1. Tobacco cessation techniques Session 2

2.  Nicotine Replacement Therapy  My personal reasons to be tobacco free  More Quitting Support Techniques  Triggers  Internet and phone support What we will talk about in this session… 2

3. 1.Changed brands of tobacco. 2.Bought only one package at a time 3.Read my handbook. 4.Started a butt jar - a money jar. 6.Invited a support person to Session 3 7.Listed reasons to quit using tobacco in “My Quit Plan.” Homework Review 3

4. Try to eliminate stress- causing events from your calendar over the next couple of weeks. Make a plan with your support person/people to help with everyday stress. Preparation for Quit Plan 4

5. Quitting Support Technique # 4 List of “My reasons to become tobacco free” The good things about tobacco use The not so good things about Tobacco Use “Helps me feel relaxed” “I have to go outside in the cold to smoke” __________________________ ______________________________ The not so good things about quitting The good things about quitting “I’ll have to avoid my friends who smoke” “ I will save lots of money” _____________________________ ______________________________ 5

6. TECHNIQUE Change my behaviour:  Give up tobacco use in one difficult place.  Separate smoking materials.  Isolate tobacco use from anything enjoyable  Buy nutritious and low-calorie snacks.  Increase your physical activity level. Behaviour Modification 6

7. TECHNIQUE When you have an urge to use tobacco:  Delay: a few minutes and the urge will pass  Drink Water: sip it slowly  Deep Breathe: take three slow, deep breaths  Do Something Else: Take your mind off smoking The 4 Ds 7

8. GOAL To get social support from someone who is committed to helping you. Quitting Support Technique #7 Quitting buddy 24 8

9. GOAL Enhance the ‘payoff’ for not using tobacco:  Use immediate and tangible rewards  These are often “internal” ones you experience with success and accomplishment  Plan short and long term awards  Discuss ideas as a group Quitting Support Technique #8 Rewarding myself 9

10. Quitting Support Technique #9 Avoiding tobacco cues/triggers GOAL To reduce the number and intensity of urges to use tobacco  Use tracker sheet to keep list of situations where the craving level for tobacco was 4 or 5 10

11. GOAL To use healthy alternatives to reduce stress instead of “using tobacco to relax” What techniques do you use to relax and reduce stress? Quitting Support Technique #10 Deep relaxation 11

12. AlbertaQuits: www.albertaquits.ca Canadian Cancer Society: www.cancer.ca Health Canada: www.gosmokefree.ca Lung Association: www.ab.lung.ca Quitting Support Technique #11 Internet support 12

13. 1.Stop using tobacco in at least one place. 2.Separate smoking materials or make tobacco difficult to access. 3.Prepare your grocery list with nutrition in mind. 4.Discuss with your support person how they can provide support as you quit using tobacco. 5. Review “Participant’s Manual” Homework 13