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Teen smoking: How to help your teen quit

Set a good example

As a parent, you're one of the most powerful influences in your teen's life — and your actions speak much louder than your words. If you smoke, don't expect your teen to stop smoking. Your teen may interpret your smoking as an endorsement for the behavior. Instead, ask your doctor about stop-smoking products and other resources to help you stop smoking. In the meantime, don't smoke in the house, in the car or in front of your teen, and don't leave cigarettes where your teen might find them. Explain how unhappy you are with your smoking, and why it's so important to you to quit.

Help your teen make a plan

Teens may become addicted to nicotine surprisingly quickly — sometimes within just a few weeks. And many teens who smoke think they can stop anytime, but research shows this isn't usually true.

When you talk to your teen about quitting smoking, ask if any of his or her friends have tried to stop smoking. Consider why they were — or weren't — successful. Then ask your teen which stop-smoking strategies he or she thinks might be most helpful. You might offer your own suggestions as well:

  • Put it on paper. Encourage your teen to write down all the reasons he or she wants to stop smoking. The list can help your teen stay motivated when the temptation to smoke arises.
  • Set a quit date. Help your teen choose a date to stop smoking. Avoid placing the stop date during a stressful time, such as final exams.
  • Hang out with friends who don't smoke. Ask your teen to think about his or her friends. Would they support your teen's stop-smoking plan? Would they try to stop smoking, too? If your teen feels pressured to smoke, encourage him or her to get involved in new activities. Making new friends who don't smoke could make it easier to avoid old friends who aren't willing to stop smoking.
  • Practice saying no. Peer pressure to smoke may be inevitable, but your teen doesn't need to give in. Help your teen practice saying, "No thanks, I don't smoke."
  • Be prepared for cravings. Remind your teen that if he or she can hold out long enough — usually just a few minutes — the nicotine craving will pass. Suggest taking a few deep breaths. Offer sugarless gum, cinnamon sticks, toothpicks or straws to help your teen keep his or her mouth busy.
  • Contact a tobacco-cessation specialist. A tobacco-cessation specialist may give your teen the tools and support he or she needs to stop smoking.
  • Consider stop-smoking products. Although nicotine replacement products — such as nicotine gums, patches, inhalers or nasal sprays — weren't designed for teens, they may be helpful in some cases. The same goes for medications such as bupropion (Zyban) and varenicline (Chantix). Ask your teen's doctor which options might be best for your teen.
  • Join a support group. Some hospitals and local organizations offer stop-smoking groups just for teens. You might look for teen groups online, too.
  • Learn from mistakes. If your teen slips, remain supportive. Congratulate your teen on the progress he or she has made so far, and encourage your teen not to give up. Help your teen identify what went wrong and what to do differently next time.

Above all, celebrate your teen's success. You might offer a favorite meal for a smoke-free day, a new shirt for a smoke-free week or a party with nonsmoking friends for a smoke-free month. Small rewards and plenty of positive reinforcement can help your teen maintain the motivation to stop smoking for good.

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References
  1. Aligne CA. Prevention of smoking. In: McInerny TK, et al. American Academy of Pediatrics Textbook of Pediatric Care. Elk Grove Village, Ill.: American Academy of Pediatrics; 2009:305.
  2. O'Loughlin J, et al. Determinants of first puff and daily cigarette smoking in adolescents. American Journal of Epidemiology. 2009;170:585.
  3. DiFranza JR, et al. New insights into the compulsion to use tobacco from an adolescent case-series. Journal of Adolescence. In press. Accessed Aug. 14, 2009.
  4. Pbert L, et al. Effect of a pediatric practice-based smoking prevention and cessation intervention for adolescents: A randomized, controlled trial. Pediatrics. 2008;121:738.
  5. Schepis TS, et al. Smoking cessation for adolescents: A review of pharmacological and
    psychosocial treatments. Current Drug Abuse Reviews. 2008;1:142.
  6. Child and teen tobacco use. American Cancer Society. http://www.cancer.org/docroot/PED/content/PED_10_2X_Child_and_Teen_Tobacco_Use.asp?sitearea=PED. Accessed Aug. 14, 2009.
  7. Guide to quitting smoking. American Cancer Society. http://www.cancer.org/docroot/PED/content/PED_10_13X_Guide_for_Quitting_Smoking.asp. Accessed Aug. 14, 2009.

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Nov. 10, 2009

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