Quit21

Day 15 after quitting smokingWhat is left is memory

In shortWith no nicotine left in the body, a craving now is a learned response to a cue, such as the end of a meal. Each time a cue fires and no cigarette follows, it weakens. A new situation can bring a strong craving, and that is not a relapse.

What's happening in your body

There has been no nicotine in your body for nearly two weeks, so a craving now cannot be a demand for a missing chemical. It is a learned response. Over thousands of repetitions the brain tied smoking to specific cues, the end of a meal, a car door closing, a certain colleague, and each cue still fires the expectation. A cue that fires and is not followed by a cigarette gets weaker.

That process is called extinction, and two things about it are worth knowing. It only happens in the presence of the cue. And it is new learning laid over the old rather than an erasure of it, tied to the place and the circumstances where it happened.

What to expect

Long quiet stretches, then a sudden strong craving in a situation you have not yet been through without smoking. It can feel like going backwards. It is a first exposure, and first exposures are the strongest. The same goes for an old situation in a new setting.

A craving you have quietened at your own kitchen table can come back at full strength on a friend's balcony, or after a long gap, because what was learned at the table stayed at the table. That is not the body relapsing. There is no nicotine to miss; it is a memory being tested somewhere new, and each time it is tested and not answered, it weakens there too.

The craving itself still rises and falls, as it has all along.

Try this

Make a list of situations you have not yet faced without a cigarette. The first long drive, the first argument, the first wedding, the first deadline.

What else you could do

Seeing them as a finite list changes how they feel when they arrive. Each one is a single piece of unlearning still to do. Next to each, write one line about what you will do instead in that moment. When one comes up, open SOS; the minute of breathing is there for exactly this. Afterwards cross it off and note it in the Diary, so that next time you know it has been done once.

You do not need to seek these situations out. Researchers who tried deliberate exposure to smoking cues did not find that it reliably helped. Meet them with a plan when they come.

Sources. Shiffman S, Paty JA, Gnys M, Kassel JD, Hickcox M. First lapses to smoking: within-subjects analysis of real-time reports. J Consult Clin Psychol, 1996. Conklin CA, Tiffany ST. Applying extinction research and theory to cue-exposure addiction treatments. Addiction, 2002.