EPISODE · Feb 24, 2026 · 4 MIN

Smoking - the no.1 modifiable risk...

from The Non-Psychiatrist’s Guide to Lifestyle Psychiatry · host Dr Mike Trott

In this episode, we turn to one of the most important – and often overlooked – drivers of premature mortality in severe mental illness: smoking.We explore why smoking is so prevalent in this group, including the neurobiological “self-medication” hypothesis, cognitive effects of nicotine, and the role of social and structural factors within mental health systems. We also examine the evidence on whether quitting worsens mental health (it doesn’t), and review what actually works for smoking cessation in people with psychosis.

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This episode is 4 minutes long.

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This episode was published on February 24, 2026.

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