release feels like an emotional reward. 

And a higher level of dopamine goes hand in hand with a better mood and feelings of wellbeing. 

It takes only about 10 seconds for nicotine to reach your brain after you inhale, so the reward is almost immediate.

This artificial reward doesn’t last long. That’s why you crave the next cigarette.

Do smokers feel happier than non-smokers because of the dopamine release?

Not at all. A smoker’s brain doesn’t release more dopamine than a non-smoker’s brain. They release dopamine at different times. 

Non-smokers release dopamine when they are genuinely happy and rewarded while smokers release most of their dopamine when they smoke.

As a result, the natural reservoirs of the neurotransmitter are depleted.

Over time, a smoker’s brain relies on nicotine to release dopamine. Also, it builds tolerance and needs a larger dose of nicotine before it will release any dopamine. That’s why decades of heavy smoking can change the physical structure of the brain.

Fortunately, dopamine levels bounce back when you stop smoking.

Serotonin

Nicotine also controls the release of serotonin, another neuro-chemical.

Serotonin, with dopamine, affect your mood and appetite. That’s why quitting smoking can contribute to increased appetite and mood changes. It’s because your dopamine and serotonin levels are lower than usual for a while. 

Adrenaline

Nicotine stimulates the adrenal glands and causes a release of epinephrine. That’s also known as adrenaline. It’s a central nervous system stimulant, and it produces a “fight or flight” response. 

Blood pressure goes up. Heart and breathing rates speed up. The release of adrenaline makes you feel more alert at the cost of overworking your heart.

But, as important as adrenaline is, it’s the release of dopamine in the brain that makes you physically and mentally dependent on nicotine.

Nicotine and brain neurotransmitters

Is your physical dependence on nicotine genetic?

Some people inherit genes that make them more likely to be heavy smokers and have more intense cigarette withdrawal symptoms.  

Their brain creates more nicotine receptors so it uses up more dopamine each time they inhale. This is called upregulation. The more you smoke, the more nicotine receptors you create which makes you want to smoke even more. 

While other smokers can’t generate as many nicotine receptors so they physically can’t smoke more than a certain number of cigarettes a day. These are the lighter smokers. 

This genetic difference is the reason why heavy smokers find it hard to become occasional smokers. 

But even if your genes are to blame for the level of your dependence, you can still stop smoking just as successfully and cope with the cigarette withdrawal symptoms. Because as soon as you cut off nicotine, your additional receptors will start to perish. 

Psychological Dependence on Nicotine

It’s the psychological dependence on nicotine that you may find harder to manage.

Because the mental addiction causes intense thoughts about smoking, and the psychological withdrawal symptoms include difficulty concentrating, anxiety, irritability, and boredom, all of which can make smoking harder to resist.

You may be used to reaching for a cigarette whenever you feel stress, anger, or anxiety. Now you need to find a better way to handle your emotions.

That lower dopamine level is important, too. You’re not getting the feelings of relief that came with the dopamine releases. Until your brain adjusts, you may have mood swings or strong emotions.

Depending on your frame of mind, these psychological symptoms often last longer than the physical symptoms, but they too will pass.

Timeline of Nicotine Withdrawal Symptoms and How to Face Them

Below is a list of withdrawal symptoms and how each heals your body. You may experience all, some, or none of these, and the length and intensity will vary from person to person, but knowing what symptoms are and what they mean can help you shift your mindset and see them as freedom and healing signs.

nicotine withdrawal symptoms timeline woman

Whether you quit smoking cold turkey or gradually, you will experience some symptoms. Below is a list of all the mental and physical withdrawal symptoms and a timeline for each symptom. The duration of each symptom may vary from one person to another, and you most likely won’t experience all of these side effects. But it’s best to save this list and come back to it whenever you need to. 

(Important: The advice below is not medical advice. You know your body better than anyone. If your symptoms are different or persist, they may not be because of quitting smoking, so contact your doctor.)

Insomnia and Sleep Disruption 

Lasts 2-3 weeks

Your sleep pattern may change until your body adjusts back to normal health. If you have insomnia, increase your exercise, cut off caffeine after 5 pm, sleep with relaxing sounds (the ocean or the rain), or do deep breathing. 

