Statistics in Mental Health Smoking is prevalent by up to two to three times more among person labelled with a psychiatric disorder than the overall population. It is five times higher in those diagnosed with schizophrenia, bipolar disorder, post-traumatic stress disorder (PTSD), and alcohol/substance misuse disorders (Prochaska et al 2017). Nicotine and the Nervous Systems Nicotine affects the nervous systems and stimulates awareness, attentiveness and is an appetite suppressant (NIDA, 2019). - Sounds wonderful righ t - It is absorbed in the bloodstream and partly metabolized by the liver and the kidneys and expelled in the urine (NIDA, 2019). - It leaves the body you say, Great! - - Think again - Nicotine raises levels of fatty acids, glycerol, and lactate in the Blood, thus increasing the risk for atherosclerosis and cardiac muscle disease. In simple terms, it increases your chances of your arteries becoming hard and your heart muscle enlarging and going stiff, so it just won’t PUMP Blood efficiently enough. - AGHHH I’m running out of Oxygen stiff - The long-term effects of smoking are numerous, including emphysema, lung cancer and the above mentioned. Tolerance and Addiction Some Facts: • Smoking is as addictive as other drugs ( Boyd and Luebbert 2019) • Most who quit return to smoking within one year (Nida, 2018) Nicotine withdrawal and quitting smoking Those attempting to quit may be familiar with withdrawal symptoms; the mood swings, occasional cravings, anxiety, irritableness and depression (Nervous system, hormones). It also may affect sleep, causing disturbances, impair concentration, and pilling on the weigh again as the appetite returns as well as other unfavourable symptoms- - complete reversal, Great! - What now?