Coping with Cigarette Cravings

WHEN it comes to quitting cigarettes, cravings are the toughest challenge you will face.

In the first week after quitting, most smokers will experience powerful cravings for a cigarette because they have become addicted to nicotine.  But fear not, nicotine replacement therapy (NRT), behavioural changes and support from a stop smoking service can help you to resist temptation. If fear of coping with cravings is holding you back, read our guide to find out why they happen and how to fight back.

Understanding nicotine addiction

The main reason why smokers find it so hard to quit is because cigarettes contain nicotine which is highly addictive. Nicotine alters the balance of two chemicals in smokers’ brains, dopamine and noradrenaline.  This produces feelings of pleasure and appears to reduce stress and anxiety. Smokers become dependent on this nicotine rush and over time, as their brain gets used to the nicotine, they smoke more to produce the same effect. “Cravings are natural. It’s a way of understanding that behaviours are changing.”

–  Steve Clarke is a clinical and therapy services manager for The Priory Group

What happens when you quit

When you stop smoking the levels of dopamine and noradrenaline in your brain change leading to feelings of anxiety, irritability and even depression.  Craving nicotine is a normal response to this situation, as your brain knows nicotine will be an instant fix to make those unpleasant feelings go away but don’t lose hope there are ways to combat this.

Step One – Understand your cravings

There are two types of cravings;

  • One is the steady, constant craving for a cigarette that you will feel particularly strongly in the first week of giving up.  Gradually this feeling will subside as the weeks go on
  • The other type of craving is a sudden and intense urge to smoke. This craving is often triggered by a situation in which you would usually smoke, such as after a meal or while you’re drinking a cup of coffee.

Step Two – Coping Methods

Research has shown that going cold turkey isn’t necessarily the best way to quit as cravings can become overpowering.

Only 3 in every 100 smokers manages to successfully quit through will power alone. According to the NHS there are three effective ways to tackle cravings.  No one solution works for everybody and often it’s a combination of different methods that helps smokers to finally kick the habit.

1. Nicotine replacement therapy

NRT continues to provide your body with nicotine after you stop smoking, without the toxic chemicals you get from a cigarette.  It comes in the form of gum, patches, lozenges, microtabs, inhalers, nasal spray, mouth spray and oral strips. Talk to a pharmacist, GP or a smoking cessation advisor to find out which would suit you best and how you can use different forms of NRT in combination with each other for the best effects.

2. Prescription medication

There are two types of prescription tablets you can take to cope with nicotine cravings – Champix (varencline) and Zyban (bupropion).  You can start taking them a week or two before you stop smoking as they take a few days to work.   You cannot take them if you are pregnant, under 18 or have some pre-existing medical conditions

3. Self help

While NRT and prescription medication will help you to cope with physical cravings for nicotine, it’s important too to make changes to your lifestyle. Avoiding situations that could trigger nicotine cravings is particularly helpful. Be aware of moments when you would usually have a cigarette and distract yourself with another activity instead.  Try to steer clear of stressful times or making big life decisions while you are withdrawing from cigarettes. Prepare yourself mentally before special events such as holidays, weddings or parties when you would usually smoke, and make sure you go equipped with NRT in case the urge for nicotine strikes.

As cravings only last a few minutes, distracting yourself with another activity works wonders. Some people find that exercise helps.  So, if you feel the urge to smoke, why not go for a walk, jog or swim instead. Activities that involve keeping your hands busy can be useful too. If you enjoy craft activities, start a new project to coincide with you giving up smoking. Cooking, gardening, housework, board games and puzzles can also help.

Enlist the help of family and friends and tell them of your plans to give up smoking in advance so that they can be prepared to offer moral support and distract you from cravings.

If your resolve weakens remind yourself why you are giving up smoking and remember that the cravings will pass and a healthier, smoke-free life awaits you.[

Ten things you didn’t know about smoking and mental health

For #WorldMentalHealthDay, we want to shed light on the often-overlooked connection between smoking and mental health. Smoking has a profound impact on mental well-being in addition to its physical harm. Here are 10 key facts to consider:

1. One-Third of Tobacco in the UK is Consumed by People with Mental Health Issues

At least one-third of all the tobacco consumed in the UK is used by individuals experiencing mental health challenges. This highlights the disproportionate burden smoking has on those who need greater support.

