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Overcoming Addiction: A Case Report on Tobacco Cessation in a Middle-Aged Man

This case report delves into the intricate journey of MR, a 56-year-old individual deeply entrenched in the struggle to liberate himself from the shackles of a long-standing tobacco addiction. MR's life story is one marked by the persistent grip of nicotine, manifesting in a series of physical and psychological tribulations. Over the years, MR had grappled with irritability, a range of somatic complaints, and recurrent spells of despondency, all intricately interwoven with his compulsive smoking behaviour. Through a series of meticulous assessments, it became apparent that MR's nicotine dependence had escalated to severe levels, profoundly impacting various facets of his life. Unravelling the threads of his history, it was revealed that MR had first turned to smoking as a coping mechanism to navigate the challenging contours of his early adulthood, a coping mechanism that had unexpectedly transformed into a persistent and debilitating addiction. Despite enduring numerous attempts to break free from this deeply entrenched habit, MR found himself perpetually ensnared within a disheartening cycle, one that not only intensified his distress but also perpetuated a sense of profound isolation. Based on the diagnostic framework outlined in the DSM-5, MR was clinically diagnosed with Tobacco Use Disorder, with a particular emphasis on the intricate interplay between the physical and psychological dimensions of nicotine dependence. Central to the formulation of this case was an in-depth analysis of the negative core beliefs and automatic thoughts that perpetuated MR's reliance on smoking as a crutch. The treatment protocol devised for MR seamlessly integrated various evidence-based modalities, including motivational interviewing, cognitive-behavioural therapy, assertiveness training, and comprehensive relapse prevention strategies. In the short term, the therapeutic focus revolved around imparting essential psycho-education to MR and meticulously identifying the triggers that fuelled his dependence. Simultaneously, the long-term objectives centred on fostering a deep-seated commitment to pharmacological adherence and, ultimately, achieving a successful cessation of tobacco consumption. Emphasizing the critical importance of cultural sensitivity and ethical considerations, this report underscores the indispensable need for a holistic, clinet centred approach to smoking cessation. By shedding light on the intricate challenges encountered by individuals ensnared within the clutches of nicotine addiction, this report advocates for a nuanced and empathetic framework that acknowledges the complex interplay between personal narratives and the physiological mechanisms underpinning addiction.

Tobacco Cessation, Nicotine Dependence, Cognitive-Behavioural Therapy, Motivational Interviewing, Dsm-5

Muddsar Hameed, Grana Bangash. (2023). Overcoming Addiction: A Case Report on Tobacco Cessation in a Middle-Aged Man. International Journal of Psychological and Brain Sciences, 8(4), 33-41.

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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