If worries and negative thoughts keep you up at night, do the following:

  1. Write the intrusive thought on a piece of paper to get it out of your mind.
  2. Write next to the thought “My mind is thinking that__(insert thought)_”. This will help you get perspective. 
  3. Look at that paper during the day to see if there’s something you can do about that worry. If you can, do it. If you can’t do anything about it, why worry?
insomnia alarm clock

Smoking Dreams

Can occur a few times within the first 6 months to 1 year

If you dream about smoking, it’s a normal part of the cognitive and emotional healing that happens after quitting nicotine.

Smoking dreams are not a sign that you want to smoke. On the contrary, smoking dreams usually feel like nightmares and you will likely wake up feeling glad you’re smoke-free.

Tightness in the Chest or Chest Pains after Quitting Smoking

Lasts 1-2 weeks

Having chest pains after you quit smoking cold turkey or cut down gradually can be due to sore muscles from coughing. 

Drink a lot of water and do deep breathing. 

Headaches, Dizziness, Fatigue & Tiredness

Lasts 1 to 4 weeks

When you quit, your body starts getting more oxygen and it takes a bit of time to get used to it and adjust. This can cause headaches, dizziness, tiredness, fatigue, or light-headedness. 

Nicotine releases adrenaline that put your body in constant tension and stress. So if you feel tired, consider that your body might be trying to get the rest it was missing because you used to smoke.

Another reason you experience headaches, tiredness or brain fog is that you have lower sugar levels in your blood. Nicotine inhibits the release of insulin from the pancreas, which makes you have more sugar in your blood. So when you quit, you have a temporary deficiency which can make you feel weak, confused or dizzy.

To feel better, drink fresh orange juice to increase the sugar levels in your blood, exercise, drink a lot of water, and rest.

Difficulty Concentrating

Lasts up to 2 weeks 

Lack of concentration is due to the brain’s increased oxygen flow. And due to the craving thoughts that keep popping up in your mind and interrupt you.

As a smoker, you used to respond to these thoughts by smoking. Now you don’t, so you experience this as a lack of concentration.  

When a craving thought pops up, reply back to yourself and say “Later craving, I’m busy now.” Or replace the thought “I want a cigarette” with “ I want air”… and return to what you were doing. 

Within a few weeks, you will be able to concentrate better as a non-smoker because your brain will get enough oxygen and you won’t have to keep interrupting your train of thought to smoke. 

Tingling in Hands and Feet

Occurs within the first 3 months

You experience tingling in your hands and feet because more oxygen is going into your blood. This is a positive sign your blood flow is improving. However, if it persists, talk to your doctor.

Coughing, Sore Throat & Shortness of Breath after Quitting Smoking

Lasts 1-5 days

When you quit, your respiratory system is trying to clear out all the mucus and residues of smoking left in your body. That might cause shortness of breath, cough, phlegm, sore throat, or runny nose.

Drink plenty of fluids: water, water with lemon and honey are great. You can learn more about cough before and after quitting smoking here.

shortness of breath woman

Constipation

Lasts 1-2 weeks

You may experience changes in your bowel movements, including constipation or gas. These symptoms will go away by themselves in time. If you overthink it, you might cause anxiety which could prolong constipation. 

Drink 6-8 glasses of water every day, eat fruits and exercise. If it persists, ask your pharmacist for a natural aid that can help. 

Mouth Ulcers

Lasts 2 weeks 

Though quite annoying, mouth ulcers and sensitive gums are signs that the blood flow in your mouth and oral hygiene are improving. It affects 2 out of 5 people.

Hunger and Weight Gain

Lasts 3 months

Quitting smoking might increase your appetite because your senses of taste and smell improve so your food smells and tastes better.

Also, the cravings feel a lot like hunger so you might get tricked into eating without being hungry and end up consuming more calories.

Keep in mind that quitting smoking itself does not cause weight gain. Substituting cigarettes with food does.

To avoid gaining weight, exercise daily and eat at specific times every day. If you feel hungry outside those times drink plenty of water, a protein shake, or eat an apple and snacks like carrot and celery. 

Boredom

Lasts 2 weeks

You might feel bored, restless, or feel the need to keep your hands busy. 

