7.13 Methods, services and products for quitting—Cognitive Behavioural Therapy (CBT)
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Most contemporary interventions for behaviour change are based on Cognitive Behavioural Therapy (CBT), which has a strong research base to demonstrate its effectiveness.253 Many components and techniques make up this approach, and a full description is beyond the scope of this outline.254 Competent practitioners might be psychologists, counsellors, nurses, psychiatrists, GPs, or other health professionals who are trained in their use and in dealing with smoking cessation. Quitline telephone counsellors are also trained in relevant aspects of CBT. Some examples of the techniques used include:
- teaching about aspects of dependence and methods for cessation including pharmacological products
- situational analysis of smoking patterns to identify the cues that trigger smoking (e.g. by keeping a behavioural diary)
- problem solving approaches to develop alternative patterns of behaviour (e.g. eliminate cues to smoking, develop repertoire of incompatible responses)
- cognitive strategies to combat mood changes (e.g. positive self-talk, relaxation training)
- maximising social support for change (cueing family, friends, work colleagues to encourage cessation)
- problem solving strategies to deal with difficult situations (e.g. socialising with friends who smoke, avoiding or moderating alcohol for a period).
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