Everyone is familiar with the devastating physical effects of smoking. However, what people don’t think about is psychological effects. These include mood and behavior changes and mental health.
How It Works — What Are the Effects of Nicotine on the Brain?
When  a person inhales the smoke from a cigarette it hits the lungs within 10  seconds. The nicotine from the cigarette begins to cause a series of  reactions. It increases the levels of chemicals called dopamine and  epinephrine.
When the body releases epinephrine, or adrenaline, in high 
concentration, the blood pressure, heart, and breathing rate all 
increase. This makes the person feel energized and alert. This is what 
creates the “rush” or a nicotine buzz.
The first few times a  person smokes a cigarette, he or she experiences a “smoker’s high.” This  is a short buzz with lightheadedness, an elevated mood, and a general  feeling of pleasure.
Why Do People Become Addicted to Smoking Cigarettes?
People
 become addicted to cigarettes because they think they’ll get the same 
buzz every time they smoke one. What they don’t realize is that because 
of nicotine’s mental effects, they’ll never get the same rush as their first cigarettes.
This
 is because that first cigarette raised the brain’s expectations of what
 pleasure should be. A person then attempts to reach this same level of 
pleasure by smoking another cigarette and another. Then, they’ll smoke a
 few more. However, that person’s “pleasure threshold” has already been 
raised. As a result, that same release of dopamine no longer brings him 
or her as much pleasure as it did. This is just one of the psychological
 effects of nicotine.
This is also what it means to say someone is “chasing a high”.
 It’s because the person is chasing something he or she will never 
“catch” again. However, the smoker doesn’t necessarily see it that way 
because of the mental effects of tobacco cigarettes.
If no cigarette will ever be as “pleasurable” as the first, why do people claim to feel so “relaxed” after?
Smoking and Drinking – Their Combined Effects on The Body
While
 both activities are plenty dangerous all on their own, many people 
smoke and drink alcohol in tandem. There are various reasons for that. 
For one, those who are used to lighting up whenever they have a drink 
may come to associate alcohol with tobacco. This can lead to cravings 
for a cigarette any time alcohol is consumed and vice versa – smoking 
may come to trigger cravings for alcohol.
Stress is also a factor, as both tobacco products and alcohol are known for their (temporary) stress reducing qualities.
Double the unhealthy actions, means double the risk. However, studies have shown
 that those who drink are more likely to crave tobacco products. Even 
those who are only social smokers, meaning they only light up in certain
 social situations, are more likely to smoke while drinking.
That’s  because both alcohol and tobacco affect the brain in similar ways.  Having one can easily lead to cravings or thoughts of the other. Even  when people are going through the alcohol rehab (inpatient, in the vast  majority of cases), they are encouraged to quit smoking too, since  smoking serves as a trigger to drinking behaviors.
Nicotine’s Effects on Mental Health
According to the Centers for Disease Control, 31% of all smokers are adults with a mental illness.
These
 illnesses can include depressive disorders, bipolar disorders, and more
 severe psychotic disorders which require hospitalization. Like all 
other smokers, these people are at an increased risk for smoking-related
 diseases, such as lung cancer and cardiovascular disease. There are 
also additional risks and effects of smoking, however. Tobacco use may 
affect treatment for some mental illnesses, as the nicotine can react 
with medications the patients are taking to treat their mental 
illnesses.
People who are addicted to smoking often justify their habit by saying things like:
It helps with my anxiety because it relaxes me, It helps me deal with stress because it calms me down.
People  who are addicted start to believe that they are self-medicating. In  reality, the only thing they are “treating” when they smoke a cigarette  is the nasty symptoms of nicotine withdrawal. Therefore, those people  are treating something that would not be there if they hadn’t started  smoking in the first place. A study from the Institute of Medical  Psychology and Behavior Neurobiology at the University of Tubingen in  Germany supports this idea.
