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The American Psychiatric Association also considers the presence of an impairing level of distress as a diagnostic criterion for a broad range of other mental health problems

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Sometimes a smoker might want to smoke because they: want to be on their own, away from people and immersed in their thoughts are feeling low or sad want to feel part of the ' gang' in the crowd are having trouble thinking clearly and concentrating want to feel confident and in control are feeling restless and jumpy want to relax after having a stressful day are having trouble sleeping (2) Although people might smoke for fun initially, it can turn into a pattern

and the psychiatrist Jean Tatlock