Nicotine and related disorders Behavioral treatments Behavioral treatments are used to help smokers learn to recognize and avoid specific situations that trigger desire for a cigarette. They also help the smoker learn to substitute other activities for smoking. Behavioral treatments are almost always combined with smoker education, and usually involve forming a support network of other smokers who are trying to quit. Behavioral treatments often take place in support groups either in person or online. They are most effective when combined with nicotine reduction therapy. Other supportive techniques include the use of rewards for achieving certain goals and contracts to clarify and reinforce the goals. Aversive techniques include asking the smoker to inhale the tobacco smoke deeply and repeatedly to the point of nausea, so that smoking is no longer associated with pleasurable sensations. Overall, quit rates are highest (about 30%) when behavior modification is combined with nicotine replacement therapy and tapering. Alternative treatments
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