Let’s get real — most people who struggle with addiction or mental health issues also smoke. Not because they’re weak, but because nicotine is a highly addictive substance. Smoking becomes the crutch, the coping mechanism, the thing that gets you through the chaos. Sometimes at a significant cost to your health.
At iRely Recovery, we know you’re capable of more. If you’re trying to quit or are ready to deal with the nicotine alongside other challenges, you’re in the right place.
KEY POINTS
- Nicotine is a fast-acting, highly addictive stimulant found in tobacco products like cigarettes, vapes, and e-cigarettes.
- It alters brain chemistry by boosting dopamine, creating strong dependence, and making it difficult to quit.
- Nicotine addiction is one of the most widespread and underestimated forms of substance dependence, deeply linked to emotional coping, stress, and routine.
- iRely Recovery offers comprehensive, evidence-based rehab for cigarette addiction, with personalized treatment plans to support long-term smoking cessation in a recovery-focused, smoke-free environment.
What Is Nicotine?
Nicotine is a powerful, fast-acting chemical compound found naturally in tobacco plants.[1] It acts as a stimulant, meaning it speeds up messages between the brain and body, giving users a quick burst of energy, focus, or calm, depending on their state.
When inhaled through cigarettes or vapes, nicotine enters the bloodstream within seconds and reaches the brain almost immediately. There, it stimulates the release of dopamine and other neurotransmitters that regulate mood and emotion.
The stimulation and release of dopamine is what makes nicotine feel instantly rewarding, but it’s also what makes it incredibly addictive. While nicotine is often viewed as less dangerous than other substances, the dependency it creates is real and often underestimated.[2] Over time, the brain becomes dependent on those bursts of dopamine, making it harder to feel “normal” without a cigarette or vape.
Many people who struggle with addiction or mental health challenges smoke as a way to cope with stress, anxiety, depression, or cravings from other substances. It’s legal, easily accessible, and socially tolerated, so it often goes unnoticed. But long-term nicotine use can have serious effects: it raises heart rate and blood pressure, disrupts sleep, and can worsen symptoms of anxiety. And because it’s so often tied to routine or emotional relief, quitting isn’t just about breaking a habit — it means learning how to deal with life’s stressors in a healthier way.
Nicotine Addiction and Abuse
Nicotine addiction is one of the most common — and underestimated — forms of substance dependence.[3] Whether through traditional cigarettes, vapes, or chewing tobacco, nicotine quickly creates a cycle of craving, use, and withdrawal that can be incredibly hard to break. People often start smoking to relieve stress or fit in socially, but over time, it becomes less of a choice and more of a need.
As tolerance builds, the brain and body adapt to expect regular nicotine intake just to function normally.[4] This is what makes quitting so difficult, even when someone genuinely wants to stop using it. For those also navigating mental health challenges or other substance use, nicotine use can become deeply ingrained in daily routines and emotional coping. At iRely, we understand how layered nicotine addiction can be, and we treat it with the same attention and respect as any other substance — because healing from it is just as important.
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How Common is Smoking Cigarettes?
Smoking cigarettes is still incredibly common. Tobacco use remains the leading cause of preventable disease and death in the United States. As of 2022, nearly 1 in 5 adults (about 49.2 million people) in the US reported current tobacco product use, including smoking cigarettes and vaping.[5]
For many, especially those struggling with mental health conditions, smoking is tied to cravings, withdrawal symptoms, and deep-seated nicotine dependence. At iRely Recovery, we understand how closely tobacco addiction connects with substance use disorders, stress management, and co-occurring challenges like alcohol addiction, opioid use, or depression.
Our rehab programs offer behavioral therapy, CBT, and support groups in a smoke-free, recovery-focused environment in sunny southern California. If you or a loved one is ready to quit smoking and reclaim your health, our treatment center is here to walk that path with you.
Treatment Modalities For Nicotine and Smoking
Overcoming nicotine addiction takes support, strategy, and evidence-based care. At iRely, we understand that smoking cigarettes or using tobacco often runs deeper than just habit. That’s why our treatment approach blends clinical expertise with whole-person healing:
- Acceptance and Commitment Therapy (ACT): Helps clients build psychological flexibility and reduce avoidance by connecting with their values and committing to healthy change.