Remember that smoking did not make your life interesting and only kept you from trying new things. Use this as an opportunity to catch up on errands, work, and hobbies. Start making a list of all the things you want to do this year and start ticking things off. Here are 6 things to do instead of smoking. 

Anger, Mood Swings & Irritability

Lasts up to 4 weeks

woman mood swings

Anger is part of the grieving process. You had an attachment to smoking and breaking it might bring anger.  

When and if you feel angry, remember that smoking made you feel that way. Not stopping smoking.

Once you catch yourself feeling irritated, acknowledge it and don’t bottle it up. Otherwise, you might snap at your friends and loved ones and blame quitting for it. 

It’s okay to feel angry, whether you are a smoker or a non-smoker. When you do, take a few deep breaths and report your feelings; don’t act on them.

This will make you feel good and even bring you closer to your loved ones. You can learn 3 ways to manage your emotions without smoking here.

Anxiety 

Lasts up to 4 weeks

Smoking increases anxiety as it 1) tenses up your body 2) makes it tired from trying to fight all the chemicals and 3) causes constant cravings. 

When you smoke you don’t relieve your anxiety. Instead, you relieve the cigarette cravings, which makes you feel less tense. That’s why you may feel smoking helps with your anxiety. 

Even though smoking is an ineffective coping mechanism, it’s probably the only one you’ve ever known. But that doesn’t mean you can’t learn how to cope in other ways. You can. 

When you smoke, you inhale deeply and slowly. So you feel relaxed thinking the cigarette helped. But in reality, it was the deep and slow breathing that relaxed you.

And you can relax without the cigarette, just by breathing deeply as if you were smoking a cigarette. So when you feel anxious, take deep and long breaths. 

Depression & Sadness

Lasts up to 4 weeks

When you are nicotine-free the nicotine receptors in your brain start to perish, and your dopamine pathways start regulating and producing dopamine naturally – without relying on nicotine. 

During that period, you might momentarily feel down, lost or lonely. Don’t let your mind trick you. You have achieved one of the most important things in your life. Keep yourself busy and remember that your life can only get better. 

Quitting smoking reduces depression in the long term, according to research. When you have a bad day, see it as an isolated event that’s unrelated to quitting smoking. Everyone has bad days; smokers, non-smokers, and never smokers. Choose a healthy way to cope. Call a friend, share your thoughts and feelings, take a walk, exercise, plan a vacation, learn something new or have a new experience. Keep living. 

How Long Do Nicotine Withdrawal Symptoms Last?

The withdrawal symptoms from nicotine do not always last long. Symptoms are strongest in the first week after you quit smoking and you can expect them to start about 4 to 24 hours after your last cigarette. 

Most smokers find the first three days to be the most difficult. The third, fourth or fifth day without smoking is usually the hardest. For many people, that’s when symptoms peak.  

After that, you can expect any signs of nicotine withdrawal to ease up over a period of 3 to 4 weeks. Physical symptoms–headaches, tremors, difficulty sleeping–have usually stopped by this time. 

If you still have any nicotine withdrawal symptoms after that, they’re likely to be related to the psychological dependence –irritability, anxiety, mood swings, etc.

These mental and psychological symptoms will last longer if you feel deprived. They’ll pass more quickly if you have a positive mindset. Try to focus on the benefits of quitting smoking, not the illusion of pleasure you used to get from it.

How Long Cravings Last

There are 2 types of cravings: mental and physical.

The physical cravings are just a twitch, a hunger feeling in your stomach when your body is low on nicotine.

Mental cravings are just positive thoughts about smoking that create positive feelings about smoking. That’s another important principle of the CBQ Method.

Cravings are thoughts like “I need to smoke”, “One more cigarette won’t matter” or “A cigarette would make me feel better”

The physical cravings are brief. They usually last for only 3 to 10 minutes and go away 3 to 5 days after you stop smoking because, by that time, almost all nicotine is out of your body. So if you stay nicotine-free for 5 days or more, you’re done with the physical addiction and the physical cravings.

Mental cravings are a bit different. Because they are thoughts, they can last for hours, months, and even years if you don’t handle them. Mental cravings go away when you change how you think about smoking.

