HYPNOSIS & SMOKING CESSATION
|
|
- William Green
- 5 years ago
- Views:
Transcription
1 1 de 11 29/04/ :29 Health Psychology Home Page Psychology Department Search Papers written by students providing scientific reviews of topics related to health and well being Home Weight Loss Alternative Therapy Supplements Eating Disorders Fitness Links Self-Assessment About this Page HYPNOSIS & SMOKING CESSATION Jennifer Wilson What is the Purpose of Hypnotherapy in Stopping the Smoking Habit? The subconscious mind is considered a place in the brain that contains powerful thoughts that create and treat desirable and undesirable behavior ( Consequently, the use of hypnosis in smoking cessation requires a person to access his or her subconscious mind. By making lifestyle changes in the subconscious mind, a person is able to stop smoking by changing the subtle thoughts that encourage the habit. Of course, a person must truly desire to change the unwanted behavior for the hypnotherapy to succeed ( Hypnosis: Enables a permanent change by reaching the subconscious mind and making the goal emotional. Makes the goal emotional so that a person truly wants to change. The desire to change must be heartfelt and not simply due to the knowledge that a person s health will improve if he or she quits smoking. Self-empowers a person to stop the addiction by replacing the habit of smoking with alternative suggestions that are introduced during hypnosis ( Enables a person to ignore the stimuli that instigate smoking by substituting alternative behaviors when he or she encounters the stimuli that formerly led to smoking ( Matches subconscious negative cravings with conscious positive options that allow the individual to choose his or her response to stimuli rather than automatically resort to smoking ( Lessens the withdrawal symptoms by making the behavior a personal choice rather than a habit and helping the individual to occupy his or her mind rather than focus on physiological responses (
2 2 de 11 29/04/ :29 How Does Hypnotherapy Result in Smoking Cessation? Ken Steinmetz defines hypnosis as either interactive guided imagery or applied meditation toward a specific goal while in various levels of a trance state ( There are multiple methods for entering a trancelike state ( The hypnotherapist guides a patient to focus on the goal of quitting smoking and, thus, to encourage a permanent change by making the goal emotionally persuasive ( A patient focuses on the goal as hypnosis facilitates the body to relax, and he or she concentrates on breathing and the benefits of a healthy lifestyle ( While the patient is in this trancelike state, the hypnotherapist provides the individual with alternative suggestions to smoking. In this manner, hypnosis works with the subconscious mind to modify cravings by interrupting the habit with these substitutes ( After attending a hypnosis session, the suggestions arise in the conscious mind when the patient is tempted to smoke; however, hypnotherapists often provide a tape to reinforce the suggestions learned during the session ( Oftentimes, hypnosis is more effective than nicotine patches or gum because it teaches the individual that he or she has the power to change the unwanted behavior. The individual has control over the behavior rather than the behavior having control over the individual. Additionally, attitude can affect the results of hypnosis: If you believe that you or the hypnosis will fail, then you will not be successful at quitting smoking ( Arthur Schwartz tells his patients that hypnotherapy is fifty percent positive thinking and fifty percent hypnosis (
3 3 de 11 29/04/ :29 What Claims are Made About the Treatment s Effectiveness? Some basic claims: Quit smoking ( Lose weight ( Prevents overeating ( Why would quitting smoking cause a person to overeat? Overeating is a method to compensate for smoking. If a person does not overeat, he or she is not likely to gain weight. Safe. Let s take a look at this safety claim. First and foremost: Is hypnosis approved by an accredited agency? Yes. In 1958, the American Medical Association s Council of Mental Health approved hypnosis as a safe practice with no harmful side effects ( Some proponents make sweeping claims: Hypnotherapy for smoking cessation can and very often does work! ( If you really believe you can change or heal yourself, you can! ( Become more relaxed... in one session ( Wonderfully natural experience compared to other [smoking cessation] methods ( Prepares you to make a permanent change in behavior ( The ease varies with which a smoker stops smoking, but even a person who struggles to quit benefits from hypnosis because he or she is better equipped to fight the urge to smoke ( Some proponents are cautious: Starting at the behavioral level, the handful of people who believe that smoking is simply a habit providing only physiological pleasure are able to quit after one session ( Most people have a psychological component (the habituation) along with the physiological component (the addiction) which must both be treated. If a person really wants to quit smoking and realizes that hypnosis is not a magic cure, then the individual is likely to profit from the treatment ( Some individuals are even more cautious: Approximately 60 studies reveal that hypnosis possibly has an effect as a smoking cessation treatment; however, hypnotherapy is by no means an end-all and be-all treatment for smoking cessation ( Individuals who utilized hypnosis were more likely to stop smoking than individuals who did not utilize any form of intervention. Little proof exists that hypnosis is more effective than many other smoking cessation treatments. Let s take a look at this claim about the evidence. The question remains as to whether hypnosis is more beneficial than other treatments because hypnosis is often one of many treatments that a person employs simultaneously ( When researchers study hypnosis, they want to be certain that the cause is attributable only to hypnosis and not to another cause such as the person s motivation or another treatment.
