A slip is when a smoker who has quit smokes one or two cigarettes. A relapse is when a smoker who has quit returns to regular smoking. It is hard to quit smoking. The
temptation can be very strong. Here you will find strategies to help you avoid slips as well as a relapse. You will also find tips for deciding how soon you will want to try again. This information also applies if you use smokeless
tobacco products, such as chew or snuff.
Most slips and relapses happen during the first week after a
person quits smoking.
Avoiding a slip-up is best. But if you do slip, it's important to
respond to it carefully so you don't relapse.
If you do relapse,
think about what you can learn from it and what you should do the next time you
If you slip or relapse, think about adding a new treatment, such as using medicines or some
kind of nicotine replacement. You might also find it helpful to take part in a
quit-smoking program or to talk to a counselor trained to help people quit
People who relapse after 6 weeks of not smoking usually
don't do it because of nicotine withdrawal. Instead, they relapse because they
find themselves in situations that make them want a cigarette. Learn to
recognize when you might slip or relapse, and plan ahead to cope with those
How can you deal with and avoid slips and relapse?
Certain situations may tempt you to smoke. These are called
triggers. Learn to recognize when you might slip, and
plan ahead to cope with those situations. Think about when you slipped in the
past. You may be more tempted to smoke when you:
Are around others who are
Feel angry or
Are under a lot of stress.
Are at a party.
Have easy access to
Are there other situations that make you want to light up a
Resisting triggers and avoiding relapse
Here are some things that may help:
Write down all of your triggers, and have a plan for your two or three main
triggers. Either avoid the triggers for a while or find a way to cope with
Stay focused on quitting smoking. Don't try to achieve other
goals while you are in the process of quitting. For example, don't try to lose
weight while you are trying to quit smoking.
Reward yourself for
milestones or small successes. This may mean celebrating an hour, a day, or a
week without smoking.
Get support often. Keep in close contact with
those who support your efforts—family, friends, your doctor, or a support
group. You can even pick up the phone and call a support hotline when you feel
Think about the times when you
usually smoked, and find other things to do instead. That may mean changing
your routine, chewing a piece of gum, or doing some other activity that you
enjoy. Be creative.
Don't smoke—not even one drag. If you continue
to slip, one puff can lead to another and another.
treatment, such as medicine, support hotlines, or a support group, if you are
having trouble managing your triggers.
Getting back on track
Avoiding a slip is best. But if you do slip, it's important to respond to
it carefully so you don't start smoking regularly again. Here are some ideas
that may help you get back on track:
Try to figure out why you slipped, and make a plan for what to do the next time that happens.
A slip is a brief return to an old behavior.
You are not a smoker just because you slip up a few times.
think of a slip as a sign of failure. Many people who have quit have a few
slips at some point. Don't give up on your quit goal.
right away from a person or support group you trust.
Make it hard
to smoke. Avoid places where you can easily ask someone for a cigarette. Don't
buy a pack.
If you are tempted to smoke again, make yourself wait 2
hours. Then decide if you really need the cigarette.
Look at your
list of reasons for quitting, and remember why you wanted to quit in the first
place. Then take control again.
Think about past situations when
you were strong and resisted temptation.
Consider using other
resources to help you quit, such as taking medicines or talking to a
support-hotline counselor on the phone.
If you are taking medicine or using nicotine replacement, keep doing so unless you go back to regular smoking. It can help you get back on track.
ByHealthwise Staff Primary Medical ReviewerAdam Husney, MD - Family Medicine Specialist Medical ReviewerJohn Hughes, MD - Psychiatry
How this information was developed to help you make better health decisions.