Even after weeks or months without smoking, certain triggers can lead to a mental craving for a cigarette. 

That trigger might be a certain activity (like having an alcoholic drink), an intense emotion (anxiety or anger, for example) or just watching other people smoke. 

Triggers vary from one person to another. So it’s important to be aware of your triggers and have a plan for managing them.

How Fast Your Body Expels Nicotine

Nicotine has a half-life of about 2 hours. Half-life is the amount of time it takes for 50 percent of a substance to be removed from the body. 

Nicotine’s half-life is very short; Your body takes 2 hours to remove 50 percent of the nicotine you inhale or chew.

Once nicotine is absorbed, it’s metabolized or broken down by liver enzymes. Then it’s eliminated from the body in the urine. 3 to 5 days after the last cigarette, nicotine has been eliminated from the body and the nicotine withdrawal symptoms peak.

As with almost everything else, though, the time varies from person to person. 

The half-life of nicotine may be a little longer for heavy smokers or people who smoked for many years. It may also be longer in people over age 65. This means it will take a bit longer for nicotine to be removed from the body. The half-life of nicotine is likely to be somewhat shorter in women than in men, which means that women may expel nicotine faster than men.

How Intense Will Withdrawal Be?

Everyone experiences withdrawal differently. Some people have mild symptoms, while others feel great discomfort. For some, cravings are mild, while for others, cravings are intense. 

Some people find that their symptoms and cravings last for only a few days, while others may find they last for several weeks. 

It’s important to remember that, unpleasant as nicotine withdrawal symptoms are, they will lessen with time. 

Are Nicotine Withdrawal Symptoms Dangerous?

Of course, not. Withdrawal is not any worse than a common cold.

Different people experience different symptoms but you can view any signs of withdrawal as signs of freedom and healing. 

If you’re going through withdrawal it means you are doing things right. If you don’t experience any symptoms then how can you know if you’re getting rid of the nicotine?

healthy couple quit smoking

Nicotine Withdrawal Symptoms Will Pass

While you may experience withdrawal symptoms from nicotine when you stop smoking, don’t let that deter you. 

The symptoms will pass, they’re manageable and they won’t cause you any harm. 

Physical symptoms are likely to be strongest in the first 5 days and then lessen. Insomnia, headache, tremors, and any other physical symptoms usually stop completely within 3 to 4 weeks. 

Psychological symptoms like anxiety, difficulty concentrating and mood swings may last longer, but they too will pass. 

Cravings may recur, but each craving episode is likely to last just a few seconds. 

With time, all of the tobacco withdrawal symptoms will pass and your body will be well on its way to recovery from the harmful effects of smoking.

Health Improvement Starts Almost Immediately

It’s important to realize that the nicotine withdrawal symptoms are not at all harmful to your body. 

Just the opposite is true. Your body very quickly begins to recover from the harmful effects of smoking. And that’s true even if you were a heavy smoker.

In just 20 minutes, your elevated pulse rate and blood pressure begin to return to normal.

In about 12 hours, the carbon monoxide level in your blood will return to normal and your body tissues will be getting more oxygen. 

Within days, your lung function begins to improve and breathing becomes easier. The longer the time you go without smoking, the greater your health benefits.

Even the risk of lung cancer eventually drops to the same risk as for someone who has never smoked. 

Most doctors agree that quitting smoking is the single most important action you can take to improve your health. The National Institutes of Health reports that there’s a lower risk of cardiovascular disease, cancer and lung diseases after quitting smoking.

Remember, every moment of withdrawal equals years of health with your loved ones.

Filed Under: Nicotine Withdrawal, Uncategorized

Successful Smoking Cessation Programs: 3 Things to Look for

by Nasia Davos Leave a Comment

Smoking cessation programs can make quitting not only easy but also permanent.

And if you’re here, then you’re probably looking for a program like that.

Perhaps you’re here because you’ve tried to quit before but it didn’t last so you want your next quit attempt to be successful. 

Maybe you’re worried about how smoking might be harming your health so you’re looking for a solution.

Or maybe you’re an employer who cares about the health and wellbeing of your employees and you’re looking for the best way to help them.

