Nicotine Dependence Treatment unites psychiatry, primary care, and public health to help people quit combustibles and reduce harm from nicotine. We build a clinic playbook that treats tobacco like blood pressure: universally screened, offered treatment every visit, and tracked until success. Begin with simple, opt-out language that normalizes quitting and relapse as part of learning; use 5–10 minute brief interventions and same-day pharmacotherapy starts. Combination NRT, varenicline, or other evidence-based agents are chosen by patient preference, psychiatric comorbidity, and contraindications; counseling (individual, group, or quitline) and digital prompts reinforce skills. If you’re planning a smoking cessation in psychiatry conference, this page provides order sets, dosing tables, and follow-up schedules that fit real clinic flow, plus scripts for motivational interviewing that respect autonomy and avoid shame. Because most tobacco is consumed by people with mental health or SUD conditions, we integrate cessation into depression, anxiety, and SUD pathways so help shows up where patients already are.

Equity and clarity make the difference between intention and success. We hard-wire interpreter access, plain-language materials, evening/tele options, and transport help; we stock starter kits and leverage pharmacy partnerships so the first dose happens today. Safety planning covers withdrawal irritability and mood shifts; for psychotic disorders, we prepare for clozapine/olanzapine level changes when smoking stops. In SUD programs, cessation is framed as supportive, not punitive; contingency management boosts engagement; harm-reduction is addressed with adult-only, risk-proportionate guidance while keeping strict youth protections. For perinatal patients, we coordinate with obstetrics and emphasize smoke-free homes; for youth, school-based programs and family coaching matter. Dashboards track quit attempts, medication coverage, counseling uptake, carbon monoxide or cotinine when appropriate, and disparities by language or neighborhood. For policy alignment, connect with Global Tobacco Control; for psychiatric integration, see Cessation in Mental Illness.