A REVIEW ON SMOKING CESSATION TECHNIQUES IN PATIENTS WITH MENTAL ILLNESS

15-HJPV3(1)-2022 Review Article

Abstract

The current literature review aimed to find out effective strategies for smoking cessation in a patient with mental illness. Smoking is one of the primary causes of death worldwide. Patients with mental illness have a high rate of smoking. In General, patients with depression have a high level of nicotine addiction and after quitting smoking have more depressing moods and a greater risk than before of major depression. This review captured smoking cessation techniques from different literature which includes Cognitive Behavioral Mood Management, Nicotine Replacement Therapy (NRT), Varenicline, and Bupropion. Additional support and a longer course of treatment may also be recommended. Readiness to quit and awareness of smoking cessation are low among smokers. Concerted efforts through awareness programs, educational programs, strict regulation policies for tobacco use, increase cost of cigarettes, and substitution of smoking with other foods and drinks were also the factor that helped them to achieve successful cessation. Among all strategies, the 5R program is the best, which focused on Relevance, Risk, Rewards, Roadblocks, and Repetition. Varenicline and Bupropion are more effective in Schizophrenics and bipolar maniac patients with nicotine replacement therapy in combination rather than alone.