SymptomsBy Mayo Clinic staff
In some people, using any amount of tobacco can quickly lead to nicotine dependence. Signs that you may be addicted include:
- You can't stop smoking. You've made one or more serious, but unsuccessful, attempts to stop.
- You experience withdrawal symptoms when you try to stop. Your attempts at stopping have caused physical and mood-related signs and symptoms, such as strong cravings, anxiety, irritability, restlessness, difficulty concentrating, depressed mood, frustration or anger, increased hunger, insomnia, and constipation or diarrhea.
- You keep smoking despite health problems. Even though you've developed problems with your lungs or your heart, you haven't stopped or can't stop.
- You give up social or recreational activities in order to smoke. You may stop going to smoke-free restaurants or stop socializing with certain family members or friends because you can't smoke in these locations or situations.
When to see a doctor
You're not alone if you've tried to stop smoking, but haven't been able to stop for good. Most smokers make many attempts to stop smoking before they have stable, long-term success.
You're more likely to stop for good if you follow a treatment plan that addresses both the physical and the behavioral aspects of nicotine dependence. Using medications and working with a stop-smoking counselor will significantly boost your chances of success.
Ask your doctor to help you create a treatment plan that works for you.
- Nicotine. NIDA for Teens. http://www.teens.drugabuse.gov/drnida/drnida_nic1.asp. Accessed Sept. 15, 2010.
- Questions about smoking, tobacco and health. American Cancer Society. http://www.cancer.org/Cancer/CancerCauses/TobaccoCancer/QuestionsaboutSmokingTobaccoandHealth/questions-about-smoking-tobacco-and-health-intro-and-background. Accessed Sept. 15, 2010.
- Rigotti NA, et al. Patterns of tobacco use and benefits of smoking cessation. http://www.uptodate.com/home/index.html. Accessed Sept. 15, 2010.
- Cigarettes and other tobacco products. NIDA. http://www.drugabuse.gov/infofacts/tobacco.html. Accessed Sept. 15, 2010.
- Renard SI, et al. Management of smoking cessation in adults. http://www.uptodate.com/home/index.html. Accessed Sept. 15, 2010.
- Sackey JA. Smoking cessation counseling strategies in primary care. http://www.uptodate.com/home/index.html. Accessed Sept. 15, 2010.
- Smoking and how to quit. The National Women's Health Information Center. http://www.womenshealth.gov/quit-smoking/parents/. Accessed Sept. 15, 2010.
- Leone FT, et al. Behavioral interventions in tobacco dependence. Primary Care Clinics in Office Practice. 2009;36:489.
- Hatsukami DK, et al. Tobacco addiction. The Lancet. 2008;371:2027.
- Parents who quit smoking when their kids are young may have a big influence on whether their offspring will quit smoking in young adulthood. The Society for the Study of Addiction. http://www.addictionjournal.org/viewpressrelease.asp?pr=26. Accessed Sept. 15, 2010.
- Nicotine dependence. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed Sept. 15, 2010.
- Hurt RD (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 12, 2010.
- Hurt RD, et al. Treating Tobacco Dependence in a Medical Setting. CA: A Cancer Journal for Clinicians. 2009;59:314.