In fact, most smokers relapse several times, sometimes over many years, before they quit permanently. A successful attempt is defined as anyone who stops smoking completely for at least 48 hours. The longer the previously successful attempts, the higher the likelihood of success the next time the individual tries to quit. The reasons for starting and continuing to smoke may influence the attempt at quitting. Those who started because of peer influence may not really enjoy smoking and may be more motivated to quit.
Some patients say they only enjoy cigarettes in limited settings, such as after eating or sex.
Those who say they only enjoy smoking in the morning should be advised that this may reflect satisfying withdrawal symptoms. Some factors may hinder your patient's attempt at cessation. In addition, any symptoms such as cough, dyspnea or diseases such as airway obstruction, hypertension and heart disease should be related to the patient's smoking addiction. Moreover, you should point out the elevated morbidity and mortality and reduced longevity associated with these diseases. If one or more of their family members has a smoking-related disease, you should point this out.