Which combination is recommended for nicotine dependence cessation?

Which combination is recommended for nicotine dependence cessation?

• A. CBT alone without nicotine replacement.
• B. Bupropion alone without behavioral support.
• C. Varenicline in combination with NRT.
• D. CBT plus nicotine replacement therapy, along with counseling/hotline support.

Answer: (D)

Nicotine dependence involves both a physical withdrawal component and behavioral cues that trigger use. The most effective cessation approach combines pharmacologic support with behavioral strategies and ongoing encouragement. Nicotine replacement therapy eases withdrawal and cravings by providing a lower, controlled nicotine dose, while cognitive-behavioral therapy teaches you to recognize triggers, develop coping plans, and handle high-risk situations. Adding counseling or hotline support gives ongoing encouragement, accountability, and help staying on track. Together, CBT with nicotine replacement and structured support consistently yields higher quit rates than either component alone or without support.

Nicotine dependence involves both a physical withdrawal component and behavioral cues that trigger use. The most effective cessation approach combines pharmacologic support with behavioral strategies and ongoing encouragement. Nicotine replacement therapy eases withdrawal and cravings by providing a lower, controlled nicotine dose, while cognitive-behavioral therapy teaches you to recognize triggers, develop coping plans, and handle high-risk situations. Adding counseling or hotline support gives ongoing encouragement, accountability, and help staying on track. Together, CBT with nicotine replacement and structured support consistently yields higher quit rates than either component alone or without support.