2. 36% of Adults with a Mental Health Condition Smoke in Wales

In Wales, 36% of adults with a mental health condition smoke—almost double the rate of smoking in the general population, which stands at 19%.

3. Smoking is Twice as Common Among People Experiencing Poor Mental Health

Across the UK, individuals experiencing poor mental health are twice as likely to smoke compared to the general population. This highlights an urgent need for tailored support to help them quit.

4. Smoking Shortens Lives for Those with Mental Ill Health

Smoking is a leading contributor to early death among people with mental ill health, cutting their lives short by 10 to 20 years compared to the general population.

5. Over 60% of People with Schizophrenia Smoke

People with a diagnosis of schizophrenia are disproportionately affected, with over 60% being smokers. This stark figure highlights the need for targeted smoking cessation support.

6. Smoking is Linked to Poor Outcomes in Bipolar Disorder

For individuals with bipolar disorder, smoking has been linked to poorer health outcomes and a greater challenge in managing the condition effectively.

7. Almost 60% of People Experiencing First-Episode Psychosis Smoke

Nearly 60% of individuals experiencing a first episode of psychosis are smokers. This demonstrates the strong association between tobacco use and severe mental health conditions.

8. Nicotine Withdrawal Exacerbates Anxiety and Depression

Feelings of anxiety, stress, and depression can be exacerbated by nicotine withdrawal, creating a vicious cycle for smokers attempting to quit.

9. People with Mental Illness Smoke More Cigarettes

Evidence suggests that individuals with mental illnesses smoke a higher number of cigarettes compared to smokers without mental health conditions.

10. Smoking Reduces the Effectiveness of Mental Health Medications

Smoking can affect certain commonly prescribed mental health medications, making them up to 50% less effective. This underlines how quitting smoking can significantly improve treatment outcomes.

Need Support to Quit Smoking?

If you’re in Wales and looking for support to stop smoking, Help Me Quit is here to help. Visit their website or contact their team for tailored advice and support.

If you’re struggling with your mental health, please don’t hesitate to reach out to the Samaritans for confidential and compassionate support:
📞 08457 90 90 90 (24/7)

Further Reading

Want to learn more? Check out our Smoking and Mental Health page, where you can find resources, including a helpful diagram showing how nicotine impacts the brain.


Let’s work together to support healthier minds and healthier bodies in Wales.

Five facts about smoking and mental health

There is a far higher prevalence of smoking among people with mental health problems compared to the rest of the population. In Wales 36% of adults with a mental health condition smoke compared to 17% of the whole adult population in Wales. People with mental health problems tend to smoke more heavily. Across the UK people who are mentally ill smoke more than a third of all the tobacco smoked in the UK. Partly as a result of this, they tend to die on average 10 to 20-years-earlier than those who do not have mental health problems.

Smoking interferes with chemicals in the brain creating a craving for nicotine. The craving makes smokers feel anxious and irritable – a feeling that is temporarily relieved when they smoke another cigarette. This tricks people into thinking that smoking improves their mood, when in fact it’s the cigarette that caused the anxiety in the first place

Studies have shown that quitting smoking can actually improve people’s mental health. According to the NHS, those who give up smoking experience lower levels of anxiety, depression and stress. Their quality of life and moods improve and they can reduce their dosages of some medicines used to treat mental ill health. Some evidence even suggests that stopping smoking can be as beneficial as taking antidepressants for those suffering from anxiety and depression.

Smoking interferes with the effectiveness of some medication to treat mental health problems. This means smokers sometimes have to increase the amount of medication they take in order for it to continue being effective.

There is a far higher prevalence of smoking among people with mental health problems compared to the rest of the population. In Wales 36% of adults with a mental health condition smoke compared to 17% of the whole adult population in Wales. People with mental health problems tend to smoke more heavily and partly as a result of this, they tend to die on average 10 to 20-years-earlier than those who do not have mental health problems.