4 4 de 11 29/04/ :29 What is the Evidence? Testimonials Steinmetz s website provides many testimonials of people who successfully quit smoking with hypnosis. Let s delve a little deeper into the use of testimonials as evidence. If you are a hypnotherapist wanting to increase the size of your practice, are you going to publish any testimonials complaining about the service you provide? Probably not. Claims Steinmetz asserts that hypnotizability is a sign of intelligence and was used extensively by such brilliant authors as Aldous Huxley ( No evidence is offered to support the allegation. Approval Hypnosis is approved by the American Medical Association s Council of Mental Health, the National Institute of Health, and local Public Health community resources ( Research Where is the hard evidence that hypnosis is effective? Where are the results of medical and scientific research? Ohio State researchers performed a literature review of many hypnosis studies and found that hypnosis is unlikely to be more effective than other methods to quit smoking ( /units/research/archive/hypsmoke.htm). This literature review, as well as other published journal articles, will be discussed in a moment. First, let s take a look at the individuals who present hypnosis on the World Wide Web. Who is Presenting the Information on the Web and Why? Of the many websites pertaining to hypnosis, only a handful were established by universities or research institutions. The majority of the websites were created by individuals or small businesses. Personal web pages are used for informative purposes with the underlying intention of increasing awareness of the presenter s hypnotherapy practice. Most websites pertaining to hypnosis provide an explanation of hypnosis and what occurs during a hypnotherapy session. The goal of the websites is to clarify any misinformation so that a potential patient understands the use of hypnosis in smoking cessation. Along with sharing the information, the presenter is, oftentimes, attempting to increase the size of his or her hypnotherapy practice and to sell self-hypnosis audio tapes. Provided below is a synopsis of the websites used for this project: Ken Steinmetz is a Certified Clinical Hypnotherapist who found that hypnosis helped him overcome personal weakness. He presents the information on the web in order to explain hypnosis and its benefits as well
5 5 de 11 29/04/ :29 as to sell his own products and advertise his hypnotherapy practice. Ken Saichek answers questions about hypnosis at Hypnotherapy.com. The two main focuses of the website are to explain hypnosis and to advertise his practice in a professional and scientific manner. Ohio State University discusses a study performed by OSU professors. Results find that hypnosis may not be the perfect method to quit smoking. The article is published with the intent of describing the basic findings of the study as well as to increase awareness of the article s publication in the International Journal of Clinical and Experimental Hypnosis. The University of Texas Health Services website indicates hypnosis as part of their Smoking Cessation Program. However, the website merely mentions that a self-hypnosis tape or CD is one of several tools utilized in the smoking cessation program. Ask the Internet Therapist offers many services, including chat sessions and inquiries, on topics ranging from psychiatric nursing to veterinarian medicine to chiropractic therapy. As part of the online therapists mental health practice, the site provides audio tapes to enable people to improve themselves in areas such as stress management, weight reduction, and smoking cessation in the privacy of their own home. A small description of each tape s audio qualities lacks any explanation as to how the tape works to stop the unwanted behavior. Healing Waters Hypnotherapy is owned by Roger C. Frazier, a member of the National Guild of Hypnotists. His website explains hypnosis and what occurs in a hypnosis session at his office. Mr. Frazier also advertises his smoking cessation workshop. Dr. Schwartz advertises his Integral Hypnosis practice on the web. He explains hypnosis and its use in areas such as weight loss, phobias, stress, and smoking cessation. Tonya R. Reiman of No Boundaries Hypnosis discusses hypnosis and its use in areas such as childbirth, weight loss, and smoking cessation. She also describes what occurs in a hypnosis session and provides links to order gift certificates and make appointments to see a hypnotherapist at the practice.
6 6 de 11 29/04/ :29 What Does the Research Say? Many studies have attempted to determine whether or not hypnosis is an effective treatment to help individuals quit smoking. However, past studies lack standards to ensure that the results are constructive. As a result, more studies need to be performed in accordance with strict standards before the absolute effectiveness of hypnosis in smoking cessation is known (Green & Lynn, 2000). Hypnosis is a heightened state of awareness... an acquired level of relaxation (Ahijevych, Yerardi, Nedilsky, 2000, p. 377). Currently, hypnosis meets the least stringent criteria for a smoking cessation treatment. It is deemed possibly efficacious, which requires that one study shows that the hypnosis is superior to a no-treatment control, placebo group, or alternate treatment, or that the treatment in question matches the effectiveness of an alternative treatment of established efficacy (Green & Lynn, 2000, p. 197). This literature review will look at results of studies involving smoking treated as an addiction (Hajeck, 1994), hypnosis combined with aversion therapy (Barber, 2001), the effect of gender on hypnosis (Johnson & Karkut, 1994), and the patient s ability to be hypnotized (Holroyd, 1991). Treatments currently define smoking as a habit that is reinforced by the behavior s therapeutic value and by environmental cues. In other words, smoking is not considered a psychological disorder, or an addiction. Consequently, this definition suggests that individuals who deeply desire to stop smoking are able to do so despite difficulties. While smoking is not considered a psychological disorder, hypnosis is a psychological approach to quitting smoking, and the treatment s success may be due to the implicit promise of effortless success (Hajeck, 1994, p. 1544). Unfortunately, little evidence supports the claims that hypnosis has the specific result of enabling individuals to quit smoking. However, the relaxation taught by hypnosis can help an individual through the withdrawal period, which often lasts between three and four weeks (Hajeck, 1994). Hypnosis provides alternative therapeutic behaviors, such as relaxation, to help the patient quit his or her smoking addiction. Many studies compare hypnosis combined with other treatments such as aversion (Barber, 2001) and nicotine as well as whether group or individual hypnosis creates longer lasting effects (Hajeck, 1994). Rapid smoking (RS) is a commonly employed aversion treatment that requires the smoker to take a puff from a cigarette every few seconds until the cigarette is gone; oftentimes, the patient repeats this process several times in a row (Johnson & Karkut, 1994). Due to the nature of RS, temporary hypertension and vomiting may result (Barber, 2001). Unlike RS, no ill effects resulting from hypnosis are mentioned in the articles. In fact, hypnosis has been used since 1847 to help tobacco users quit the habit (Green & Lynn, 2000). Articles note the benefits
