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Smoking and Tobacco

Mood Swings

05/31/1997

Question:

I was a smoker for 16 years and I finally quit (cold turkey) fifteen days ago. Since the first few days of being a non-smoker, I have been experiencing severe mood swings that I can barely control. I have done quite well at resisting the urges to smoke and for some reason, quitting seems much easier this time than it was in my previous attempts, but I have rarely experienced such shifts in my emotions before and I am confused about why this may be happening to me.

I exercise and meditate regularly and I am eating healthier, which helps ease the stress of quitting. I am a 28-year old female and I do not usually have any major symptoms of P.M.S. or other female problems, however, the mood swings that I am experiencing started just before my menstruation cycle began, but I am still enduring them two weeks later. Is there some explanation for this that may be connected to quitting smoking and is this a normal experience for new non-smokers?

Answer:

Irritability is a common withdrawal symptom of smoking cessation. If it lasts longer than two weeks, you should see your physician to rule out any other potential health problems such as premenstrual syndrome, anxiety, depression, bipolar disorder or other possible psychiatric condition. Medical conditions, especially endocrine imbalances can also cause mood swings. Only through a thorough evaluation, can your physician make the correct diagnosis and offer the appropriate therapy.

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Response by:

University of Cincinnati Margie C. Sweeney, MD
Associate Professor of Clinical Family Medicine
Department of Family Medicine
College of Medicine
University of Cincinnati