If that’s you, then you’re right to look for a quit smoking program. Research shows that the best way to quit smoking is with the right assistance.

What is a smoking cessation program? It’s a program online or offline that is designed to help you stop smoking, vaping, or other forms of nicotine.

However, not all smoking cessation programs are created equal.

That’s why I will share with you exactly what to look for in a program so you can make an informed decision about your quit.

How to choose the best stop smoking program

At this point, you might be wondering who I am and what do I know about quit smoking programs.

My name is Nasia Davos. I’m a Psychologist, Author, Certified Life Coach, Licensed Master Neuro-Linguistic Programming Practitioner, and certified Smoking Cessation Practitioner.

Above all, I used to be a smoker too.

It was only after a personal tragedy, around 10 years ago, that I first tried to quit smoking.

And I tried every method that was available at the time. But nothing worked. I failed again and again.

That’s how I ended up creating the CBQ Method.

CBQ stands for Cognitive Behavioral Quitting because it helps you stop the thinking and behavioral patterns that keep you addicted to nicotine.

The CBQ Method is a natural psychology-based method that has 4 quit smoking stages.

Going through the 4 stages of the CBQ helps you stop wanting to smoke. How? These 4 stages change how your mind thinks about and experiences smoking.

Over the last decade, this method has reached and helped millions of smokers quit easily and it has been featured in:

– TED talks
– The Huffington Post
– Harvard Blog
– Healthable
– NBC News
– and was selected as the best overall method to stop smoking by VeryWell Mind.

When I first created the CBQ Method, I used it to help people stop smoking with private sessions. And before long, I realized that it was practically impossible to be there for my clients the moment they needed me. So I started creating and giving them small videos to use in difficult moments.

When they told me how helpful this was, I started putting together a video-based online stop smoking program, which turned into the CBQ program that has won the Wellbeing Programme Specialist of the year award and has a 94% success rate. 85% of our members quit the first time they go through the program and 8% succeed the second or third time they go through the program.

Here’s why I’m telling you all this:

To reach this high success rate and help so many people, my team and I spent years testing, researching, and refining this method and program.

So after all this time, we know what works and what doesn’t.

So let me show you how to choose a program that will help you stop smoking for good.

But before we get into that, you need to know what are your options.

Types of Smoking Cessation Programs

1. Group Programs

A group program can be an online forum, website, or Facebook group where people exchange ideas and advice.

Or it can be face-to-face gatherings like Nicotine Anonymous, meetings in clinics guided by an expert, or lavish inpatient programs where you live with other people who want to quit smoking.

group-quit-smoking-programs

2. Individual Programs

In individual programs, you can have online weekly sessions with a therapist or counselor or follow a computer-based smoking cessation program from the comfort of your home.

Alternatively, you can go for “offline” meetings with a counselor or therapist.

3. Combination Programs for Smoking Cessation

Some programs allow you to go through them by yourself (Individual program) but you also have the additional option to reach out to a community or support group if you want to (Group program).

This helps if you want to have your own journey and pace but also feel that you’re not alone.

For example, the CBQ Program is an individual online program (that you can watch from your computer or any device) but we also have an amazing private community where our members can ask questions or connect with other members.

Participating in the community is not required to succeed with the program, but it’s an addition that our members love!

As you can see, there are various options. But no matter what you choose make sure it meets these 7 requirements.

7 Things to Look for in Smoking Cessation Programs that Really Work

Programs that work…

1. Follow a Quit Smoking Method

Not all stop smoking programs follow a specific method. Some offer only support. Others offer only information.

Don’t get me wrong. Having support is important (I will explain why in a bit). Having the right information is necessary. But those aspects alone, are not enough to help you become smoke-free.

What you need, is to follow a process, a roadmap, a method.

A good method has a built-in plan.

Trying to quit smoking without following a logical plan, is like shooting in the dark.

Think about it.

Without a plan, you don’t know how to prepare for your new healthy life.

And you don’t know what to do instead of smoking when you feel stressed, bored, angry or when you’ve had a little too much to drink.

So you constantly doubt yourself.

And this uncertainty adds stress to your quit.

Don’t you think?

