DSM-IV-TR

• 305.1 Dependence
• 292.9 -Related disorder NOS
• 292.0 Withdrawal
Outline

I. Intro (5 mins)

A. Video of Katherine Heighl and E-cigarette

B. Discussion of Video

 Characteristics smokers share, along with Heighl, that keep them

hooked

 Do you find it shocking that a rich celebrity finds it so hard to quit?

 Reasons why you shouldn’t…

C. Statistics

 According to

 NIH-

 How many times people quit

 70% of smokers say they quit


II. Why is it so difficult to quit? (Eva)/ Psychobiological development

a. Take a puff…

1 Anatomy and physiology of how smoking/inhalation affects the

body

1. Lungs

2. Brain

b. Neurotramitter=Nicotine

1. Nicotine and your brain

2. Start of addiction- hooking you in

3. What behaviors this leads to….

III. Psychological perspective development of disorder

a. Classical Reinforcement- conditioned response to smoking after 1st try

1. Bc nicotine gets in your brain within 7 seconds of lighting up

b. Psychological benefits

1 Nicotine makes you feel better-

2 Loss of appetite

c. Who do smoking companies aim at?

1 Teenagers- their brain is susceptible to marketing and they don’t

make good decisions

2 Good ploy bc they are hooked for life

IV. Acting Scene- patient with doctor/psychologist

a. What symptoms are you having?

b. How do you feel since you haven’t smoked for two days?

c. Reasons patient gives not to quit?/withdrawal symptoms

  Anxiety

 Overeat

 Depression

 Nervousness

 achiness

VI. Biological Treatment

1. Nicotine Replacement- Historically the longest therapy on the market

2. Buprioprion

3. Chantix

4. How they effect neurotransmitters/decrease behavioral symptoms?

2nd Acting Scene

So I’ve prescribed this drug for you, do you have cravings as often?
Are you getting any sideeffects?
Oh no! Lets try ….instead. Here’s our action.

5. Their side effects- behavioral….

VII. Psychological treatment (Kalpana)

1. Characteristics of Addition- behavioral aspect

2. Psychiatric support

3. Familial support

4. Reinforcement over long term

1. The longer you’ve been smoking the harder it is to quit

Ending Acting Scene: As a family we will support you…Ok I’ll try my best to quit.
Today is the day!
…black screen… 3 months later the smoker went back to her old habits. The quitting
attempt was unsuccessful despite the support.
VIII. Conclusion

A. How does smoking complicate a person’s life?

B. Why you should quit?

C. New therapies in the future will help people fight the addiction…

D. Summary with catchy phrases

a. next time a friend offers you a cigarette, remember how it will effect you both

b.

psychologically and biologically. The nicotine will rush to your brain. Triggers in
the future will keep up cravings. Unfortunately, if it becomes a lifelong habit your
money and health go down the toilet.

Powerpoint

In case you missed it…

Chart: Biologically effect vs psychological effect
-Neurotransmitter= nicotine
-smoking reinforcement= more nicotine neurotransmitter
*Between 19-20 mins total
* Mention resources 3+
*we all must pull together sources and put it in a power point as well as print out a
hardcopy for Professor.

Cognitive development therapy