Substance use & recovery · Understand your experience

Nicotine & tobacco dependence

If you want to change your nicotine or tobacco use, you can ask for support that fits the product you use and your circumstances. You do not need to do it through willpower alone.

The product you use matters when choosing support.
01 / Get a clearer picture

Be clear about which product you use.

Cigarettes, vaping products and smokeless tobacco differ. Nicotine-related concerns can involve cravings, patterns of use and difficulty making a change, but one product's questionnaire is not automatically valid for another.

If you want help quitting cigarettes, counselling and approved medicines are options to discuss. For vaping or other products, ask a health professional what support fits that product and your situation.

Based on CDC · Heatherton and colleagues · British Journal of Addiction

The product you use matters when choosing support.
A visual explanation

Choose support around the product you use.

  • Your product

    Cigarettes, vaping or another product

  • Your routines

    Cravings and situations that matter

  • Your goal

    What you would like to change

  • Your options

    Appropriate advice and support

Support questions, not a nicotine severity ladder. The original cigarette measure is not rewritten for vaping or other products. Source: CDC
02 / Make sense of what has changed

Describe what makes a change difficult.

Use these examples to prepare a conversation, rather than to grade yourself.

The product

Cravings or discomfort when you go without nicotine.

Cravings & routines

Use becoming part of routines you find difficult to change.

Previous attempts

Attempts to change use not working as you hoped.

Your preferences

Wanting help with the cost, health concerns or everyday impact.

Based on CDC · Heatherton and colleagues · British Journal of Addiction

03 / Put your experience into context

A cigarette questionnaire has a specific purpose.

FTND was developed for cigarette smoking. Replacing cigarette wording with vape wording would create an unvalidated version, rather than the original test.

A clinician can ask about the product, frequency, previous attempts to change and your health. The conversation can be useful even without a score. Mention pregnancy, breastfeeding, age or medicines when discussing treatment.

Based on CDC · Heatherton and colleagues · British Journal of Addiction · NIDA Data Share · NIH

Your experience, in three prompts
  1. 1
    The product

    Cigarettes, vaping or another nicotine product?

  2. 2
    Your experience

    What has been hardest when trying to change?

  3. 3
    Your goal

    Which support options fit your health and preferences?

Make a few notes
Room for your questions

Tell the service which nicotine or tobacco product you use.

Cigarettes, vaping and other products are not interchangeable contexts for a questionnaire or treatment recommendation. Explain the product, the pattern and what you want help changing.

The CDC medicine guidance linked here concerns adult cigarette cessation. If you use another product, are under 18, pregnant or breastfeeding, seek professional advice about suitable support.

  • Product

    Name the actual product rather than relying on a cigarette-based score.

  • Previous attempts

    Describe what helped, what was difficult and any unwanted effects.

  • Support preferences

    Ask about counselling, available medicines and follow-up for your context.

Preparation for care, with no dose or product recommendation.

Based on CDC

04 / Explore your support options

Ask about counselling and appropriate treatment options.

You and your clinician can discuss what fits your needs, preferences and health.

Based on CDC

Support for changing use

For adults quitting cigarettes, medicines and behavioural support can help. A clinician or pharmacist can explain which options fit your health, preferences and other treatment.

A plan that fits your circumstances

Advice for cigarette cessation should not automatically be applied to every nicotine product. Ask for individual advice if you use vaping products or smokeless tobacco, are pregnant or breastfeeding, or are under eighteen.

Understand your options

Support can address routines and withdrawal as well as motivation.

Adult cigarette cessation may involve counselling and suitable medicines. A clinician or cessation service can explain benefits, possible side effects and how options fit your health.

If you have tried before, that experience can help shape the next conversation. Ask for support that fits your circumstances rather than interpreting a setback as a personal verdict.

Based on CDC

05 / Choose your next step

A little clarity. A place to start.

Explore a tool, prepare a conversation or find someone to talk to. Choose what feels useful to you.

Questionnaires you might hear about

The original Fagerström test concerns cigarette smoking. TAPS covers a wider substance conversation. A cigarette score should not be relabelled as a vaping or smokeless-tobacco score.

FTND

A cigarette-specific nicotine-dependence measure.

Fagerström Test for Nicotine Dependence

The original six-item instrument was developed around cigarette-smoking behavior. Its wording and evidence should be kept with that context.

What it can and cannot tell you

Owner permission and the exact digital form remain unresolved here. It is not adapted for vaping, nicotine pouches or smokeless tobacco, and does not decide which treatment is appropriate.

Read the original measure reference

Based on Heatherton and colleagues · British Journal of Addiction

TAPS

A starting conversation across substance categories.

Tobacco, Alcohol, Prescription Medication and Other Substance Use Tool

An adult primary-care tool with an initial screen about the past year and substance-specific follow-up about the past three months. Prescribed use and nonmedical use need different context.

What it can and cannot tell you

The exact form, digital-use permission and follow-up branches have not cleared release here. Its substance-specific results do not form one addiction score or establish a diagnosis.

Official measure information

Based on NIDA Data Share · NIH

These measures are explained here, rather than administered. You can ask for support without a score or a diagnosis, and choose how much to share in your first conversation.

Something you can use today

Practical guideYour words

Prepare for a conversation

A few prompts to help you explain what you have noticed and what you would like help with.

  • A simple notes builder
  • Copy your notes to keep
  • No account needed

You decide how much to write and share.

Find your words
Support directorySomeone beside you

Find your next kind of support

Explore where to begin with everyday support, professional help or an urgent conversation.

  • Ways to ask for help
  • Country-specific crisis contacts
  • Support at your own pace

If you need urgent help, go straight to support.

Find support
You can start right here

Your first sentence does not need to be perfect.

You could ask a clinician, pharmacist or local cessation service about support. Explain what you use and what has made previous attempts difficult. Seeking help is a practical choice, rather than a test of determination.

Based on CDC

“I would like support to change my nicotine use. Could we discuss the product I use and options that fit my circumstances?”
Make it sound like you
Things you may be wondering

Your questions, with room for nuance.

You can read just the answer you need.

Can the FTND be applied unchanged to vaping?

Its original context is cigarette smoking. A cigarette-based instrument should not be silently adapted to vaping or used to select treatment for another product.

Based on CDC

Where this information comes from.

Use this hub to learn and prepare questions. It does not diagnose you or recommend a personal treatment plan. By Selfmora editorial; sources checked . Updated .

Additional explanations and examples: sources consulted . Examples illustrate ideas; they do not assess your personal health. Your questions

Our editorial approach