Expert’s guide to surviving nicotine withdrawal

Steve Clarke is clinical and therapy services manager for The Priory Group which provides specialist mental health services across Wales, and has more than 400 facilities in the UK. Here are his top tips on coping with the temporary impact on mental health of nicotine withdrawal

“Smokers who attempt to quit might want to be prepared for managing some anxiety that is created by cravings. Cravings are likely to happen as the body withdraws from its reliance on nicotine. These cravings may feel intense at first, however they will significantly recede within a short space of time.”

“There are two types of craving: a consistent craving for a cigarette, decreasing in intensity over several weeks, or sudden bursts of an intense desire or urge to smoke.”

“Cravings are often triggered by a cue or stimuli such as having dinner or drinks, or break-times at work. These urges to smoke will decrease as time passes; however, their intensity often remains strong for a reasonable period of time as we associate these events with smoking. In time, the association will completely diminish.”

“Cravings are natural. It’s a way of understanding that behaviours are changing.

“When we experience cravings and they are intense, it can be a good tactic to remind ourselves of the consequences if we pick up a cigarette once more. One good way to support this may to make two lists.
1 – What will life be like 5 years from now if I continue to smoke – maybe include “I’ll be less fit, I’ll have more health issues, I’ll have less money…”
2 – What will life be like in 5 years if I stop smoking? – maybe include “I’ll be healthier, I’ll be fitter, I’ll have more money, my clothes will be fresher…”

Allen Carr CEO’s transformation from 80-a-day smoker to quitting expert

John Dicey is Global CEO & Senior Therapist for Allen Carr’s Easyway to Stop Smoking method. After quitting smoking, having smoked 80 cigarettes a day, John Dicey was inspired to help others do the same. He was trained by the late Allen Carr in 1998 and went on to treat more than 30,000 smokers face to face. John and Allen worked with smokers in 50 countries and worked on a series of books together which have sold 16 million copies worldwide.  This is John’s story.

I was the worst smoker on the planet. I know that sounds like an empty, albeit embarrassing boast – but I really was. Most days, without fail, even when I was under the weather, I’d puff my way through at least 80 cigarettes. Quite how I managed that is a mystery. I was a chain-smoker. No sooner had I stubbed one cigarette out – I’d have lit another – frequently ending up lighting a new cigarette while the previous one was coming to an end. I was ashamed of it then, and even now it makes me feel deeply embarrassed. Cigarettes, nicotine, had a deathly grip on me. allen carr, stop smoking support

For years I’d tried to quit. I used every method under the sun. Patches, gum, hypnotherapy, aversion therapy, Chinese remedies, herbal remedies, acupuncture, and even shock treatment (a guy showing me photos of smokers’ lungs, illnesses, and diseases yelling at me to quit) – nothing worked. Not even for a day!

Being a chain-smoker is really tough – I used to buy my cigarettes at different shops each day – on a rota system because to buy 4 packs, every day, in the same shop would be hugely embarrassing. If I was going to a party I’d take at least 4 packs with me just for the evening. Less committed smokers didn’t seem to mind running out of cigarettes and cadging off other smokers – but I could never risk that myself…and in fact, I’d always take into account those smokers (who would cadge) in my calculations for how many packs of cigarettes to take myself.

All my attempts to quit smoking ended in abject failure and on the rare occasions that I would manage to quit for a few hours  – it would be utter torture and hell.

The first time I attended an Easyway seminar I remember Allen saying that it was easy to stop smoking and thinking “you’ve got to be kidding me!”.

I’d only actually agreed to go to the seminar at my wife’s suggestion on the basis that she promised, if it didn’t work, she’d stop hassling me about my smoking for a year. Even when I left the seminar I couldn’t believe it was going to work. But I thought I’d give it a go as I had nothing to lose (and in any case, I was fully intent on getting my money back under his money back guarantee).

After the seminar I recall making it a hundred yards down the road without feeling inclined to seek out the nearest shop that sold cigarettes, and feeling slightly suspicious of my lack of interest in doing so.