7 7 de 11 29/04/ :29 of hypnosis such as equipping individuals to relax and handle stress and cravings when they experience withdrawal symptoms including anxiety (Johnson & Karkut, 1994; Barber, 2001). Also, nicotine has proven to be an efficacious treatment, but the effectiveness of this behavioral treatment increases when paired with a psychological treatment such as hypnosis. Studies might find that hypnosis is the best psychological treatment to pair with nicotine because of the focus on teaching the individual to relax. This literature review focuses on the individual because research has not compared individual and group hypnosis; however, some evidence suggests that the effectiveness of group hypnosis depends on group processes, style, and size (Hajek, 1994). Many people use smoking as a tool to avoid experiencing certain emotions. Thus, hypnosis helps a patient understand his or her emotions and find alternative methods of coping with unpleasant feelings. Used alone, hypnotic suggestion... is not likely to be effective in the long-term treatment of smoking addiction, but hypnosis combined with RS treatment is successful (Barber, 2001, p. 257). The combination of hypnosis and RS increases the individual s awareness of his or her reasons for smoking, encourages the patient by facilitating the development of positive behaviors to replace smoking, lessens the effects of withdrawal, and increases the patient s daily activity. Hypnosis equips a patient to experience the craving for a cigarette while empowering him or her to withstand the desire. Patients are often encouraged to exercise and drink more water in order to ease withdrawal. Agreeing with Green and Lynn (2000), Barber (2001) emphasizes that the single most important factor that will insure treatment success is the patient s own interest in and motivation for success (p. 259). Specifically, if a person desires to stop smoking, hypnosis aids the patient through withdrawal and encourages continued abstinence from smoking (Barber, 2001). Unlike the Johnson and Karkut (1994) research, Barber s (2001) research completely avoids negative ideas during the hypnosis stage in order to focus on the benefits of being a non-smoker. The aversion and psychological therapies are combined with appointments where therapists provide encouragement and explain any abnormal feelings which the patient is experiencing. 43 patients were treated with this combination of hypnosis and RS over three years. At follow-ups occurring anywhere from six months to three years after the end of treatment, only four patients confessed to returning to their smoking habit (Barber, 2001). This is an extremely high number of patients who remained abstinent compared to Holroyd s (1991) finding of a majority returning to smoking within a few months of ending treatment. Johnson and Karkut (1994) examined the influence of gender on hypnosis s effectiveness. The researchers performed a study with 93 men and 93 women participating in a 2-week program to quit smoking. After an hour-long interview explaining the program and the dangers of smoking, participants began a treatment combining aversion therapy with hypnosis. The therapy combined RS, electric shock, and negative thoughts. While puffing, the therapist administered electric shocks as well as verbal suggestions of the negative aspects of smoking, such as taste, smell, and appearance. Immediately after the twenty-minute aversion session, subjects
8 8 de 11 29/04/ :29 participated in a hypnosis session designed to relax the individual and remind him or her of the discomfort produced by RS and of smoking s detrimental effects. The therapist then described positive aspects of being a nonsmoker and offered suggestions to increase the individual s confidence and assurance without a cigarette. After five of these aversion and hypnosis sessions, individuals were provided with a self-hypnosis tape and instructed to listen to the tape daily. Immediately after the program ended, 92% of the men and 90% of the women no longer smoked. At a three-month follow-up, 86% of the men and 87% of the women remained abstinent. The results reveal that both men and women benefit from aversion and hypnotherapy. Even if an individual was unsuccessful in his or her attempt to quit smoking, he or she benefited from the relaxation skills learned in hypnosis (Johnson & Karkut, 1994). Ahijevych, Yerardi, and Nedilsky (2000) organized a study where 452 individuals out of 2,810 who had participate in an hour-long, group hypnosis session participated in further research testing the influence of a person s ability to be hypnotized on his or her ability to quit smoking. The researchers defined hypnosis as a heightened state of awareness that enabled one to reach and maintain an acquired level of relaxation so that patients could concentrate on the goal of quitting smoking (Ahijevych et al., 2000, p. 377). This study employed one experienced therapist to conduct hypnosis as well as to record audiotapes provided to the participants for self-hypnosis instruction. While the therapist promoted hypnosis as the solitary technique to help the patients quit smoking, motivation could not be eliminated as a possible source of a patient s success. Just fewer than half the participants used no other strategy than hypnosis to help them quit smoking, yet many participants utilized nicotine therapy to enhance their hypnosis treatment. However, use of multiple treatments did not influence the success of the patients. The researchers found that patients with a higher income, living with only non-smokers, and perceiving themselves to be easily hypnotized were more likely to remain abstinent. Factors not affecting abstinence include gender, age, and number of cigarettes smoked each day. Those who quit smoking after the program but began again smoked an average of six cigarettes less each day than before they participated in the treatment. 22% of the participants successfully quit smoking, but these individuals represented a motivated group (Ahijevych et al., 2000, p. 384). In summary, the article finds that hypnosis is an alternative treatment for smoking cessation. A person s perceived ease of hypnotizability may be used to determine which individuals will gain from hypnosis (Ahijevych et al., 2000). Holroyd (1991) also studied the link between perceived ease of hypnotizability and smoking cessation. While performing a literature review for her research, Holroyd (1991) found that seven studies do not show a link between hypnotizability and smoking cessation while others find that people who are more easily hypnotized remain abstinent from smoking for longer periods of time than people who are less easily hypnotized. Similar to Johnson and Karkut s (1994) findings, Holroyd (1991) found no difference between the abstinence rates of men and women. Furthermore, 43% of the patients who quit smoking initially due to
9 9 de 11 29/04/ :29 treatment remained abstinent at the end of treatment, and 16% remained abstinent six months after treatment ended. The results match the commonly reported discovery that 2/3 of the individuals who quit smoking later returned to smoking shortly after the end of treatment. It is difficult to predict whether or not a patient will quit smoking long-term (Holroyd, 1991). Similar to Ahijevych, Yerardi, and Nedilsky s (2000) research, these findings also note a possible, yet weak, direct relationship between the patient s belief in the efficacy of the hypnosis and his or her ability to remain abstinent (Holroyd, 1991). Reviewing 59 studies of hypnosis, Green and Lynn ( 2000) found that clinical reports are difficult to interpret because therapists alter their scripts, provide different numbers of hypnosis sessions to different individuals, encourage self-hypnosis outside of therapy, implement additional treatments, do not ensure patient abstinence with a biochemical test, and vary the suggestions offered during hypnosis (Green & Lynn, 2000). In other words, the study of hypnosis has not been controlled effectively so that researchers can interpret the results of various studies. In addition, Kinnunen (2001) focuses on Barber s (2001) article concerning hypnosis s effects on smoking cessation noting that the various success rates result from the different intensities, lengths, and types of treatment. Kinnunen (2001) concludes that hypnosis is a possible treatment for smoking cessation, and he suggests that hypnosis would be best used as an enhancement to therapy and drug treatments. More research must be performed to determine how best to integrate hypnosis into a smoking cessation program (Kinnunen, 2001). In conclusion, some studies find that hypnosis is more effective than other treatments, other studies find that hypnosis is equally as effective as other treatments, and still other studies find that hypnosis is less effective than other treatments. After reviewing numerous studies, researchers realized that it is difficult to disentangle the specific effects of hypnosis from the behavioral and educational interventions it is combined with, implying that it is premature to argue that it is hypnosis per se that is responsible for the treatment gains observed (Green & Lynn, 2000, p. 216). Much research remains to be performed on hypnosis s effects on smoking cessation, but hypnosis is likely to prove an effective component of an inclusive smoking cessation plan.
