The World Health Organization has identified nicotine dependence as the number one preventable illness leading to the highest morbidity and mortality rates in the world. This presentation will review the epidemiology, the co-morbidity with behavioral health problem, and common screening and brief interventions in addressing the troubling problem with the patient. There will be a review of the FDA approved treatments.

Nicotine dependence is the single greatest cause of morbidity and mortality in the world. It is important for all physicians and other health care workers to be well trained to be able to effectively engage patients in the discussion of abstinence. It is important that once the patient is engaged in trying to quit the physician or health care worker have an understanding of the evidence based treatments. 

1. Have and understanding of the impact nicotine dependence has on health.
2. Understand ways in which a health care worker can approach the patient increasing the chance of behavior change.
3. Understand the more common forms of treatment. There will be a discussion of "vaping” included n this section.

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R. Gregory Lande, DO, FAOAAM R. Gregory Lande, DO is a past president of the AOAAM. Dr. Lande retired from active duty military service and now practices psychiatry at Walter Reed National Military Medical center in Bethesda, MD. He is the author of over 100 articles, chapters, and books.