Now controversially spans all sorts of behaviours



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a medical 
disorder 
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CASE STUDY
Addicted to 
cigarettes
The first time Louise smoked a 
cigarette, she was 10 years old. By 
the time she was 15, she was up to 
60 a day. When she couldn’t smoke, 
she felt agitated and stressed, 
unable to think of anything else.
“I quit school because you weren’t 
allowed to smoke there,” she says. 
“At that time, cigarettes were the 
most important thing in my life.”
The only time she has been unable 
to smoke was when she was in 
hospital. “I kept everyone awake on 
the entire ward, causing chaos. Even 
though I struggled to walk, I got to 
the nurses’ station and turned the 
lights on and off, screaming and 
shouting, until they finally let me
out at 5 am. It was ridiculous
disgraceful behaviour, all for a 
cigarette,” she says. 
Now aged 26, she still smokes. 
She doesn’t enjoy it, and never has. 
“I’ve tried stopping several times.
I’ve never liked cigarettes, nothing 
appeals to me about them. And now
I work in public health, I look like a 
hypocrite when I smoke. It is against 
everything I believe in, but I still 
do it.” However, despite her 
determination to quit, she can’t get 
below 10 cigarettes a day.
You can hate the taste 
of cigarettes and still 
struggle to kick the habit 
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