A case of smoking cessation in a college student

Abstract

Tobacco use among young adults, including college students, remains a major public health issue, contributing to long-term cardiovascular, respiratory, and oncological risks. Pharmacists in both community and clinic settings play a critical role in smoking cessation counseling and therapy support. A 22-year-old female college student who smoked 8–10 cigarettes daily for three years sought help for quitting due to persistent cough and concerns about her health. Through three structured encounters, she received motivational interviewing, nicotine replacement therapy (NRT), behavioral counseling, and follow-up support. Over two months, the client progressed from contemplation to active quit attempt. She used nicotine gum for craving control, engaged in stress management strategies, and benefited from peer support. At the 8- week follow-up, she achieved complete abstinence, with improved lung function and reduced anxiety. This case demonstrates the role of pharmacists in smoking cessation programs for college students through behavioral counseling, NRT, and motivational support in accessible healthcare settings.