But when you follow a plan, you know exactly what to do every step of the way and how to cope with challenges.

And this clarity gives you the confidence you need to stop smoking.

A proper method is also a process.

In other words, a method can’t be a collection of information about quitting smoking. That’s not good enough.

A method needs to have steps and stages where each step builds upon the other.

That way you’re following a logical and reliable path that takes you from a smoker to a happy non-smoker.

On top of that, when you break down a huge goal like quitting smoking into approachable steps, then you take it day by day; step by step.

So quitting cigarettes becomes less overwhelming and stressful and therefore, easier.

The CBQ Method has 4 quit smoking stages, where each stage builds upon the previous one.

They are:

1. Choose to Quit

2. Change Your Mindset

3. Change Your Smoking Pattern

4. Condition Your Smoke-Free Life

The 4 stages of the CBQ Method break down the vague and sometimes intimidating goal of quitting smoking, into approachable steps. Also, the 4 stages are a strategy and a plan that helps you prepare and remove the mental addiction BEFORE you quit.

You can watch my TED talk on why these 4 stages work here.

To learn more about the 4 stages of the CBQ Method and start applying them, click here to get the foundational video of the CBQ Method (and a PDF starter guide). It’s free.

2. The Best Stop Smoking Programs Combine Theory with Practice

This is such an important point. As I teach on our webinars, insight, and knowledge are not enough to change an addiction (or anything for that matter). They need to be paired with the right practice and exercises. 

Think about it.

You can’t become more mindful just by reading about mindfulness; you have to experience it too.

Or you can’t become a tennis player just by reading about different playing techniques; you have to practice.

And you can’t learn how to swim just by reading a book about it. You have to dip your toe in the water.

In the same way, a great program combines theory with practice so you can change how you think about smoking and test your knowledge.

You need both theory and practice to change years of conditioning and prepare for your smoke-free life.

3. Successful Programs Teach You New Skills

Many quit smoking resources tell you why smoking is bad for you. But they don’t show you the most important thing: what to do instead of smoking.

Even worse, some smoking cessation programs give you unnatural alternatives and stop smoking aids like nicotine gums, patches, and vaping, which can sabotage your success.

I’ll explain why.

  1. These products are supposed to help with the nicotine withdrawal. But they don’t. Instead, they prolong it.

When you stop supplying your body with nicotine, the cravings eventually end. When you keep taking nicotine, the cravings continue for as long as you remain addicted.

2. Using nicotine substitutes is like telling yourself that you need nicotine to function and feel relaxed and happy.

This belief is damaging as it reinforces the mental addiction and makes it harder to let go of smoking.

3. By using nicotine products and remaining physically addicted to nicotine you’re always one step closer to picking up a cigarette when you face extreme stress or a life crisis.

You don’t need substitutes.

However, you need to learn new coping skills and things to do instead of smoking that will keep your hands busy and help you feel good without cigarettes.

One of the coping skills I teach in the CBQ Program is deep breathing because it reduces cravings and stress. This is great for you especially if you use smoking and vaping to cope with stress.

I explain why deep breathing works in this video about nicotine and anxiety.

couple doing deep breathing instead of smoking

The key here is to choose something that keeps your mind and hands busy and away from cigarettes.

4. Successful Smoking Cessation Programs Have Reviews from Real People

This should be fairly obvious but I can’t go without mentioning it.

The best way to assess if something is right for you is to hear from actual people who experienced it before you.

People whose name and face you can see. People who express their journey in their own words and sometimes even share their challenges, successes, insights, and advice.

You can watch Mike’s story here:

Seeking valid reviews is not only useful for online quit smoking programs but for every online service.

Seeing what other people say can help you decide if a program is legit and right for you.

Plus, it paints a picture of how the real journey is like. That way, you know what to expect and you’re not going into the unknown.

On our success page (which you can spend hours reading), we’re proud to have countless reviews from our members who share their stories in their own words!

Our members not only have conquered different forms of nicotine addiction (light, moderate and heavy smokers, vapers, and users of nicotine gums and nicotine lozenges) but they also come from all walks of life, different parts of the world, and have different personal challenges and backgrounds!

5. Effective Programs Must Be Accessible 24/7

Another thing to look for in a smoking cessation program is 24/7 access.

