Smoking: Additional reasons why it’s SO hard to quit


Nicotine and
self-medication

NOT what you think this post is going to be about!

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Another post in the Walking A Mile in Another’s Shoes Series

It’s National Cancer Prevention Month!
American Institute for Cancer Research

A relatively new study on nicotine and self medication (linked below in the Related Content) prompted me to revisit the topic of smoking.

Why do so many of us continue to do it?

WHY does it seem to be so difficult to put those smokes down — despite the black-box warnings that now come on every pack sold in the USA?

Science rings in

The link between self-medication and smoking really isn’t news to me, by the way, but some scientific validation is always reassuring.

An article I published early-ish in 2013 can be found HERE – where I discussed the relationship between nicotine’s psycho-stimulation, the brain, and the concept of “core benefits.”

For those of you who enjoy a bit of sarcasm with your information, it’s written in a rah-ther snarky tone toward the self-righteous – who, because of the way the brain responds, actually make it more difficult for people who need to quit with their nags and nudges.

Even if you don’t, you’ve probably never come across this particular point of view anywhere else as an explanation for why it can be such a struggle to quit — especially for those of us who are card-carrying members of Alphabet City.

I’ll give you just a little preview of what I mean by “snarky” below
(along with Cliff Notes™ of most of the info, for those of you with more interest than time).


HOLD YOUR HORSES!!

Sit on your hands if you must, but do your dead-level best to hear me out before you make it your business to burn up the keyboard telling me what I already know, okay?

I PROMISE YOU I have already heard everything
you are going to find it difficult not to flame at me.

There is not a literate human being in the United States (or the world) who hasn’t been made aware of every single argument you might attempt to burn into the retinas of every smoky throated human within any circle of influence you are able to tie down, shout down, argue down or otherwise pontificate toward.

NOW – can you listen for once?  I’m not going to force you to inhale.  I’m not even trying to change your mind. I would like to OPEN it a crack, however.

If you sincerely want to protect your friends and loved ones while you rid the world of the deleterious effects of all that nasty second-hand smoke, wouldn’t it make some sense to understand WHY your arguments continue to fall on deaf ears?

Unless you truly believe that saying the same thing for the two million and twenty-second time is going to suddenly make a difference —

or unless you don’t really care whether people stop smoking
or not as long as you get to rant and rave about it

 — wouldn’t it make some sense to listen for a moment to WHY some of the people are still smoking?

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Smoking and ADD/ADHD


Core Benefits

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Another post in the Walking A Mile in Another’s Shoes Series

free-clipart.net

Bear with me, ok?  I’m not arguing FOR smoking.

I’m not PLANNING to argue FOR smoking.
Only an idiot would argue for smoking!

But it is NOT also true that only an idiot would smoke.

HOLD YOUR HORSES!!

Sit on your hands if you must, but do your dead-level best to “hear me out” before you make it your business to burn up the keyboard telling me what I already know, ok?

I PROMISE YOU I have already heard everything
you are going to find it difficult not to flame at me.

There is not a literate human being in the United States that hasn’t been made aware of every single argument you might attempt to burn into the retinas of every smoky throated human within any circle of influence you are able to tie down, shout down, argue down or otherwise pontificate toward.

NOW – can you listen for once?  I’m not going to force you to inhale.  I’m not even trying to change your mind. I would like to OPEN it a crack, however.

If you truly want to get rid of the deleterious effects of all that nasty second-hand smoke, wouldn’t it make some sense to understand why your arguments continue to fall on deaf ears?

Unless you truly believe that saying the same thing for the two million and twenty-second time is going to suddenly make a difference —

or unless you don’t really care whether people stop smoking
or not as long as you get to rant and rave about it

wouldn’t it make some sense to listen for a moment to WHY some of the people are still smoking?

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ABOUT ADD Comorbidities


Cormorbid or Co-occuring?

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC

Wait!  Doesn’t comorbid mean
co-occuring?

Not exactly. Comorbidity refers to a specific KIND of “co-occurance.”

A comorbid disorder refers to additional conditions or syndromes or disorders frequently found in a specific diagnostic population.

In other words, we’re talking about accompanying conditions that are not part of the diagnostic criteria for the “main” condition, but are frequently seen in that particular population of individuals.

From a behavioral standpoint, these additional conditions occur sometimes with similar or overlapping symptoms, and sometimes they show up with additional symptoms – those not necessarily seen in those with the original or “base” diagnosis.

The overlap may reflect a causal relationship between the two diagnoses, and they may relect an underlying vulnerability in common, but the important concept is that they co-occur more frequently in our “target population” than in population norms otherwise, and to a statistically significant degree.

So, even if an entire hotel full of ADDers happens to be diabetic as well, we still would not say their diagnosis was ADD with comorbid diabetes, because the two conditions haven’t been proven to occur in tandem any more frequently than the incidence of diabetes in the general (non-ADD or “vanilla”) population.

So, in this example, the two conditions are co-occuring, NOT comorbid, even though it may not look that way to anyone staying in this particular hotel!

Muddying the waters further, the statistics change depending on which end of the diagnostic telescope you look through. For example, up to 60% percent of children with tic disorders also have ADD, but nowhere near 60% of ADDers have tic disorders.

The high possibility of comorbidities is yet another good reason to make sure you get an excellent differential diagnosis — but the articles in the Comorbidities Series are going to look at some of the diagnoses that frequenly hitch-hike along with ADD through another lens: SUCCESS!

Developing person-specific work-arounds and interventions to help you achieve that blessed state of Optimal Functioning that I believe is our birthright comes through identifying, understanding, and learning to work with and work around ALL of the “mix-ins” in your particular flavor of ADD.

“Learning to drive the very brain you were born with
– even if it’s taken a few hits in the meantime!”™

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ADD Overview V: Red Flag Warnings


CLICK HERE FOR the first article in this series

ADD/ADHD/EFD
Red Flags

by Madelyn Griffith-Haynie, CTP, CMC, ACT, MCC, SCAC
Final article in a 5-Part Series 

NOTE: This is NOT an “Am I dealing with ADD/HD?” list.

These items are not the same thing as diagnostic criteria.

HOWEVER, if you are wondering if ADD or ADHD might be a factor in some of your life-long struggles (or those of a loved one), take a look at this list.

Keep in mind: an instance or three is NOT necessarily an indication of a problem, or a reason to suspect that your preferences (or those of a loved one) are maladaptive.

The presence of more than a few of the Red Flags, or a great many examples of one or more of the items below is, however, a signal to you that looking more closely at the possibility of an ADD/ADHD or EFD diagnosis might be warranted.

Remember that you can always check out the sidebar
for a reminder of how links work on this site, they’re subtle ==>

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