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Failed attempts to quit, using tobacco as a coping mechanism, and experiencing mood changes when trying to stop are common indicators

There is often a conflation between psychotic symptoms and psychosis, or even schizophrenia, and an assumption that risk factors for psychotic symptoms will generalise to psychosis, but this is ill-founded (David, 2010)

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It involves a temporary loss of contact with reality, including hallucinations, delusions, confusion, and/or severe anxiety [2]