Let me give you an example.

Imagine you’re smoke-free for 2 weeks. But then something happens that stresses you out – an argument with your spouse, bad news, or work stress!

(I bet you can guess what happens next.)

As soon as you feel anxious, you experience a mental craving. The craving mind reminds you of all the times you felt that way in the past and reached for a cigarette.

At that moment, you need to have instant access to some helpful resources.

Let’s face it. If you’re seeing a counselor, you will likely have to wait a week to get help.

If you’re part of an online support group, you will have to wait for someone to see your question and say something helpful.

But if you have an online computer-based (or phone or tablet-based) tobacco cessation program, you can instantly log in, watch a helpful video, and crush that craving.

6. Good Stop Smoking Programs Shouldn’t Be Too Short or Too long

When choosing the right smoking cessation program you have to factor in its length.

A program that’s a couple of hours long may be a good educational video but it won’t create long-lasting change.

Most times, going through a really short individual or group program (3 hours or less) means one or more of the following:

  • The information you got is superficial and incomplete.
  • You accumulated information without really knowing what to do with it or how to apply it when push comes to shove.
  • The program does not include practice (See point #2)

What about long stop smoking programs? (4 weeks or longer)

Lengthy programs may be better equipped to help smokers succeed. However, the longer a program is the harder it becomes for someone to commit to it all the way to the end.

Not necessarily because the program is not engaging enough, but because it’s hard for people to keep their excitement and focus on quitting smoking consistently for 5 weeks in a row.

Naturally, life will get in the way and the longer the process the harder it will be to fend off distractions.

That’s why the ideal length of a program is something in between.

It should be long enough to contain everything you need but not too stretched out where commitment starts to dip.

7. The Best Smoking Cessation Programs Offers Support

Research shows that feeling supported increases your chances of success.

Being able to reach out to friends and loved ones while quitting smoking can be a huge help.

However, not everyone has that kind of support system.

And most times, the people close to us may not be able to understand what it’s like to quit smoking. (Unless they’ve quit smoking themselves)

Or they may not know how to direct us or offer the right advice.

That’s why a good program should offer support.

This can take many forms:

  • Email support
  • Phone support
  • Group support

What matters is to be able to reach out to people who are knowledgeable on the quit smoking process, people who have already quit smoking, and peers who are quitting smoking at the same time as you.

online support

As I mentioned earlier, our members of the CBQ Program also join our private members-only Facebook Group where they get support and advice from me, my team, and from other amazing members who are also quitting smoking or have already quit.

Because having a community helping you, cheering you on, and supporting you along the way, gives you incredible strength and motivation to follow through on your goal. 

Our members also have access to our team of coaches who are former smokers and trained on the CBQ Method so they have empathy, understanding and can offer the right guidance.

About The CBQ Smoking Cessation Program

The CBQ Program is an online stop smoking program that follows the CBQ Method step by step and helps you quit smoking in 10 days.

And we’re proud that the CBQ Program meets all 7 requirements we discussed; Specifically, it:

  • Follows a quit smoking method: The CBQ Method.
  • Combines theory with practice. The CBQ Program helps you change how you think about smoking and has exercises to help you test and reinforce your learnings.
  • Teaches you new skills so you can be more mindful, connect with yourself, relax and cope in healthy ways.
  • Has reviews from real people that you can read on our Success Page or on our open CBQ Method Community (this group is free and for everyone who wants to apply the CBQ Method either by themselves or with our program)
  • Is always accessible since it’s an online quit smoking program.
  • It’s neither too short nor too long. The program lasts 12 days. You smoke during the program and you quit on day 10. However, it’s flexible and self-paced so you can go through it in 20 days if you want to.
  • Offers email support and group support.

You can learn more about the CBQ Program and its cost here.

You can watch the Ask An Ex interviews with past members of the CBQ Program on our Youtube channel.

This is Val’s story:

The CBQ Program for Employers

The CBQ Program qualifies as a reasonable alternative as defined by HIPAA/ADA.

If you’re an employer who wishes to offer the CBQ Program to your organization, please reach out to us at [email protected].

 

Filed Under: Uncategorized

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