Rosh Psychiatry Board Practice Exam

In treating tobacco use disorder, what common strategy is employed alongside medication like bupropion?

1. Behavioral therapy

2. Short-term hospitalization

3. Recreational activities

4. Increased hydration

The correct answer is: Behavioral therapy

The integration of behavioral therapy with medications such as bupropion is a fundamental aspect of treating tobacco use disorder. Behavioral therapy aims to help individuals identify and modify the thoughts and behaviors that contribute to their tobacco use. This might include developing coping strategies for cravings, creating a quit plan, and managing triggers. Bupropion itself is an effective pharmacological agent that can reduce withdrawal symptoms and cravings, but adding behavioral therapy significantly enhances the likelihood of successful cessation. Evidence-based treatment guidelines recommend a combined approach, as it addresses both the physiological dependence and the psychological aspects of addiction, leading to improved outcomes in quitting smoking. The other strategies mentioned do not hold the same level of evidence or routine application in this context. For example, short-term hospitalization may be necessary for severe cases but is not a standard approach for all patients with tobacco use disorder. Recreational activities and increased hydration can support well-being but do not directly target the addiction or provide the structured support that behavioral therapy offers. Therefore, the combination of behavioral therapy with medication is critical for an effective treatment strategy for tobacco use disorder.