1. Freshstart

2. Freshstart: Welcome! Congratulations! What is the Freshstart program? Session One Objective Nicotine Dependence and Addiction Physiological Reasons for Smoking Ambivalence About Stopping vs. Smoking What do I want? Quitting Reminders

3. Three Key Questions 1.What benefits do you hope to achieve from quitting? 2.What triggers your desire to smoke? 3.What motivated you to come today? 4.On average, how many cigarettes have you smoked up to this session? Freshstart: Introductions!

4. Confidence to Quit Fears of Quitting Tobacco Approaches to Quitting Cold Turkey Gradual (tapering vs. postponing) The Quitline Nicotine Replacement Therapy (NRT) Physiological Effects of Smoking Freshstart : Understanding Why You Smoke

5. Making This Attempt Your Last Set a Quit Date! Review Session One Freshstart: Understanding Why You Smoke

6. Freshstart: Mastering the First Few Days Questions from Session One Share personal experiences Session Two Objective

7. Freshstart: Mastering the First Few Days Withdrawal Symptoms Fighting Withdrawal Symptoms Being Assertive Thinking Positively Making This Time Unique

8. Freshstart: Mastering the First Few Days Keep Individual Quit Date Review Session Two – start using relaxation exercises Four Practical Tips Complete Assertiveness Chart at home

9. Freshstart: Mastering Obstacles Questions from Session Two Share personal experiences Session Three Objective

10. Freshstart: Mastering Obstacles Physical Improvements Following Cessation Weight Gain Alcohol and Cigarettes Interpersonal Support

11. Freshstart: Mastering Obstacles Review Session Three – continue using relaxation exercises Four Practical Tips

12. Freshstart: Staying Quit and Enjoying It Questions from Session Three Share personal experiences Session Four Objective

13. Freshstart: Staying Quit and Enjoying It Ripple Benefits of Smoking How to Avoid Returning to Smoking Long-term Benefits What If You Still Haven’t Quit or You Have a Relapse?

14. Freshstart: Staying Quit and Enjoying It Exchanging phone numbers Review all sessions of the Freshstart program, including Additional Tips to Help You Remain Smoke- Free Contact American Cancer Society 1-800-ACS-2345

15. Thank you!