10 10 de 11 29/04/ :29 References Ahijevych, K., Yerardi, R., & Nedilsky, N. (2000, October). Descriptive outcomes of the American Lung Association of Ohio hypnotherapy smoking cessation program. The International Journal of Clinical and Experimental Hypnosis, 48 (4), Ask the Internet Therapist. (2003). Smoking cessation CD. Ask the Internet Therapist. Retrieved September 13, 2003 from the World Wide Web: Barber, J. (2001, July). Freedom from smoking: Integrating hypnotic methods and rapid smoking to facilitate smoking cessation. The International Journal of Clinical and Experimental Hypnosis, 49 (3) Frazier, R. C. Special smoking cessation & weight loss workshop July Healing Waters Hypnotherapy. Retrieved September 13, 2003 from the World Wide Web: /smoking.htm Green, J. P., & Lynn, S. J. (2000, April). Hypnosis and suggestion-based approaches to smoking cessation: An examination of the evidence. The International Journal of Clinical and Experimental Hypnosis, 48 (2), Hajeck, P. (1994). Treatments for smokers. Addiction, 89, Holroyd, J. (1991, April). The uncertain relationship between hypnotizability and smoking treatment outcome. The International Journal of Clinical and Experimental Hypnosis, 39 (2) Johnson, D. L., & Karkut, R. T. (1994). Performance by gender in a stop-smoking program combining hypnosis and aversion. Psychological Reports, 75, Kinnunen, T. (2001, July). Integrating hypnosis into a comprehensive smoking cessation intervention: Comments on past and present studies. The International Journal of Clinical and Experimental Hypnosis, 49 (3) Reiman, T. M. Smoking cessation. No Boundaries Hypnosis. Retrieved September 13, 2003 from the World Wide Web: Saichek, K. (1997, July). Hypnosis your questions answered! Hypnotherapy.com. (Vol. 2, Number 7) Retrieved September 13, 2003 from the World Wide Web: Schwartz, A. D. Smoking cessation. Integral Hypnosis. Retrieved September 13, 2003 from the World Wide Web: Steinmetz, K. (1997, January). Hypnosis for Health. Retrieved September 13, 2003 from the World Wide Web:
11 11 de 11 29/04/ :29 University of Texas Health Services (2003, February 20). UT smoking cessation program. University Health Services. Retrieved September 13, 2003 from the World Wide Web: /health/uhs1/utqt.html Wagner, H. (2000, May 23). Hypnosis as smoking cessation therapy needs further scrutiny. Ohio State University: Research News. Retrieved September 13, 2003 from the World Wide Web: Psychology Department The Health Psychology Home Page is produced and maintained by David Schlundt, PhD. Vanderbilt Homepage Introduction to Vanderbilt Admissions Colleges & Schools Research Centers News & Media Information People at Vanderbilt Libraries Administrative Departments Medical Return to the Health Psychology Home Page Send comments or questions to Dr. Schlundt Search Search: Vanderbilt University the Internet Help Advanced Tip: You can refine your last query by searching only the results by clicking on the tab above the search box Having Trouble Reading this Page? Download Microsoft Internet Explorer.
Session 1: Days 1-3. Session 4: Days Session 2: Days 4-7. Session 5: Days Session 3: Days Day 21: Quit Day!
Tobacco cessation overview calendar 21-Day Countdown to Quitting Session 1: Days 1-3 List health benefits of quitting. List expectations of overcoming your habits and addictions. List your top three Schedule
More informationThe Ohio State University and The Bellevue Hospital Smoking Cessation Initiative - 1. Are you finally ready to stop smoking?
The Ohio State University and The Bellevue Hospital Smoking Cessation Initiative - 1 Are you finally ready to stop smoking? If you are ready to stop smoking, you may be interested in a collaborative research
More informationUnderstanding Hypnosis
Understanding Hypnosis Are the Results of Hypnosis Permanent? Suggestions stay with some individuals indefinitely, while others need reinforcement. The effects of hypnosis are cumulative: The more the
More informationTobacco Cessation Resource Guide Aetna Resources For Living SM
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Tobacco Cessation Resource Guide Aetna Resources For Living SM 44.05.901.1-ARFL (2/13) Table of Contents You
More informationSmoking Cessation Self-Management Plan and Care Plan
Smoking Cessation Self-Management Plan and Care Plan I understand the following items will be beneficial to the treatment of my tobacco abuse, have discussed this with my provider and I agree to implement
More informationSmoking Cessation. lyondellbasell.com
Smoking Cessation 1 Smoking Cessation Cigarette smoking is one of the most addictive habits. It s also one of the most deadly. Half of all smokers die prematurely, an average of eight years earlier than
More informationWeight Loss & Management Groups Using Hypnosis
Weight Loss & Management Groups Using Hypnosis Successful behavior modification starts on the inside Why Hypnosis Works When Other Programs Fail Have you ever tried to change an unhealthy habit and failed
More informationIs there any way you might be better off if you quit? What happens when you think about it? What do you imagine will happen if you don t change?
This material has been prepared by the Massachusetts Smoker's Quitline, a program of the American Cancer Society. STAGES OF CHANGE Research on addiction and behavior change done by Prochaska and DiClemente,
More information15 INSTRUCTOR GUIDELINES
STAGE: Former Tobacco User You are a pharmacist at an anticoagulation clinic and are counseling one of your patients, Mrs. Friesen, who is a 60-year-old woman with a history of recurrent right leg deep
More informationA Heightened State of Suggestibility.
The typical definition you will see when you look up the word hypnosis is: A Heightened State of Suggestibility. Now, normally when I say this to people I have in front of me, they look as though they
More informationSelf Hypnosis By BRUCE GOLDBERG READ ONLINE
Self Hypnosis By BRUCE GOLDBERG READ ONLINE If you are searched for the book Self Hypnosis by BRUCE GOLDBERG in pdf format, then you've come to loyal site. We furnish utter option of this book in PDF,
More informationASK Ask ASK about tobacco use ADVISE HANDOUT
ASSISTING PATIENTS with QUITTING A Transtheoretical Model Approach CLINICAL PRACTICE GUIDELINE for TREATING TOBACCO USE and DEPENDENCE Released June 2000 Sponsored by the Agency for Healthcare Research
More informationExamples of what to say when intervening with smoking clients. Do you smoke cigarettes or tobacco at all, or have you ever smoked regularly?
