ABSTRACT

Quitting smoking and maintaining abstinence are very different problems. In working with cigarette smokers we have found that three kinds of therapeutic changes-behavioral, cognitive, and affective (emotional) selfawareness-are helpful in relapse prevention. Depending on the clinician’s comprehensive assessment of the smoker, the treatment plan should consider all three kinds of therapeutic changes, the timing of implementing them, and how they can contribute to a successful treatment outcome.