Assessment of Substance Use and Mental Health Disorders
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Tobacco

      Next to caffeine, nicotine is the most widely used stimulant in the United States. In the past few years, there has been a major shift in public attitudes about smoking. Although the Surgeon General's reports on smoking have labeled it a major public health problem for years, only recently has the mystique of smoking and the power of the tobacco industry lobby been broken.

      Cigarettes, the most common delivery method of nicotine, contain over 1200 potentially toxic substances such as tars, benzpyrene, phenols, and carbon monoxide, that cause the serious health consequences, but it is nicotine which is addictive and keeps the smoker hooked long after she/he wants to quit. Nicotine is a central nervous stimulant, and many people report smoking when they need to concentrate, when they need a lift, or when they feel restless or irritable. In short, smoking becomes a coping mechanism for life's stressors for many people, making it doubly hard to quit.

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