Kabul ve Kararlılık Terapisiyle Sigara Bırakma: Olgu Sunumu

Sigara yıkıcı biyopsikososyal etkileri olabilen, en yaygın bağımlılıklardan birisidir. Sigarayı bırakmada ilaç tedavisi ve psikoterapiden yararlanılır. Bu psikoterapi yaklaşımlarından birisi olan kabul ve kararlılık terapisine göre kendi başına olumsuz duygulanım ve yoksunluk belirtileri değil, bu belirtilere esnek olmayan ve kaçıngan yanıt, sigarayı bırakma oranlarını belirlemektedir. Kabul ve Kararlılık Terapisinde, sigara kullanımında gözlenen içsel uyaranlardan kaçınma ve beraberinde katı bir çerçevede tepki verme eğilimi hedef alınıp başarılı sonuçlara ulaşılmıştır. Bu yazıda, 35 yıllık aralıksız sigara içme öyküsü olan ve sigara bırakma istemiyle psikiyatri polikliniğine başvuran bir bireyde, kabul ve kararlılık terapisi’nin uygulanım basamakları ve sonuçları ortaya konacaktır.

Smoking Cessation through Acceptance and Commitment Therapy: A Case Report

Smoking is one of the most common addictions with devastating biopsychosocial consequences. Both medical treatment and pschotherapy are utilized in smoking cessation. Acceptance and commitment therapy holds the notion that smoking cessation rates are determined not so much by the negative affect and withdrawal symptoms per se, but by the avoidant and inflexible responding style. Acceptance and commitment therapy, through targeting the avoidance of internal stimuli and concomitant inflexible responding pattern, has yielded successful results.This article presents application of acceptance and commitment therapy step by step to a chronic smoker who quitted smoking at the end of therapy sessions.

Keywords:

Smoking cessation, acceptance and commitment therapy,

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