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Ask establish smoking status: Do you smoke tobacco cigarettes or roll-ups? Advise that the best way of stopping smoking is to use a combination of behavioural support and drug treatment: Did you know that smoking cessation medicine plus smoking cessation counselling can double your chances of quitting? Act provide a referral or offer behavioural support using the CBT model as a tool, and follow-up appointments: Would you like to meet again to talk about smoking cessation options?, I can refer you to a smoking cessation specialist, if you like? Smokers may say that they are too stressed out to stop, that they would like to deal with their mental health problem before they stop smoking, or that they won't be able to cope without cigarettes