EN DE CLINIC ACADEMY Contact API operating non-profit GmbH Countess Zichy Strasse 6 1230 Vienna +43 1/880 10-0 make contact Diagnosis and therapy of nicotine addiction Nicotine or tobacco addiction is a global problem In Austria, the number of smokers aged 16 and over has remained more or less constant over the last 30 years, with the proportion of nicotine-dependent men declining and an increase in the proportion of women smokers being observed (27.5% smokers vs. 19.4 % Smokers) (Statistics Austria, 2007). Smoking is now a recognized health problem worldwide, affecting an estimated 1.1 billion people (George, 2007). With the introduction of the international classification system for mental illnesses ICD-10 (Dilling, Mombour & Schmidt, 1994), nicotine consumption was recognized as an independent addiction disorder. The addictive potential of cigarettescan be equated with that of “hard drugs” (heroin, cocaine), 32% of all people who have ever smoked become dependent (Antony et al., 2000). The nicotine addiction can be reached very quickly. Symptoms of addiction and nicotine withdrawal often appear after smoking just a few packs of cigarettes (Fidler et al., 2006). The problem is made more difficult by the fact that the availability of cigarettes is very easy. Signs of nicotine dependence Nicotine addiction or tobacco use disorder according to DSM-5 (Amercan Psychiatric Association, 2015) A problematic pattern of tobacco consumption leads to impairment or suffering in a clinically significant manner, with at least two of the following criteriaavailable within a period of 12 months : Tobacco is often consumed in larger quantities or for longer than intended. Persistent desire or unsuccessful attempts to reduce or control tobacco use. Time consuming to source or consume tobacco. Craving or a strong desire to use tobacco. Repeated tobacco use that leads to failure to meet important obligations at work, school, or at home (e.g., obstruction from work). Continued tobacco use despite persistent or repeated social or interpersonal problems caused or exacerbated by the effects of tobacco (eg, arguments with others about tobacco use) Wichtige soziale, berufliche oder Freizeitaktivitäten werden aufgrund des Tabakkonsums aufgegeben oder eingeschränkt. Wiederholter Tabakkonsum in Situationen, in denen der Konsum zu einer körperlichen Gefährdung führt (z.B. Rauchen im Bett). Fortgesetzter Tabakkonsum trotz Kenntnis eines anhaltenden oder wiederkehrenden körperlichen oder psychischen Problems, das wahrscheinlich durch Tabak verursacht wurde oder verstärkt wird. Toleranzentwicklung definiert durch eines der folgenden Kriterien: Verlangen nach ausgeprägter Dosissteigerung, um einen erwünschten Effekt herbeizuführen. Deutlich verminderte Wirkung bei fortgesetztem Konsum derselben Menge an Tabak. Entzugssymptome (Reizbarkeit, Angst, Unruhe, gesteigerter Appetit, …) oder Tabak (oder eine sehr ähnliche Substanz wie etwa Nikotin) wird konsumiert, um Entzugssymptome zu lindern oder zu vermeiden. Finally non-smokers - smoking cessation Some smokers fear physical withdrawal symptoms when giving up a cigarette . According to the classification system of psychiatry (Diagnostic and Statistical Manual of Mental Disorders - DSM IV), these withdrawal symptoms can be cravings, increased irritability, reduced frustration tolerance, irritable or depressed mood, anger, aggressiveness, anxiety, concentration disorders, restlessness, relative bradycardia, sleep disorders and increased appetite (Heinz, 2003). These withdrawal symptoms do not always occur, however, and it is possible to support smokers who are willing to quit with medication in a therapeutic setting. The Anton Proksch Institute Vienna helps those affected who want to become non-smokers. An extensive and well-established therapy program is offered that can support you in quitting with a behavioral therapy-oriented program and medical support. You have the opportunity to participate in our program during your stay. Print article The therapeutic offer Therapy at the Anton Proksch Institute The Orpheus program our locations Contact Jobs Press Left imprint privacy Privacy