An Identification Smoker is one for whom smoking is a part of one’s identity. This person probably started smoking at a young age, because people around them smoked, and they wanted to fit in. This person may also associate activities with smoking (meals, breaks, etc.)
[This outline uses the example of someone who smokes more than one pack a day.]
Week 1: During the first session, we will identify the “habit hooks,” and begin removing and replacing them. We will work on these habits each session. After the first session, the client will cut smoking down to one pack a day only. The client must have at least ten minutes between cigarettes, and must smoke all twenty cigarettes in the pack each day; no greater, no fewer.
Week 2: After the second session, the client will cut down to fifteen cigarettes a day; no greater, no fewer. Those cigarettes will also be physically cut in half, thus shortening them. There must be at least one hour between cigarettes.
Week 3: After the third session, the client will cut down to ten cigarettes a day; no greater. The client may smoke fewer if desired. Any cigarettes used must be physically cut in half, just as the week before. The client will also switch brands.
Week 4: After the fourth session, the client will cut down to five cigarettes a day, physically halved like the previous two weeks.
Week 5: After the fifth session, the client cuts down to three cigarettes a day, with all the same rules as the week before, plus one. The client cannot smoke any sooner than one hour after a meal.
Week 6: After the sixth session, the client quits completely!
A Replacement Smoker is one whom smokes as a coping mechanism for uncomfortable emotions (anxiety, anger, grief, boredom, munchies, etc.) This person typically starts smoking later in life.
The homework for a Replacement Smoker is the same as for an Identification Smoker, but the sessions are not. For a Replacement Smoker, we will discover what emotions you are avoiding and why. For example, if a client began smoking when a loved one died, we would work through the stages of grief, along with the process of replacing the habit. Replacements begin with activities which make the client feel emotionally or physically stronger (exercise, diet, hobby, etc.) Then they become more direct replacements (chewing gum, straw, ice cubes, etc.)