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If you're finding it hard to quit smoking, getting extra support can be beneficial. Here, we will discuss what nicotine addiction is and how to access the support you require.

What is nicotine addiction?

Nicotine addiction is a state of physical and psychological dependence on nicotine, which is an incredibly addictive substance found in tobacco. This dependence involves the compulsive need to consume nicotine, despite awareness of its harmful effects on health.

Nicotine affects the central nervous system and triggers the release of neurotransmitters such as dopamine, which produces temporary feelings of pleasure and euphoria. These rewarding effects contribute to the addictive nature of nicotine.

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How does one become addicted to nicotine?

Becoming addicted to nicotine is usually a gradual process where regular use of nicotine-containing products stimulates the brain’s reward system by releasing neurotransmitters such as dopamine, creating feelings of pleasure and reward.

Over time, tolerance develops, requiring higher doses of nicotine to achieve the same effect, and the user begins to experience withdrawal symptoms such as irritability and anxiety as nicotine levels drop. These physiological processes, along with behavioural and social habits and the use of nicotine as a coping mechanism for stress or emotional problems, contribute to the development of addiction.

Early exposure to nicotine also increases the risk of long-term addiction. Breaking nicotine addiction may require a combined treatment strategy that includes behavioural therapy, nicotine replacement and community support.


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How do you know if you are addicted to nicotine?

In South Africa, 29.4% of adults (over the age of 15) and 21.5% of youth (from the age of 13 to 15), are current tobacco users.

Nicotine dependence is characterized by an intense craving for nicotine and the onset of withdrawal symptoms such as irritability, anxiety and sleep problems when attempts to reduce intake are initiated. People develop a tolerance that requires them to consume larger amounts to achieve the same effects, and they continue to use nicotine despite awareness of the negative health effects.

The common signs of addiction are unsuccessful attempts to quit, continued use even with health problems, and sacrificing social or recreational activities. These symptoms affect physical health, psychological well-being, and daily functioning. This makes nicotine addiction a challenging but manageable problem for many.

How long does it take to become addicted to nicotine?

The time it takes to develop a nicotine addiction varies between individuals and can be influenced by factors such as use patterns, genetics, and age of first use. Teenagers and young adults can become addicted particularly quickly because their brains are still developing, making them more susceptible to the addictive effects of nicotine. Some may experience signs of addiction within just a few weeks.

It is important to note that both physical and psychological dependence contribute to nicotine addiction, with psychological dependence developing very quickly. There is no specific timeframe for when addiction occurs, which emphasizes the importance of paying attention to early signs.


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Treatment for nicotine addiction

Treatment for nicotine addiction involves a combination of strategies to quit and manage nicotine withdrawal symptoms. This includes nicotine replacement therapy with products such as patches and gum to ease withdrawal, as well as prescription drugs such as varenicline and bupropion that reduce cravings.

Psychotherapy, especially Cognitive Behavioural Therapy, offers tools to manage triggers and stress, while support groups and counselling provide social support. Digital tools like apps can support the process with daily tips and progress tracking. Lifestyle changes such as exercise and a healthy diet contribute to overall well-being and aid with withdrawal. These treatments are tailored to the individual’s specific needs and situation, and success requires patience and possibly multiple attempts. Professional help can improve the chances of overcoming the addiction.

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From conversation to understanding and change

Talk therapy is often the first step in the search for help. By working with a psychologist or therapist, you learn to understand your symptoms and triggers, which is crucial for long-term change.

When is professional help unavoidable?

If you are experiencing signs of addiction that are affecting your health, you should seek professional help. It is never too late to break free from an addiction. It can improve both your physical and mental health.

The first step to change

Book a 20- or 45-minute session with a qualified coach, therapist or psychologist today via our website booking form. If it’s not the right time now, remember there is always an opportunity to return when you are ready to make a change. Together we make the hard things easier.


12 FAQs about Nicotine Addiction

What is nicotine addiction?

Nicotine addiction is a complex psychological condition in which the individual feels an inability to stop using nicotine, despite negative consequences.

How does addiction differ from abuse?

