Reply to Letter to the Editor "Impact of a Smoking Ban on a Locked Psychiatric Unit"
J Clin Psychiatry 1997;58(4):179 [letter]
© Copyright 2014 Physicians Postgraduate Press, Inc.
Purchase This PDF for $40.00
If you are not a paid subscriber, you may purchase the PDF.
(You'll need the free Adobe Acrobat Reader.)
Receive immediate full-text access to JCP. You can subscribe to JCP online-only ($86) or print + online ($156 individual).
With your subscription, receive a free PDF collection of the NCDEU Festschrift articles. Hurry! This offer ends December 31, 2011.
If you are a paid subscriber to JCP and do not yet have a username and password, activate your subscription now.
As a paid subscriber who has activated your subscription, you have access to the HTML and PDF versions of this item.
Click here to login.
Did you forget your password?
Still can't log in? Contact the Circulation Department at 1-800-489-1001 x4 or send email
Letter to the Editor
Sir: Dr. Pearlman states that “paranoid and psychotic patients addicted to nicotine who refuse nicotine patches are prone to aggressive acting out behavior,” yet he does not provide data to support this statement. We do not doubt that some patients who refuse nicotine gum or patches may become agitated as part of the nicotine withdrawal syndrome. In the DSM-IV, the diagnosis of nicotine withdrawal requires at least four of the following signs: “dysphoric or depressed mood; insomnia; irritability, frustration, or anger; anxiety; difficulty concentrating; restlessness or impatience; decreased heart rate; and increased appetite or weight gain.”