Nicotine & Stress
Smokers often have a cigarette either 
during or immediately after a stressful event or situation. The act of 
smoking and the rituals associated with it seem to relieve stress 
temporarily, which is something the best vapes can replicate. It leads 
them to believe smoking actually reduces stress levels. In fact, the 
only things they are alleviating are the withdrawal symptoms of 
nicotine.
The more nicotine people ingest into their bodies, the 
more they need to feel normal. This is why smokers seem to become 
irritated and angry at increasing intervals throughout the day. This 
anger can cause people to say or do harmful things to themselves and 
others.
Still not convinced…?
Because smokers use 
cigarettes to relieve stress, they begin to lose their ability to 
actually cope with stress. After a while, their answer for everything is
 smoking a cigarette instead of dealing with the underlying issues. 
Coping with stress is a mental skill. If people don’t use it, they lose 
it.
Nicotine & Anxiety
Nicotine’s
 relationship to anxiety is similar to its relationship with stress. 
Anxiety is also a withdrawal symptom that tends to happen within hours 
of a person’s last cigarette. For heavy smokers, these withdrawal 
symptoms can occur much earlier.
Everyone knows smoking can lead 
to decreased lung function. What they don’t know is how having unhealthy
 lungs can worsen certain symptoms of anxiety. When a person’s lungs 
don’t work properly, he or she may breathe faster than normal. This is 
to compensate for the lack of oxygen getting to the brain and heart. 
This, along with frequent coughing, can cause a person to 
hyperventilate.
Hyperventilation
 is a common trigger for panic attacks and other symptoms of anxiety. 
They include rapid heartbeat, chest pains, shortness of breath, and 
lightheadedness. These symptoms can, in turn, create even greater 
feelings of anxiety. As a result, they may lead to the development of a 
panic disorder.
The Effects of Nicotine on People Who Suffer from Mental Illness
According
 to researchers at the Centers for Disease Control and Prevention, 
people who suffer from mental illness are 70 percent more likely to 
smoke than those who don’t.
Depression
There are many 
factors determining who does and does not develop mental illnesses like 
depression. Many believe nicotine is a direct cause of depression. This 
is due to nicotine’s effects on the dopamine levels in the brain.
Smoking
 tobacco may temporarily increase levels of dopamine. Therefore, it 
increases a person’s feelings of pleasure and well-being.
Eventually,  these levels fall to abnormally low levels, causing the person to feel  unhappy. If this pattern continues for days, weeks, or months at a time,  the person’s dopamine pathways stop working normally. This is why one  of the negative effects of nicotine is the development of mood disorders  such as depression.
Schizophrenia
According to the Royal College of Psychiatry, 
90 percent of people with schizophrenia smoke. This may be because 
people with schizophrenia smoke in an attempt to manage the symptoms of 
the disease.
Or it might be to counteract side effects of their  medication such as restlessness, tremors, and muscle spasms. Some  studies have even shown smoking to have positive effects on attention,  working memory, and reflexes in people with schizophrenia.
Suicide
According to the CDC, suicide is the 10th leading cause of death in the United States. In 2013, there were 41,149 suicides.
Some
 of the neurochemicals released while smoking are considered to be 
psychoactive, and can modulate behavior. This issue is the basis of a 
new study which demonstrates that smoking may cause psychosis. This reasoning supports the mounting evidence which suggests that smoking actually increases the risk of suicide.
It
 has been well-documented in the past that there is a strong 
relationship between smoking and mental disorders. However, it was 
previously assumed that those already suffering from mental disorders 
were more attracted to smoking.
This new evidence demonstrates 
that there is an opposite relationship where smoking actually creates 
the risk of psychiatric disorders. Increasing the risk of worsening 
psychiatric disorders, it also increases the risk of suicide.
Since
 smoking can physically change the structure of your brain, it must be 
acknowledged that smoking can also control or manipulate behavior. We 
are asking that everyone come together to help detour those at risk of suicide by educating them and supporting them in their efforts to quit. Supporting this cause may save a life, maybe someone’s very close to you.
