Researchers are also needed ample funding is available for warranted investigations with specialized populations. Much of this answer revolves around the addictive substance in tobacco, nicotine. Nicotine is seen as being as addictive as alcohol or heroin. It is usually the first drug used and the last drug given up by individuals. Twenty-five percent of the American population is nicotine dependent, and twenty percent of the California population is dependent.
Most individuals still using tobacco are more heavily dependent than smokers of a decade ago.
They may have tried to quit several times and failed, and feel quite hopeless about another attempt. A history of psychiatric medication and repeat failure at nicotine cessation warrants the initiation of either sedative or activating anti-depressants two weeks prior to cessation. You may want to suggest sedative anti-depressants rather than anxiolytics for anxiety management. They may have failed numerous times before. While the hardest for us to reach, they can be influenced by respectful, non-threatening probing.