Manual of Smoking Cessation Andy McEwen, Peter Hajek, Hayden McRobbie & Robert West 2006 by McEwen, Hajek, McRobbie and West Appendix 5 Examples of what to say when intervening with smoking clients Below
More informationAPPLICATION FOR SERVICES
APPLICATION FOR SERVICES CLIENT - PERSONAL INFORMATION First Name M.I. Last Name Today s Street Address City State Zip Birth date Home phone (ok to leave msg? Y - N) Cell phone (ok to leave msg? Y - N
More information12 hours. Your body has eliminates all excess carbon monoxide and your blood oxygen levels become normal.
Balance March 2018 What happens after the last cigarette? You know that smoking is one of the leading causes of preventable deaths but the process of quitting seems too daunting. After all, you ve tried
More informationWHY SHOULD CIGARETTE SMOKERS THINK ABOUT QUITTING?
How to Help Yourself Quit Smoking WHY SHOULD CIGARETTE SMOKERS THINK ABOUT QUITTING? One in three smokers dies early because of their smoking. They die of heart disease, stroke, cancer and emphysema. At
More informationI firmly believe that with the knowledge contained in this book your chances of becoming a non-smoker will increase dramatically.
Introduction I have been helping people for many years now to quit smoking and during this time I have been able to put together ways of how to become a successful non-smoker. The hints, tips and learnings
More informationRESTore TM. Clinician Manual for Single User. Insomnia and Sleep Disorders. A step by step manual to help you guide your clients through the program
RESTore TM Insomnia and Sleep Disorders Clinician Manual for Single User A step by step manual to help you guide your clients through the program Version 10 July, 2016 Table of Contents Introduction...
More informationStop Smoking Start Living
Stop Smoking Start Living Health and Wellness It s no secret that smoking is bad for your health. We are made aware of the warnings at a young age, and the. Information is often right on the cigarette
More informationAND OTHER TIPS FOR SMOKERS
AND OTHER TIPS FOR SMOKERS Our ebooks are designed to provide information about the subject matter covered. They are sold with the understanding that the authors and the publisher are not engaged in rendering
More information2 INSTRUCTOR GUIDELINES
STAGE: Ready to Quit You are an ob/gyn clinician, and you are seeing Ms. LeClair, a 24- year-old woman who recently found out that she is pregnant. When you inquire about her use of tobacco, she tells
More informationRexall Ready-2-Quit. Continuous Care with Rexall
Rexall Ready-2-Quit Continuous Care with Rexall Congratulations on your decision to quit smoking! Stopping smoking may be difficult, but it can be done, and there are many ways to make quitting easier.
More informationSELF HYPNOSIS. Contrary to popular belief, hypnosis is not a state of sleep or a state in which you are unconscious or not aware.
SELF HYPNOSIS What is Hypnosis? Contrary to popular belief, hypnosis is not a state of sleep or a state in which you are unconscious or not aware. Hypnosis is actually a heightened state of mind in which
More informationSMS USA PHASE ONE SMS USA BULLETIN BOARD FOCUS GROUP: MODERATOR S GUIDE
SMS USA PHASE ONE SMS USA BULLETIN BOARD FOCUS GROUP: MODERATOR S GUIDE DAY 1: GENERAL SMOKING QUESTIONS Welcome to our online discussion! My name is Lisa and I will be moderating the session over the
More informationWhy Tobacco Cessation?
Tobacco Cessation in Community Settings Introduction Hello and welcome to the Learning and Action Network event, Reaching Those in Need of Tobacco Cessation in Community Settings: Research, Recommendations
More informationAbout this consent form
Protocol Title: Development of the smoking cessation app Smiling instead of Smoking Principal Investigator: Bettina B. Hoeppner, Ph.D. Site Principal Investigator: n/a Description of Subject Population:
More informationEffective Life Skills
Personal Skills and Tools for Physical, Mental and Emotional Health Effective Solutions To Life Problems provides highly effective personal skills and tools that work to solve life s problems, reduce stresses,
More informationA Guide to Help You Reduce and Stop Using Tobacco
Let s Talk Tobacco A Guide to Help You Reduce and Stop Using Tobacco Congratulations for taking this first step towards a healthier you! 1-866-710-QUIT (7848) albertaquits.ca It can be hard to stop using
More informationFREEDOM FROM SMOKING INFORMATIONAL SESSION
FREEDOM FROM SMOKING INFORMATIONAL SESSION How to Quit Tobacco Presented by Laura Frick, MSW Health Promotions Coordinator American Lung Association of the Plains-Gulf Region AMERICAN LUNG ASSOCIATION
More informationHypnosis To Help You Sleep Deeply (Hypnotic Empowerment Series For Self-Awakening) By Janet I. Decker
Hypnosis To Help You Sleep Deeply (Hypnotic Empowerment Series For Self-Awakening) By Janet I. Decker Hypnosis for Improving Subconscious Mind Power (Memory, Focus - Hypnosis for Improving Subconscious
More informationASSISTING PATIENTS with QUITTING EFFECTS OF CLINICIAN INTERVENTIONS. The 5 A s. The 5 A s (cont d)
ASSISTING PATIENTS with QUITTING CLINICAL PRACTICE GUIDELINE for TREATING TOBACCO USE and DEPENDENCE Released June 2000 Sponsored by the AHRQ (Agency for Healthcare Research and Quality) of the USPHS (US
More informationOn my way through success!
MINI-GUIDE TO QUIT SMOKING DISCOVER THE WINNING CONDITIONS On my way through success! QUITTING SMOKING IS ONE OF THE MOST PRECIOUS GIFTS YOU CAN GIVE YOURSELF TO IMPROVE YOUR HEALTH THE BENEFITS BEGIN
More informationClear and Easy #11. Skypark Publishing. Molina Healthcare 24 Hour Nurse Advice Line (888)
Clear and Easy #11 Molina Healthcare 24 Hour Nurse Advice Line (888) 275-8750 TTY: (866) 735-2929 Molina Healthcare Línea de TeleSalud Disponible las 24 Horas (866) 648-3537 TTY: (866) 833-4703 Skypark
More information[PDF] Keys To The Mind, Learn How To Hypnotize Anyone And Practice Hypnosis And Hypnotherapy Correctly
[PDF] Keys To The Mind, Learn How To Hypnotize Anyone And Practice Hypnosis And Hypnotherapy Correctly "Keys to the Mind" will teach you exactly what you need to know to become a hypnotist. Learn how to
More informationReady to give up. Booklet 3
Ready to give up Booklet 3 This booklet is written for people who have decided that they want to stop smoking. You can use this booklet on its own or go through it with the person who gave it to you. You
More informationClearing the Air: What You Need to Know and Do to Prepare to Quit Smoking. Getting Ready to Quit Course
Clearing the Air: What You Need to Know and Do to Prepare to Quit Smoking Getting Ready to Quit Course Sponsored by: American Lung Association of Maryland, Baltimore County Health Department & MDQuit Can
More informationStop Smoking Pre Session Guide. Helping YOU Successfully Stop Smoking For Good
Stop Smoking Pre Session Guide Helping YOU Successfully Stop Smoking For Good Important Note: This document and your appointment are not a substitute for appropriate medical advice. If you have concerns
More informationSis for. smoking and pregnancy. Don t give up giving up. textphone
Don t give up giving up. For friendly, practical advice on giving up smoking and where you can find help close to home, call the NHS Pregnancy Smoking Helpline 0800 169 9 169 textphone 0800 169 0 171 Sis
More informationQuit for You. Quit for your Baby. Quit Smoking Self Help Guide for Pregnant Women
Quit for You Quit for your Baby Quit Smoking Self Help Guide for Pregnant Women I am strong. I can do anything I put my mind to. I will raise my baby to be as strong as I am. And I will start today, by
More informationYOU ARE INVITED TO QUIT USING TOBACCO AND NICOTINE PRODUCTS FOR YOU & YOUR BABY!
YOU ARE INVITED TO QUIT USING TOBACCO AND NICOTINE PRODUCTS FOR YOU & YOUR BABY! QUIT FOR YOU. QUIT FOR YOUR BABY. Quit smoking guide for pregnant woman WILLING TO QUIT You CAN Quit Smoking. NOW is a Good
More informationRECOVERY BASICS SCOPE AND SEQUENCE. An Educational Video Based on Best Practices in Recovery Management. from
How to Start Strong and Keep Going SCOPE AND SEQUENCE An Educational Video Based on Best Practices in Recovery Management from For more information about this program, visit hazelden.org/bookstore or call
More informationQUIT TODAY. It s EASIER than you think. DON T LET TOBACCO CONTROL YOUR LIFE. WE CAN HELP.
QUIT TODAY. It s EASIER than you think. DON T LET TOBACCO CONTROL YOUR LIFE. WE CAN HELP. WHEN YOU RE READY TO QUIT, CALL THE SOUTH DAKOTA QUITLINE 1-866-SD-QUITS. IN THE BEGINNING, it s about freedom
More informationPresident s Message. Patrick R. Steffen, Ph.D. Winter 2014 Contents: From the Editor
ISMA-USA Newsletter President s Message Patrick R. Steffen, Ph.D. Winter 2014 Winter 2014 Contents: From the Editor 2 Getting to Know You: Dr. Tom McCutchen 2 Embracing Stress in Your Life: Dr. Tom McCutchen
More informationKen Dubner and Don Goodman Ph.D.
Ken Dubner and Don Goodman Ph.D. 1 Welcome 2 Video 1 3 To raise the legitimacy of Hypnosis and Hypnotherapy not only in the eyes of MD s and DD s but in the eyes of you as well. To provide different techniques
More informationBe Tobacco-Wise. Learn about the benefits of quitting smoking. Reasons to be Smoke-Free
Be Tobacco-Wise FIRST NATIONS Learn about the benefits of quitting smoking Reasons to be Smoke-Free Being healthy for yourself, children and grandchildren Setting a positive example for your family and
More informationLet s Quit Together.
Let s Quit Together. Are you ready to quit smoking? Whether it s your first time quitting, or you ve been trying for years, CVS/pharmacy and MinuteClinic are here to help with information, tools, guidance
More informationQuit&Fit. Tobacco Cessation Program
Quit&Fit Tobacco Cessation Program Welcome to Quit&Fit Dear Member: Do you ever feel like you re on a roller coaster? You start with the best intentions, resolving to finally stop smoking and improve your
More informationTerms and Conditions
- 1 - Terms and Conditions LEGAL NOTICE The Publisher has strived to be as accurate and complete as possible in the creation of this report, notwithstanding the fact that he does not warrant or represent
More informationMoving Toward Wellness: Smoking Cessation
Moving Toward Wellness: Smoking Cessation November 3, 2018 Elaine A. Hess, Ph.D. Baylor College of Medicine Houston Health Psychology http://houstonhealthpsychology.com Assumptions Interview style ground
More informationYou Can Quit Smoking
If you would like this information in another official language, contact us at (867) 920-3367. Si vous voulez ces informations dans une autre officielle, téléphonez-nous au 867-920-3367. You Can Quit Smoking
More informationYOUR GUIDE TO LIVING A SMOKE-FREE LIFE
YOUR GUIDE TO LIVING A SMOKE-FREE LIFE When it s time to quit smoking, YOU KNOW WHY. WE KNOW HOW. CONGRATULATIONS! You ve taken your first step to living a smoke-free life. In this guide, you ll find some
More informationHOW TO STOP ADDICTION IN 6 SECONDS
HOW TO STOP ADDICTION IN 6 SECONDS DRINKING SMOKING DRUGS... MASE LEARN HOW EASY IT IS TO STOP ANY ADDICTION FOREVER BY BHASKARA RAO KATRAGADDA CONTENTS Preface Introduction The Risks of Addictions Know
More informationDon t Quit Smoking Until. You Know the Best Way How!
Don t Quit Smoking Until You Know the Best Way How! How many different ways are there to quit smoking? More importantly, how many of them work? You don t want to quit the wrong way. Every attempt to quit
More informationCancer Control Office YOUR GUIDE TO QUIT SMOKING
Cancer Control Office YOUR GUIDE TO QUIT SMOKING ARE YOU THINKING ABOUT QUITTING SMOKING? IF YOU ARE, CONGRATULATIONS FOR TAKING THIS IMPORTANT STEP! This brochure will help you: Set your own reasons to
More informationIn this Pack you will find. Introduction...
In this Pack you will find Introduction... For hypnotherapy to be effective, hypnosis itself must be effective. This is the focus of The Australian Academy of Hypnosis. We don t focus on NLP or so called
More informationOriginal page:
Original page: http://my.webmd.com/content/article/87/99423.htm This article is from the WebMD Feature Archive Hypnosis Goes Mainstream By learning self-hypnosis, you can help reduce pain and anxiety.
