Smoking Reduction+NRT intervention, and NRT has been shown to be safe and effective in persons with depressive symptoms48 and in persons with high levels of nicotine dependence (e.g., smoking within 5 minutes of awakening 49). Counseling dispelled medication myths, stressed the importance of adherent use, and stressed that the patient should first focus on cessation rather than on weight control--noting that a healthy diet and exercise could aid both weight and cessation. She also received an information sheet listing situations that pose a risk to smoking cessation, possible coping responses, and resource information to help prevent relapse (e.g., Forever Free at http://www.smokefree.gov/pdf.html). Finally, a follow-up visit was scheduled about two weeks after the quit day; during which we reviewed cessation challenges and provided praise and support regarding the patient’s success. This was repeated at later visits and six months later, the patient remained tobacco free.
