temptations or urges (Table 1). The clinician should assess and counsel regarding factors that pose especially great challenges to quitting3, such as living with a smoker, excessive alcohol use, and fear of gaining weight (Table 2)36. Counseling should be empathic and supportive, not confrontational3. Counseling remains underutilized despite its efficacy, and a key goal is to incorporate its use in practice—either in-person or via referral to a telephone quitline (1-800-QUIT NOW).