More informationDr. Christopher Lucies.,LPC-S., NBCDCH., NCC., MAC. Clinical Hypnotherapy: Basic Clinical Skills for Clinical Practice
Dr. Christopher Lucies.,LPC-S., NBCDCH., NCC., MAC Clinical Hypnotherapy: Basic Clinical Skills for Clinical Practice Disclaimer and Contact Info Please be advised this workshop is not designed to promote
More informationChoosing Life: Empowerment, Action, Results! CLEAR Menu Sessions. Substance Use Risk 2: What Are My External Drug and Alcohol Triggers?
Choosing Life: Empowerment, Action, Results! CLEAR Menu Sessions Substance Use Risk 2: What Are My External Drug and Alcohol Triggers? This page intentionally left blank. What Are My External Drug and
More informationRelapse Prevention. Jennifer S. B. Moran, MA, TTS MFMER slide-1
Relapse Prevention Jennifer S. B. Moran, MA, TTS 2013 MFMER slide-1 Learning Objectives Describe cognitive, behavioral, and pharmacologic relapse prevention concepts that may be introduced early in a tobacco
More informationSmoking Cessation Medbelle Information Brochure
Smoking Cessation Medbelle Information Brochure Why we prepared this brochure for you Hi, my name is Sarah. I m a cosmetic treatment adviser with Medbelle. Every day, I speak with men and women in the
More informationAmerican Heart Association s List of Questions to Ask Your Doctor
American Heart Association s List of Questions to Ask Your Doctor About blood cholesterol What do my cholesterol numbers mean? What is my goal cholesterol level? How often should I have my levels checked?
More informationOvercoming Stress Eating and Food Addiction Ellie Steele Registered Holistic Nutritionist ACEP certified EFT Practitioner Personal Trainer Specialist
Overcoming Stress Eating and Food Addiction Ellie Steele Registered Holistic Nutritionist ACEP certified EFT Practitioner Personal Trainer Specialist www.evolutionwellnesscoach.com There is a level of
More informationHow to Hypnotize People Easily and Effectively: Learn the Power of Mind Control Hypnosis
How to Hypnotize People Easily and Effectively: Learn the Power of Mind Control Hypnosis Laura J. Walker Copyright 2013 by Laura J. Walker Published in ebook format by ebookit.com http://www.ebookit.com
More informationAlcoholism has been demonstrated to have a genetic component, especially among men.
Causes and Treatment of Substance-Related Disorders (Chapter 10) Familial and Genetic Influences Alcoholism has been demonstrated to have a genetic component, especially among men. Seems to be a common
More informationPractical ways of reducing cigarette cravings. Robert West Cancer Research UK and UCL UK National Smoking Cessation Conference June 2005
Practical ways of reducing cigarette cravings Robert West Cancer Research UK and UCL UK National Smoking Cessation Conference June 2005 Outline What are cravings? The role of cravings in addiction What
More informationPut Your Worries Here With Teen Clients, Students, and Patients
Ten Practical Techniques for Using Put Your Worries Here With Teen Clients, Students, and Patients by Lisa M. Schab, LCSW While Put Your Worries Here is set up to be of benefit to the average teen wanting
More informationPostpartum Protocol Script for Tobacco Quit-Line Counseling
Postpartum Protocol Script for Tobacco Quit-Line Counseling Developed in collaboration with the American Legacy Foundation, American Cancer Society, Environmental Protection Agency, American College of
More informationTrevor Wales Hypnotherapy Solutions Helping you to be the best that you can be
Trevor Wales Hypnotherapy Solutions Helping you to be the best that you can be Welcome to the world of Hypnotherapy What is hypnosis? Hypnosis is a naturally occurring state, we enter into this state when
More informationUnit 13: Treatment of Psychological Disorders
Section 1: Elements of the Treatment Process Section 2: Insight Therapies Section 3: Behaviour Therapies Section 4: Biomedical Therapies Section 5: Trends and Issues in Treatment Unit 13: Treatment of
More informationPST-PC Appendix. Introducing PST-PC to the Patient in Session 1. Checklist
PST-PC Appendix Introducing PST-PC to the Patient in Session 1 Checklist 1. Structure of PST-PC Treatment 6 Visits Today Visit: 1-hour; Visits 2-8: 30-minutes Weekly and Bi-weekly Visits Teach problem
More informationUsing Guided Imagery for Surgical Support
Using Guided Imagery for Surgical Support A Comprehensive Guide for Nurses, Massage Therapists, Doctors, Energy Workers, and Anyone Who Believes in Our Healing Potential Debra Basham and Joel P. Bowman
More informationFOREVER FREE STOP SMOKING FOR GOOD B O O K L E T. StopSmoking. For Good. What If You Have A Cigarette?
B O O K L E T 4 StopSmoking For Good What If You Have A Cigarette? Contents Can t I Have Just One Cigarette? 2 Be Prepared for a Slip, Just in Case 3 Watch out for the Effects of a Slip 4 Keep a Slip from
More informationPeople with HIV or AIDS are living longer, healthier lives. But, a lot of. 60% and 70% still smoke cigarettes.
HIV and Smoking People with HIV or AIDS are living longer, healthier lives. But, a lot of people with HIV or AIDS between 60% and 70% still smoke cigarettes. If you have HIV or AIDS and you smoke, you
More informationQUIT FOR YOU. QUIT FOR YOUR BABY!
My quit smoking date: ( Month / Day / Year) QUIT FOR YOU. QUIT FOR YOUR BABY! My baby s due date: ( Month / Day / Year) I AM QUITTING SMOKING FOR A LITTLE REASON Self-Help Guide to Quit Smoking for Pregnant
More informationFOREVER FREE STOP SMOKING FOR GOOD B O O K L E T. StopSmoking. For Good. Life Without Cigarettes
B O O K L E T 8 StopSmoking For Good Life Without Cigarettes Contents Urges 2 Benefits of Quitting 4 But What About My Weight? 7 If You Do Smoke 9 This is the eighth booklet in the Forever Free series.
More informationA moment's insight is sometimes worth a life's experience.
