Hooked, trapped, desperate—Oh these words are so heart wringing. Are those that utter these soul-searing cries being tied up by their thumbs? Or have they fallen down an old mine shaft?

Well, umm, no, they have… well they have made a decision to become hooked, trapped and desperate.

See the news blog tumbling out... Scottish smokers, hooked on their smoking addiction have vowed to fight the smoking bans.

Read the Press Release from the pharmaceutical company announcing… Smokers trapped by their smoking addiction are offered a new drug.

Hear the media babbling… Britney Spears' man is desperate to quit smoking for the sake of their children.

I bet if you are a smoker, you don't really use these strong words… more like, "I'd really like to quit, but I enjoy smoking, or, I've tried to quit but it's too hard, or, I want to quit, but I'm so addicted I don't think I can, or, I'm too scared, what if…" and so on.

But are smokers totally at the mercy of their habit and spinelessly despairing of escaping its bonds? Would they describe their smoking addiction like that? Trapped? Trapped by a chemical and emotional fix? They're not trapped by their decision, that's for sure, because we all have the ability to make our own decisions, yes or no as we wish.

A person makes a decision to try smoking. For some that leads to more decisions to reach out and take more cigarettes maybe a week or so later. Then some more, then pretty soon as the nicotine gets its grips into the brain's receptors, the person finds it becomes harder and harder not to go out of his or her way to acquire cigarettes to smoke… and hey presto, because of their decisions, they are now supposedly a hooked, trapped smoker, and if they want to quit, they are desperate.

But it still comes down to a decision to smoke. Every time a smoker lights up it is a decision they have made. A simple, personal decision, along with 1000's of other decisions each day that make up that person's character, lifestyle, mood, health and future.

A daily decision to get out of bed is made.

A decision not to have another helping of food is made.

You decide to clean the house, take the dog out in the rain, stack the dishes, and sort out your accounts for tax.

You don't dwell on how you'll miss lingering in your warm bed, or how you'll suffer without more food, or how unpleasant it will be to walk the dog in the rain, do the dishes, tax etc.

No, with unpleasant decisions you simply do what needs to be done because the consequences not to would be worse.

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People who are trying to quit smoking cigarettes use nicotine chewing gum. It is a substitute for oral activity and provides a source of nicotine that reduces the withdrawal symptoms experienced when smoking is stopped. However, some people who have successfully stopped their smoking habit are turning out to be addicted to the nicotine gum itself.  

We don't have to fully understand all the hazards that smoking cigarette brings just for us to realize that indeed we need to quit the habit. And those in the know say that cigarette smoke has over 4000 chemicals in it, 40 of which are known carcinogens. On top of that, at least 200 of those chemicals are flat out poisonous. Inhaling second hand smoke kills, that is why smokers are in greater risk of its hazardous effects because they breathe in both mainstream and sidestream smoke. And while cigarette smoke is worse than nicotine in itself, it does not discount the fact that nicotine is a harmful drug.

Long term use of nicotine may lead to cancer. It also affects how our bodies function by putting stress on the heart and increases blood pressure. According to the reports of The Journal of the American College of Cardiology, nicotine harms the linings of our arteries which leads to the build-up of plaque, thus, increasing the risk of heart attack and stroke. Moreover, nicotine suppresses insulin output creating a hypoglycemic condition. 

Nicotine chewing gum is a nicotine replacement therapy (NRT) product. It can be a perfect quit aid for some people as it already helped many thousands of people stop smoking successfully. It isn't easy to quit from smoking and having a wide variety of quit aid options to get clear of this addiction ultimately means more lives saved. 

However, some quitters are getting addicted to the nicotine chewing gums and lozenges that they find it hard to quit from the new habit. 

NRTs are not intended for long-term use. It is not only expensive to maintain but the gum can also potentially stick to and damage dental work. Pregnant and nursing women, as well as people taking certain medications may also be advised against using nicotine products due to the side effects such as headaches, hiccups, sore jaw and hives.

Though chewing a couple of pieces of nicotine gum everyday is a much better choice over smoking a stick of cigarette, treat it the way you would a prescription drug. Use it as per instruction by your doctor and follow the product directions. Proper use can ease the discomforts of recovery from nicotine addiction. Everything in life has some level of risk. NRT’s are not excluded. 

Be sure to wean yourself off of the product in the time period suggested. Remaining dependent on nicotine, regardless of the form it comes in, may lead to an increased risk of a smoking relapse. Moreover, as in the case with habit-forming drugs, tolerance will increase over time and so will the intake. 

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The reasons for initially trying different socially acceptable legal drugs (e.g. alcohol, cigarettes, etc.), and/ or illegal drugs, or for that matter any addictive behavior involvement (e.g. gambling, binge-eating, etc.) are multi-factored (e.g. peer-pressure, boredom, etc.). In the twentieth century approximately 65% (Helzer et al., 1990) of healthy American individuals (born in a family--free from a history of substance abuse for example, and raised in a positive environment with positive values and conditioning) experiment with underage drinking and possibly smoking cigarettes at least once as adolescents or during a “college dorm - binge drinking” - phase of life.

Because human behavior is so complex, an attempt to understand the reasons individuals continue to use, and/ or abuse themselves with substances and/ or maladaptive behaviors to the point of developing self-defeating behavior patterns and/ or other life-style dysfunctions or self-harm is enormously difficult to achieve. Many researchers therefore prefer to speak of risk factors that may contribute, but not be sufficient to cause addictions. They point to an eclectic bio-psychosocial approach that involves the multi-dimensional interactions of genetics, biochemistry, psychology, socio-cultural, and spiritual influences.

Risk Factors / Contributory Causes / Influences:

1. Genetics (family history) – is known to play a role in causing susceptibility through such biological avenues as metabolic rates and sensitivity to alcohol and/ or other drugs or addictive behaviors.

2. Biochemistry – the discovery of morphine-like substances called endorphins (runners high, etc.) and the so-called “pleasure pathway” – the mesocorticolimbic dopamine pathway (MCLP). This is the brain center or possible anatomic site underlying addictions at which alcohol and other drugs stimulate to produce euphoria – which then becomes the desired goal to attain (tolerance – loss of control – withdrawal).

3. Psychological Factors – developmental personality traits, vulnerability to stress, and the desire for tension and symptom reduction from various mental health problems and traumatic life experiences.

4. Socio-cultural/ Spiritual Factors – cultural attitudes, marital, relational, legal, financial, and religious psycho-social stressors (etc.), along with the existence of a so-called drug culture that promotes the availability of alcohol and other drugs and/ or addictive behaviors as tension reducers and/ or pain relievers.

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