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James, age 19, has tried to quit smoking several times, but hasn’t succeeded.

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He’s now dating a woman who is allergic to cigarette smoke, so James decided to seek professional help.

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His therapist conducted an initial interview to determine the reasons why James wants to quit smoking.

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and to identify the situations that trigger the most intense craving for a cigarette.

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Then the therapist devised a treatment plan. At each treatment session,

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James was required to smoke cigarettes two at a time, consuming eight cigarettes in the amount of time

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he usually spends smoking one or two cigarettes. The sudden rush of nicotine to his brain made James dizzy.

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His heart began to race and he felt nauseated.

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After five sessions, James was finally able to quit smoking.

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He still feels an occasional craving for a cigarette, but when he picks up the cigarette, he feels sick.

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So he’s able to put the cigarette down and do something else instead.