Ways to Quit
For
 smokers, quitting can seem incredibly intimidating. Every smoker knows 
what happens when he or she goes without a cigarette for too long. 
Feelings of anxiety, frustration, and anger begin to emerge. That person
 becomes quite obsessed with the thought of smoking. This is what makes 
it so hard to quit.
Some patients who suffer from one form of 
mental illness or another begin smoking within the walls of a mental 
health treatment facility. These facilities often allow patients to 
smoke on the premises, and some even offer tobacco products as rewards 
for good behavior. The health implications of these actions have been 
largely ignored until recent years, as most of the staff’s efforts are 
generally focused on treating the illness.
Many patients recover 
from their disorders well enough to leave the facilities and refocus on 
living a normal life, but once the smoking habit has started, it can be a
 hard one to break. Once the mental illness is under control, many 
sufferers want to quit smoking
 but find that it is more difficult than they imagined it would be. This
 can cause frustration and may hinder the recovery from some depressive 
illnesses.
However, there are things a person can do to make the process easier. They will give him or her a much better chance at success.
Find Other Ways to Deal With Stress
When
 people use smoking as a way of “dealing with” stress, they often forget
 how to do it without nicotine. It can be helpful for people trying to 
quit smoking to research other ways to handle these negative emotions. 
Some useful stress-relief techniques include:
- Breathing exercises 
- Meditation 
- Yoga 
- Aromatherapy 
- Listening to music 
- Getting a massage 
- Talking to someone about the things that may be causing these negative feelings 
- Writing about any negative feelings you may be experiencing 
- Exercising
Take  a journey in your mind. Think of yourself at the beach or in a garden  or the mountains… anywhere you want. Close your eyes and think about  what it would feel like to be there right now. Enjoy all the little  things in this beautiful place.
Avoid Triggers
 Certain people, places, or 
things can make a person crave a cigarette, otherwise known as triggers.
 While triggers can be different for everyone, some common ones include:
 
- Driving
- Overeating
- Alcohol
- A cup of coffee
- Places, like bars, where smoking is common
- Being around friends or family members who smoke
Even
 handling cigarettes, lighters, or matches can be triggered. Finding all
 of the lighters in your house, car, or purse and throwing them away can
 eliminate lots of them.
Be Prepared for the Withdrawal Symptoms
Another way people can increase their chances of success is to 
mentally prepare oneself for the withdrawal symptoms ahead. By doing 
this, people can strengthen their ability to fight off cravings.
Download a Quit Smoking App
Having a quit smoking app is like having a family member, friend and 
quit smoking counselor rolled into one and close at hand. Whenever the 
urge to smoke strikes, a person can reach for their smartphone and get 
help, support and motivation to stay strong.
Go to a Smoke-Free Zone
Take the pressure off, and go somewhere that does not allow smoking. 
If the cravings are getting to be overwhelming, a smoke-free environment
 can be a haven that saves someone from deciding whether to smoke or 
not, because they cannot. Try going to a mall, movie theater, or public 
library and stay there until the cravings subside.
Quit Smoking Medications
Prescription pills are widely available to help people quit smoking. 
They are often recommended for heavy smokers, and they are only 
accessible through a prescription from a doctor. Smokers should ask 
their doctor if quit smoking medications are right for them.
Recovering from Addiction: The Importance of Support
Addiction is a spiritual battle that rages every moment of the
 individual’s life. It is something that twists the soul, deranges the 
mind, and corrupts the heart. However, as millions of addicts around the
 world have come to know – hope is not lost. Recovery is possible for 
all who wish to possess it.
Support is requested by all recovering addicts, and all who are  involved with the process of recovery. With all that has been fought  for, one more fight is needed. That is why it is imperative to  spread awareness on the true effects of smoking. Through education  addicts can recover fully, and ensure the disease remains in remission.
This piece was published by Vaping Daily