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Get started with CBT

Deciding to quit nicotine can feel like standing before a mountain. By using tools from cognitive behavioral therapy, you can break that mountain down into small and manageable steps.

The SlutasnusaGuiden editors3 min read
Get started with CBT

Your brain prefers the status quo

When you postpone the decision to quit, it is rarely due to a lack of willpower. Your brain is simply programmed to choose the familiar over the unknown. Changing a deeply rooted habit is initially interpreted as a threat by your nervous system.

By using cognitive behavioral therapy you can look at your addiction through a scientific lens. It is not about forcing change through sheer willpower. Instead, you learn to understand the thoughts and behaviors that keep you hooked.

Map your triggers before you quit

Before you make the change, you need to know exactly what your pattern looks like. For a few days, observe your habit without trying to change it. Notice the situations where you automatically reach for your tin or pouch.

These are often automatic reactions to external or internal cues. Here are the most common situations where the craving starts automatically:

  • After meals when the body is used to rounding off with a nicotine hit.
  • During stress when nicotine is falsely perceived to have a calming effect on the nervous system.
  • While commuting or during idle time when restlessness sets in and your fingers need something to do.
  • With coffee where the taste of coffee and nicotine have been linked together in the brain.

Plan for cravings with concrete strategies

Once you have mapped your triggers, you can create a plan for how to act when they appear. In CBT, this is called creating implementation intentions. These are pre-made decisions so you do not have to think when the craving strikes.

You build your plan by following these three steps:

  1. Identify a trigger that you know will show up during your first nicotine-free day.
  2. Choose an action that is completely incompatible with using nicotine, such as drinking a large glass of ice-cold water.
  3. Formulate a rule in your head that connects the situation with your new action.

The rule then becomes a concrete tool: If I get a craving after lunch, then I will instead drink a glass of cold water and take five deep breaths.

Ride out the urge instead of fighting it

An urge is not a permanent state but a chemical process that comes in waves. When a craving hits, you often experience it as a constantly rising curve that will never end. In reality, the urge peaks after a few minutes and then subsides.

By observing the urge without acting on it, you retrain your brain. You can think of the craving as a wave in the ocean where your job is to keep your balance until the wave has passed.

It is not about never feeling an urge, but about letting the urge pass without acting on it.

Handle setbacks as information

If you happen to slip up, it does not mean your entire attempt has failed. It is easy to fall victim to the abstinence violation effect which means giving up completely just because of a single mistake.

Instead, view the setback as valuable data. What happened right before you slipped up. Which trigger did you forget to plan for. Adjust your plan and continue on your nicotine-free path immediately without judging yourself.

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