Q. I just found out that my 14-year-old is smoking. I was stunned. She accused me of "freaking out about nothing" and says she "can quit any time." Then the big one: "Everybody is doing it." Is it just a phase, or should I be concerned?
A. Be very concerned. While experimentation and line-crossing are a completely normal part of adolescence, smoking is a serious health issue that you can't ignore.
First of all, you are not "freaking out about nothing." According to the Centers for Disease Control and prevention, smoking kills more than 430,000 people each year in the U.S. alone.
"I can quit any time" is the confident --- and usually false --- cliche that addicts of all kinds have been mouthing for hundreds of years. Research indicates that nicotine addiction is one of the most difficult to break. Like other addictions, it works in a fiendishly clever way to keep the smoker smoking, signaling the "reward" circuits of the brain to release dopamine, which produces feelings of pleasure. One of the many problems, of course, is that keeping those pleasurable sensations going requires ever-higher levels of the drug (in this case, nicotine). That means that today's three-cigarettes-a-day habit could gradually turn into three packs a day.
As for "everybody is doing it," there was a time when that was a little closer to the truth, but thanks to a lot of good programs in schools and elsewhere, the news is much better now. Today, around a quarter of today's high school students are smokers, down from roughly a third in the mid-1990s.
So what can you do for your daughter?
1. Take it seriously. It's going to be a lot easier to quit now than it will be in a few years.
2. Be sure she knows the specific health risks of smoking. At the very least, it causes bad breath, yellow teeth and stinky clothes --- things no self-respecting teen can afford to have. It also reduces stamina, causes sore throats and coughing, and is very expensive. Oh, and don't forget about cancer and emphysema. Ask your family doctor to lead the discussion, since there's a better chance that your daughter will listen to a non-parent.
3. Make it clear that it's a big deal to you, and that no smoking is allowed under any circumstances or in any amount.
4. Support and encourage your child in quitting. Get professional help if necessary. Start by visiting
www.smokefree.gov or calling 1-800-QUITNOW, a service of the centers for Disease Control and Prevention.
wardski wrote on Aug 21, 2008 8:31 PM: