Now I'm not very judgemental. Live and let live but don't blow your smoke over me . That ban on smoking in public places was a godsend. I get wheezy pretty quickly as a consequence of secondary smoking. If someone wants to smoke in their own home or outside it's entirely up to them. In fact I sometimes join my addicted colleagues when they go out to top up their nicotine. Smoking is still rife in a mental health service where having a fag with a patient used to be a way to foster engagement. How times have moved on.
The problem here was that this person is far from rich. Action on Smoking and Health (ASH) report that, in developing countries, tobacco use comprises a person's ability to meet basic needs. Well this is the case in the UK, a real first world problem as well for those on lower incomes. There was little over for food let alone for the things that we identified might help combat depression. Small things like paint for a bedroom and a haircut. E-cigarettes seem a cheaper alternative but this person was insistent that they didn't get on with them.
So........ we've been working one cigarette at a time. 35p saved each day doesn't sound a lot but it all adds up. to about £10.50 a month. Even that's enough to start to make a difference to someone's diet.
Spelling it out in financial terms fag by fag has really resonated with this person. They've cut their habit by a massive fifteen cigarettes a day over just a couple of months and will be starting a smoking cessation programme soon. Simple measures such as hiding the cigarettes away and questioning whether they need one each time they have a craving have helped. This person feels like they have got control of their life back. Their new financial freedom is one of the biggest factors.