By the time I’d driven home, past countless petrol stations, newsagents, and convenience stores, without pulling over to buy 80 Rothmans cigarettes – I was amazed. The only difficulty I seemed to have was accepting that it was true. That I didn’t want to smoke. I felt that mild sense of “wow, this is a bit weird” for a while and that was that.

I think it was my curiosity, how on earth could something that seemed impossible and unpleasant in the past, now appear to be so simple, combined with an overwhelming feeling that if I could quit, anyone could, that stayed with me for the following months and eventually compelled me to contact Allen to ask if I might be able to get involved.

My predecessor as CEO, Robin Hayley (now Chairman of Easyway) and Allen seemed interested in my ideas, impressed by my business background, and enthralled by my passion and enthusiasm. I was delighted when they eventually invited me on board. I sold my business interests in the hospitality industry and undertook to train as an Allen Carr’s Easyway Therapist.

allen carr, quit smokingIt was a long and arduous process. The method is made up of 3 seminars. One is 5 hours long, and the other two are 3 hours long. They are mainly monologues – designed to guide groups of smokers through the principles of the method. The task of getting into a position whereby you are able to deliver the seminars, with real live smokers – often interrupting, questioning, and challenging you – is something that only a trained Allen Carr Therapist can really appreciate. I practised and practised and practised and eventually I knew I was ready.

Helping people to quit smoking face to face was the most thrilling, enjoyable, and exhilarating experience of my life.

As we succeeded in growing our publishing interests and seminar business to be a truly global operation (in more than 50 countries worldwide) it was my privilege to pass on the training Allen provided to me, to trainee therapists in places as diverse as Greece, Serbia, Japan, New Zealand, South Korea, Chile, Guatemala, Iceland, Israel, Saudi Arabia, Lebanon, and Russia to name just a few.

As Global CEO, once a year, I invite our managers and therapists from all 50+ Allen Carr countries to join me for 3 days at a hotel near London. It’s my favourite week of the year where we exchange ideas, inspiration, best practise, and almost as importantly, have a huge humdinger of a party. As we grew and grew I was worried that we’d lose our sense of “family”, but so far – so good, we remain a group of people, joined together, with a common objective; to cure the world of smoking. And it’s not just smoking – over the past 10 years we’ve successfully applied the method to many other problems including alcohol, weight issues, sugar addiction, gambling addiction, and this year – technology addiction, with our new book ‘Smart Phone, Dumb Phone’. Ensuring that Allen Carr’s legacy achieves its full potential is an honour and privilege for me, not to say, a huge motivation.

To find out more about Allen Carr’s Easyway method, click here.

Want to stop smoking? Here’s how – top tips from Professor Robert West

Professor Robert West, smoking cessation, tobacco controlRobert West, Professor of Psychology at University College London and author of The Stop Smoking Formula, shares his top tips on how to quit, staying strong and coping with cravings.

Understanding the urge to smoke

In one sense stopping smoking is incredibly easy – you just don’t smoke! You are perfectly capable of doing that – physically. But then so is not scratching an itch, not eating when you are hungry or drinking when you are thirsty. The problem is not your physical ability – it’s your psychological ability to resist the feeling, urge or desire.

To understand how this works think about trying to hold your breath for as long as you can. As time passes the urge to breathe gets stronger and stronger because of the build up of carbon dioxide in your bloodstream. The only thing stopping you from giving in is your resolve not to breathe. And where is that coming from? Simply your decision to try to hold your breath. You know that you can give in at any time. When the urge becomes more powerful than the resolve, you give in.

And so it is with smoking. Your attempt to quit gives you the resolve not to smoke but years of consuming nicotine from cigarettes has changed your brain so that it experiences the urge to smoke – and sometimes this can be very strong indeed. The difference is that with breathing the urge gets ever stronger over time while after the first few days the urge to smoke usually gets less strong over time – although it can still strike months or even years later.

Keeping your resolve strong

So the secret of stopping smoking is to keep your resolve strong and to what you can to avoid or minimise the urges. The best way to keep your resolve strong is to change your mind set – you have to become an ex-smoker in the very core of your being. You have a new identity as someone who used to smoke but you simply don’t do that any more. You would no more smoke a cigarette than you would hit someone who has annoyed you or rob a bank. You are not that kind of person. And the reason is that you realise that it is a stupid waste of money and is killing you. Even if you have enjoyed it in the past, those days are gone. So, when someone offers you a cigarette your answer is ‘No thanks, I don’t smoke any more’, not ‘No thanks, I’m trying to stop’.

