**5.2 Counselling approach**

This approach is a self-help program involving telephone counseling or intensive Cognitive Behavioral Therapy (CBT), which is designed to enhance motivation and increase willingness to quit smoking, manage negative symptoms as well as prevent relapse in smoking [49]. However, CBT integrates cognitive therapy, behavioral therapy, and motivational therapy. This approach is a behavioral skill that includes support to deal with the embedded smoking habit that may be delivered by a therapist or trained health care specialist [11, 49]. The pharmacological treatment acts primarily to prevent withdrawal symptoms without affecting the positive symptoms and pleasure effect of smoking, and thus behavioral support should aid smokers to deal with the condition [50]. There is also a strong positive relationship between counseling and the extent of abstinence from smoking; similarly, the combination of CBT and medication are important to enhance the outcome of smoking cessation [49, 50].

*Smoking and the Association with Mental Health DOI: http://dx.doi.org/10.5772/intechopen.104233*
