Therapist Development Center Practice Exam 1

What is the most likely cause of panic and irritability reported by a lawyer who recently quit smoking?

1. Nicotine withdrawal

2. Marital issues

3. Job stress

4. Substance abuse

The correct answer is: Nicotine withdrawal

Nicotine withdrawal is a well-documented phenomenon that can result in a range of psychological and physiological symptoms when a person who has been regularly using nicotine abruptly stops. These symptoms can include increased anxiety, irritability, mood swings, and panic attacks. In the context of a lawyer who has recently quit smoking, the irritability and panic can be directly linked to the body's reaction to the absence of nicotine. Nicotine affects neurotransmitters in the brain, and when a person stops using it, those neurotransmitter systems can become dysregulated, leading to heightened feelings of stress and discomfort. While marital issues, job stress, and substance abuse could potentially contribute to feelings of panic and irritability, the timing of the symptoms in relation to quitting smoking strongly indicates that nicotine withdrawal is the primary cause. Recognizing the specific context of smoking cessation helps to pinpoint the withdrawal effects as the most likely reason for the reported symptoms.