If you can’t bring yourself to think like an ex-smoker, you need something else to keep your resolve strong – at least in the early days after stopping. For some people it is a health scare related to smoking. For others it is wanting to be around for one’s family. For many people it is wanting to feel healthier, while for others it is wanting to save money. It might even be the commitment you have made to yourself or other people that you will stop smoking. The more of these you have and the stronger they are, the greater will be your resolve. But remember that resolve can come and go and you absolutely need to have something that will keep it strong when you most need it – at those moments of temptation.

The stress test

What about the other side of the equation? The urge or desire to smoke. A lot of smokers think that this comes from the way smoking helps with stress, or the need to have something to do with their hands. Neither of these are true, and it’s easy to show this.

My research over the years has shown no link between how much people smoke to control stress and the strength of cigarette cravings. There is also now a wealth of evidence that smoking does not actually help with stress – it only appears to; and the reason it does this is because feeling edgy and irritable are withdrawal symptoms from nicotine. Actually, once smokers have got over the initial withdrawal symptoms a couple of weeks after stopping, their stress levels are typically lower than when they were smoking.

To realise how absurd the idea that the activity of smoking is as a driver of craving, just imagine smoking a cigarette but just not inhaling the smoke! If anything this would just make the craving worse.

Champix and NRT

So, how to reduce the urge to smoke? There is a prescription drug that does this very well. It is called Champix in most parts of the world and Chantix in the US. It is a pill that you take twice a day and it is like an appetite suppressant for ‘nicotine hunger’. It works by attaching itself to parts of brain cells that nicotine would normally attach to and stimulating them just a little bit but also blocking them so that nicotine can’t get on them. You take it for 12 weeks, or longer if it takes you a week or two to stop smoking completely. As with all drugs, there are side effects. The common ones are feeling sick and having difficulty sleeping. These usually subside over time. Some people taking this drug have experienced suicidal thoughts or become aggressive but research with hundreds of thousands of users of the drug have failed to show the drug to be causing these symptoms and they are probably (though not definitely) caused by something else.

Another option is to use some form of nicotine replacement product. This could be a nicotine skin patch, chewing gum, nasal spray, inhalator or an e-cigarette. Many smokers have tried these and not found them helpful but this could easily be due to not using them enough or thinking that they are going to be like smoking. They are not the same as a cigarette – the nicotine absorption is typically slower and the smoker is not getting all those features such as the taste, smell and experience of the cigarette smoke going into the lungs that they are used to. The result is that they typically don’t give the same satisfaction as a cigarette – at least not at first. Perseverance and resolve are still needed. It’s also important to say that it is best to use a nicotine skin patch alongside one of the other products – this will do a better job at stopping the craving.

I strongly advise using either Champix or a nicotine product for at least several weeks – it really does make a huge difference; but there are other things you can do to avoid or supress the urge to smoke. Simply staying away from situations where you would normally smoke can limit cravings. When cravings strike it is very important to do something positive – not just wait them out. Simple breathing exercises can help and so can going for a walk or finding something interesting to occupy the mind. Cravings are often worst in the evenings and going to bed early is something a lot of smokers do.

People power

So to stop smoking the goal is to keep resolve high and minimise urges to smoke. There are lots of ways of doing this and some will work better with some people than others. Going to see a qualified stop-smoking practitioner can help you decide what method will work best for you. They will also be able to give you that extra resolve you might need, make sure you are using your medication or nicotine product to best effect and help you deal with any unforeseen problems you might encounter. In Wales, getting to see a practitioner is really easy. Just call Help Me Quit on 0800 085 2219 or click here.

For more information on the best ways of stopping smoking you can read The Smoke Free Formula (Orion Publishing) , and for a lively introduction to the topic of motivation you can read Energise: The Secrets of Motivation  (Silverback Publishing).