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Smoking and Mental Illness

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Why change smoking habits?

buttonPeople who cut down or quit will have more money to spend on enjoyable things like going to the movies as well as essentials like paying the rent or buying food.

button Diseases caused by smoking are the second largest killer of people who have a mental illness.

button People who cut down or quit smoking may have their dose of anti-psychotic medication reduced.

button People who change their smoking habits get a real boost in their confidence and feel a great sense of achievement.

Why do people with schizophrenia smoke more?
People with mental illness, like many others, often smoke because they have learned to use it as a way of dealing with feelings such as boredom or stress. Also, some chemicals in cigarettes – particularly the highly addictive substance nicotine – may affect the positive and negative symptoms of schizophrenia. As a consequence, smokers generally need higher doses of antipsychotic medication, which can lead to increased side-effects. Some studies show that people with a history of depression need extra support when they try to quit smoking, in particular from a doctor. Some antidepressant medications can make quitting easier for someone who has experienced depression.

Did you know?
Smoking is more common among people with mental illness than the general community. While smoking rates in the general population have fallen to under 20% around 40% of people with mental illness continue to smoke, and around 70% of those with schizophrenia.

What can be done to help?
Most people make a number of attempts before they finally quit smoking. Just as smokers learned to smoke they must also learn to become smokefree and this takes time. Smokers need to make a decision to change their smoking habits. Try writing down the reasons for wanting to change and keep them with the cigarettes. Plan how to quit. find the right support program/person. Use nicotine patches or gum. Ready to quit? Ideas and strategies for how to be a non-smoker are important now. Try talking to other people who have quit smoking, do a Smokefree program, or talk to a doctor or pharmacist.
An enjoyable part of quitting or cutting down is planning how to spend the money previously spent on cigarettes.

Who can help?
It is important to involve a doctor when trying to take control of smoking. Doctors can monitor medication levels and side-effects, advise on anti-depressant medication and advise on use of nicotine patches, chewing gum or a nicotine inhaler. Pharmacists are also a good source of information and support.

How do I find out more?
It is important to ask your doctor about any concerns you have. SANE Australia also produces a range of easy-to-read publications and multimedia resources on mental illness. For more information about this topic see:

- The SANE SmokeFree Zone
Provides practical step-by-step tips for consumers and carers on how to quit smoking.

- The SANE SmokeFree Kit
This revised edition helps people with a mental illness give up smoking. The kit is designed to be used by workers in the drug and alcohol, smoking cessation or mental health fields.

- SANE Guide to Healthy Living
Explains the benefits of being physically healthy, gives tips on how to started becoming healthier and overcome obstacles as well as giving suggestions on finding support to help stay healthy.

- The SANE Guide to Drugs
Explains the relationship between drugs and mental illness and looks at identifying when drug use becomes a problem as well as providing information on how to support someone change their drug use.

To order visit the SANE Bookshop at www.sane.org or call 1800 18 SANE (7263)

 


SANE Australia . . . Smoking and mental illness

©SANE Factsheet 16
adobe_reader_download.gif This Factsheet may be freely downloaded, copied and distributed on condition no change is made to the contents. SANE Australia is not responsible for any actions taken as a result of information or opinions contained in the Factsheet. SANE Australia is a business name of Schizophrenia Australia Foundation.
[Version English, 2005]





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