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Clinicians, particularly those treating ADHD, should advise patients and families of the potential risks of tobacco use and monitor for use at every visit.[53] The cornerstone for provision of smoking cessation treatment should be the 5-A Method (ask, advise, assess, assist, and arrange).[54] Among smoking cessation interventions targeting young people, those that incorporate motivational enhancement, cognitive-behavioral, and contingency management approaches may be most associated with success.[55-57] Motivational enhancement therapy is designed to elicit and support readiness to quit smoking.[58,59] Using this method, the clinician and patient discuss the patients smoking patterns, beliefs and thoughts about smoking, and level of motivation or desire to cease smoking

These issues add up and can wear the system down faster

However, the maternal diagnoses made in this study rely upon diagnoses indicated in the medical record

J Nat Prod 79(4):754759