By Angela Spaxman, Business and Career Coach, Director of Spaxman Ltd., Coach Training Expert for Progress-U Ltd. A moment's insight is sometimes worth a life's experience. -- Oliver Wendell Holmes US
More informationChapter 14. Lessons. Bellringer
Tobacco Tobacco Lessons Lesson 1 Tobacco Products: An Overview Lesson 2 Tobacco s Effects Lesson 3 Tobacco, Disease, and Death Lesson 4 Tobacco and Addiction Lesson 5 Quitting Lesson 6 Why People Use Tobacco
More informationClient Care Counseling Critique Assignment Osteoporosis
Client Care Counseling Critique Assignment Osteoporosis 1. Describe the counselling approach or aspects of different approaches used by the counsellor. Would a different approach have been more appropriate
More informationSMOKE-FREE FOR LIFE 2ND FLOOR 4TH FLOOR
SMOKE-FREE FOR LIFE So you re ready to quit smoking. You ve decided the risks to your health outweigh the pleasures. You want to regain control of your behavior. Maybe you re tired of how smoking restricts
More informationAPA Sample Paper. Running head: SMOKING CESSATION STRATEGIES 1. Smoking Cessation Strategies. Student Name. School Name
Running head: SMOKING CESSATION STRATEGIES 1 Running head is left-aligned. Page number is right-aligned. Smoking Cessation Strategies Student Name School Name Check with your professor to find out what
More informationHelpline blf.org.uk
How to stop smoking It s never too late to quit If you can quit smoking, you ll live longer and feel better however old you are. It s never too late to stop, no matter how long you have smoked for. Quitting
More informationThere are many benefits to quitting for people with cancer even if the cancer diagnosis is not tobacco-related INCREASED
Stopping tobacco use reduces your risk for disease and early death. There are health benefits at any age. YOU ARE NEVER TOO OLD TO QUIT. Health benefits begin immediately. INCREASED blood oxygen levels
More informationFrom broken down to breaking through.
22 From broken down to breaking through. Stephen Travers Stephen Travers is a hypnotherapist and NLP practitioner based in Dublin, Ireland. H: Stephen, how did you first discover Havening? S: I was reading
More informationTO ONE S SELF, OTHERS,& ENVIRONMENT
SMOKING IS A HEALTH DESTRUCTIVE HABIT TO ONE S SELF, OTHERS,& ENVIRONMENT EVERY SMOKER SHOULD BE OFFERED TREATMENT TO QUIT Juliette Jibrail Juliette Jibrail Nov. 11, 2007 Thorough Internet Search Variety
More informationContents. Smoking. Staying stopped. Preparing to stop. Relapsing. Stopping
Contents Stage 1: Preparing to stop smoking 1 Stage 2: Stopping 3 Stage 3: Staying stopped 5 Nicotine replacement therapy 7 Non-nicotine treatments 10 Where to get help and advice 11 Stopping smoking isn't
More informationHOW TO STOP SMOKING FOREVER
HOW TO STOP SMOKING FOREVER TABLE OF CONTENTS INTRODUCTION QUIZ 6 KNOW THE ENEMY 9 THE EFFECTS OF NICOTINE 9 HOW YOU CAN BEGIN TO QUIT 10 HOW TO QUIT IN SEVEN DAYS 10 HOW TO HANDLE THE URGE 1 HANDLING
More informationQuit Smoking Forever 1
Quit Smoking Forever 1 CONTENTS SECTION ONE.... 5 1 The Act of Smoking.. 6 2 The Biology of Smoking.. 7 3 How Smoking Becomes a Habit... 8 4 Why it s so Hard to Stop. 9 SECTION TWO....... 11 5 The Four
More informationHELPING PEOPLE STOP SMOKING
HELPING PEOPLE STOP SMOKING Using motivational interviewing skills JENNIFER PERCIVAL RGN. RM.RHV. FETC Counselling Dip RCN TOBACCO POLICY ADVISOR TOBACCO IS A SERIOUS PROBLEM In the year 2000 1 in every
More informationSmoking Cessation: Nurse Interventions and Effective Programs
Smoking Cessation: Nurse Interventions and Effective Programs Upon completion of this course the nurse will be able to: Identify the six stage trans-theoretical model of behavioral change as it applies
More informationNicotine: A Powerful Addiction
YOU CAN QUIT YOUR TOBACCO USE Learn how to get help to quit using tobacco and improve your chances of quitting. This document explains the best ways to quit tobacco use as well as new treatments to help.
More informationVOLUME B. Elements of Psychological Treatment
VOLUME B Elements of Psychological Treatment Module 2 Motivating clients for treatment and addressing resistance Approaches to change Principles of Motivational Interviewing How to use motivational skills
More information2 INSTRUCTOR GUIDELINES
STAGE: Not Ready to Quit (Ready to cut back) You have been approached by Mr. Faulk, a healthy young male, aged 28, who has applied to become a fireman and has a good chance of being offered the job. His
More informationSmoking Cessation. Disclosures. Thank You. None
Smoking Cessation Dr. Jamie Kellar; BSc, BScPhm, PharmD Clinician Educator Centre for Addiction and Mental Health Assistant Professor Leslie Dan Faculty of Pharmacy Disclosures None Thank You Several slides
More informationConscious Mind Primer
Welcome to the Peak Power Hypnosis Conscious Mind Primer By John Vincent This Blueprint is designed to be a companion piece for the Conscious Mind Primer Audio session. The ideas in this Blueprint are
More informationDepression Major Depressive Disorder Defined. by Yvonne Sinclair M.A.
Depression Major Depressive Disorder Defined. by Yvonne Sinclair M.A. Have you been feeling sad a lot lately, can t seem to shake the blues. Do you know someone who has changed, no energy, lack of concentration,
More informationBASIC VOLUME. Elements of Drug Dependence Treatment
BASIC VOLUME Elements of Drug Dependence Treatment Module 2 Motivating clients for treatment and addressing resistance Basic counselling skills for drug dependence treatment Special considerations when
More informationHeal Yourself With Medical Hypnosis: The Most Immediate Way To Use Your Mind-Body Connection By Steven Gurgevich, Andrew Weil
Heal Yourself With Medical Hypnosis: The Most Immediate Way To Use Your Mind-Body Connection By Steven Gurgevich, Andrew Weil Find Hypnotherapy Therapists, Psychologists and Hypnotherapy Counseling in
More informationBenefits of Mindfulness
Benefits of Mindfulness Practices for Improving Emotional and Physical Well-Being It s a busy world. You fold the laundry while keeping one eye on the kids and another on the television. You plan your
More informationCoach on Call. Thank you for your interest in Cutting Down to Quit Smoking During Pregnancy. I hope you find this tip sheet helpful.
Coach on Call It was great to talk with you. Thank you for your interest in. I hope you find this tip sheet helpful. Please give me a call if you have more questions about this or other topics. As your
More information