- Adventure Therapy: Engages clients in outdoor or experiential challenges to build resilience, trust, and personal growth.
- Cognitive Behavioral Therapy (CBT): Focuses on identifying and changing the thought patterns and behaviors that drive nicotine use.
- Dialectical Behavioral Therapy (DBT): Offers tools for emotion regulation, distress tolerance, and managing urges tied to smoking.
- Experiential Therapy: Uses creative or action-based methods (like art, movement, or role-play) to process emotions linked to nicotine dependence.
- Family Therapy: Addresses the impact of tobacco use on loved ones and strengthens communication and support systems.
- Group Therapy: Offers a safe and supportive space to share struggles and progress with others who are on a similar path.
- Individual Therapy: Offers personalized sessions focused on the unique emotional, mental, and behavioral aspects of nicotine addiction.
- Mindfulness-Based Therapy: Teaches awareness and presence to manage cravings and reduce reactive smoking behaviors.
- Motivational Interviewing: Builds internal motivation for change by exploring ambivalence in a nonjudgmental setting.
- Recovery-Oriented Treatment: Encourages long-term healing by focusing on strengths, personal goals, and community-based recovery.
- Somatic Experiencing Therapy: Supports nervous system regulation by addressing the physical effects of stress and trauma stored in the body.
- Trauma-Informed Care: Creates a safe, empowering environment for clients with past trauma that may contribute to tobacco use.
Frequently Asked Questions About Smoking Rehab
Is There a Rehab for Smokers, and Can You Go to Rehab for Cigarettes?
Yes, there is rehab for cigarette addiction, and smoking cigarettes is a common reason people seek treatment. At a treatment center, rehab programs specifically designed to address nicotine addiction offer a comprehensive approach to smoking cessation. Residential treatment for cigarettes focuses on both physical and psychological support, ensuring that clients have the tools they need to quit smoking for good.
What Treatment Options are Available at Rehab for Cigarette Addiction?
Smoking cessation programs offer a range of evidence-based treatment options to help individuals tackle their nicotine dependence. These may include inpatient detox to manage nicotine withdrawal and support through medications like bupropion. Behavioral health therapies such as Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Motivational Interviewing are used to help clients identify triggers and learn how to cope with the urge to smoke. Patients also benefit from support groups, educational sessions, and personalized treatment plans tailored to address co-occurring mental health conditions like anxiety or depression that may fuel their smoking habits.
Can rehab help with quitting vaping or e-cigarettes?
Absolutely. Whether you’re trying to quit smoking, vaping, or both, cigarette rehab to quit smoking addresses the addictive nature of all nicotine-based products. Treatment centers offer programs that help with nicotine dependence, whether it’s from cigarettes, e-cigarettes, or vaping.
Clients can expect to receive a combination of inpatient care, smoking cessation programs, and outpatient treatment to break free from nicotine. Using nicotine replacement therapy (such as lozenges or nasal sprays) and behavioral therapy to manage cravings, withdrawal symptoms, and triggers, participants are empowered to overcome the addiction to tobacco and nicotine in all forms, improving their overall wellness and mental health.
Sources
[1] Nicotine and tobacco: MedlinePlus Medical Encyclopedia. (2016). Medlineplus.gov. https://medlineplus.gov/ency/article/000953.htm on May 21, 2025
[2] FDA. (2021). Nicotine Is Why Tobacco Products Are Addictive. FDA, 1(1). https://www.fda.gov/tobacco-products/health-effects-tobacco-use/nicotine-why-tobacco-products-are-addictive on May 21, 2025
[3] World Health Organisation. (2023, July 31). Tobacco. World Health Organization; World Health Organization. https://www.who.int/news-room/fact-sheets/detail/tobacco on May 21, 2025
[4] NIH. (2019, November). Mind Matters: The Body’s Response to Nicotine, Tobacco and Vaping | National Institute on Drug Abuse. National Institute on Drug Abuse. https://nida.nih.gov/research-topics/parents-educators/mind-matter-series/nicotine-tobacco-vaping on May 21, 2025
[5] Centers for Disease Control and Prevention. (2024, September 17). Current cigarette smoking among adults in the united states. Smoking and Tobacco Use. https://www.cdc.gov/tobacco/php/data-statistics/adult-data-cigarettes/index.html on May 21, 2025


