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Smoking and mental health problems, smoking and mental health problems. Smoking prevalence is higher among people with mental health problems than in the general population and is particularly high. Among those with severe mental illness, there has been reluctance from health professionals to address smoking. In this group studies show that the desire to stop smoking is just as high among the people with mental health problem as it is in general in the general population. And they said stop stopping smoking does not worsen mental a. However, people with mental health problems may need higher level of support to successfully quit smoking and mood disorders. Smoking prevalence is higher among the people with anxiety and depression, anxiety levels typically decrease when individuals stop smoking, but depression usually remains as a the vast majority of people who smoke, reports feeling happier after they have quit. But if you report feeling less happy and these individuals may require additional and more intensive support, clients can be reassured that stopping smoking will not worsen their condition but will in fact improve it. You need to be vigilant in monitoring the minority of people who become more miserable when they stop smoking and assess what longer term help they might need smoking and a psychotic illness. The majority of people with schizophrenia and other psychotic disorders, smoke and in most cases, they smoke heavily which greatly increase the risk of dying from smoking related disorder. There is no evidence to suggest that smoking help alleviate psychotic symptoms. Smoking mostly through hydrocarbon agents in cigarette in cigarette smoke, not nicotine stimulate a liver enzyme responsible for metabolizing drugs in the body. Resulting in fast clearance of a number of, of medications including antipsychotics, antidepressant and angiolytic. This means is that people who smoke may need higher doses of these drugs than those who don't smoke. Stopping. Smoking can lead to the need for those reductions of some medications to achieve the same drug level and the serape effects. It is essential to realize that there is no medical reason for people with psychotic illness to continue smoking. But in terms of encouragement to stop, they should be treated like any other client. However, there must be an additional understanding that the difficult is in stopping or greater. Thank you and good luck.