Abuse is usually the initial stage, where we exaggerate a behaviour or consumption but still have some control. Addiction indicates a more severe problem, often with physical or psychological symptoms, if one tries to quit.

Is addiction a disease?

Yes, addiction is considered a brain disease because it affects the brain’s reward system and decision-making.

Can an addiction be cured?

Addiction can be treated, but it often requires care and support. It’s always possible to beat a nicotine addiction.

What are the signs that I may be addicted to nicotine?

This addiction involves a compulsive need to consume nicotine, despite awareness of its harmful effects on health.

How does one become addicted to nicotine?

Becoming addicted to nicotine is a gradual process where regular use of nicotine-containing products stimulates the brain’s reward system by releasing neurotransmitters such as dopamine, creating feelings of pleasure and reward initially.

How do you know if you have become addicted to nicotine?

A nicotine addiction is characterized by an intense craving for nicotine and the onset of withdrawal symptoms such as irritability, anxiety and sleep problems when attempts to reduce intake are initiated. People develop a tolerance that requires individuals to consume larger amounts to achieve the same effects, and they continue to use nicotine despite awareness of the negative health effects.

What are the risks of nicotine addiction?

Nicotine addiction increases the risk of serious health problems such as cardiovascular disease, various cancers, respiratory problems, immune system disorders, reproductive problems, and mental health problems such as anxiety and depression. It can also lead to addiction to other substances and cause financial strain.

How long does it take to become addicted to nicotine?

The time it takes to develop nicotine dependence varies between individuals. It can be influenced by factors such as use patterns, genetics, and age of first use. Teenagers and young adults can become addicted particularly quickly because their brains are still developing,

What treatment options are available?

Several different types of treatment exist, such as Cognitive Behavioral Therapy (CBT), motivational interviewing, medicine, and support groups.

Can I be treated online?

Yes, all our therapists’ and psychologists’ sessions are online via video conferencing.

Where can I go if I need help?

If you want to quit nicotine, you should seek professional help. Our psychologists and therapists are available for online sessions.

Addiction treatment’s steps to a better quality of life

Treatment for nicotine addiction is multi-faceted and individualized, to help people avoid relapse. Here are the main components of a treatment plan for a gaming addiction:

  1. Assessment and planning: Treatment usually begins with an assessment of the history of smoking and nicotine use, previous attempts to quit, and an assessment of the severity of the addiction. Based on this assessment, a personalized treatment plan can be developed. This plan may include a combination of therapies tailored to the individual’s needs.
  2. Detoxification and management of withdrawal symptoms: The first step in quitting is to stop all nicotine use. This may lead to withdrawal symptoms. To alleviate these symptoms, nicotine replacement therapy (NRT) or prescription drugs can be used. This phase often includes support and follow-up with health professionals to manage the physical and psychological challenges of nicotine withdrawal.
  3. Psychological support and behavioural interventions: Psychotherapy (such as Cognitive Behavioural Therapy) may be used to address the psychological aspects of the addiction, learn coping strategies, and manage triggers. Support groups may also be useful in providing additional social support.
  4. Follow-up and relapse prevention: After the initial cessation of nicotine use, regular follow-up continues to monitor progress and manage any relapse. Relapse prevention strategies are important to this phase, including identifying high-risk situations and developing plans to deal with them.
  5. Lifestyle changes: You will be encouraged to adopt healthier lifestyle changes, such as regular exercise, a balanced diet and good sleep hygiene. These lifestyle changes can improve overall well-being and reduce the risk of relapse.

Each person’s experience of quitting nicotine is unique, and treatment may need to be adjusted to meet your changing needs. The key to success often lies in a combination of professional support, personal motivation, and strategies to deal with both the short- and long-term challenges of overcoming nicotine addiction.


Written by Samantha Pieterse

Sr. Samantha Pieterse is a registered psychiatric nurse who is deeply committed to mental health and well-being. Samantha brings a unique and valuable perspective to her role as an editor for Lavendla South Africa. She has worked in Government and Private mental healthcare institutions in Gauteng and her expertise ensures that the articles on our website are accurate and accessible. Samantha is dedicated to enhancing mental health awareness and education in South Africa.