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Of these, seven (44%) reported evidence in support of a bidirectional relationship between depression and smoking 15,21,47,57,65,125,132 and one (9%) reported evidence in support of a bidirectional relationship between anxiety and smoking

Tobacco use is associated with an elevated risk of cardiovascular disease, cancer, respiratory disorders, and other diseases, and it can interfere with the efficacy of medications

We screen for this at every visit and recommend integrated dual diagnosis treatment when mental health and substance use need parallel attention

Understanding your child's constitution is key to raising resilience, instead of wiring in disease
