{"id":3146,"date":"2025-04-23T15:06:08","date_gmt":"2025-04-23T13:06:08","guid":{"rendered":"https:\/\/studiopsicoterapiabonaventura.it\/lenia-e-duhanit-me-terapi-njohese-te-sjelljes\/"},"modified":"2026-04-20T21:57:39","modified_gmt":"2026-04-20T19:57:39","slug":"lenia-e-duhanit-me-terapi-njohese-te-sjelljes","status":"publish","type":"post","link":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/lenia-e-duhanit-me-terapi-njohese-te-sjelljes\/","title":{"rendered":"L\u00ebnia e duhanit me Psikoterapi Kognitive-Sjellore: Nj\u00eb metod\u00eb shkencore me tri faza"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">L\u00ebnia e duhanit \u00ebsht\u00eb nj\u00eb rrug\u00ebtim kompleks, shpesh i sh\u00ebnuar nga tentativa t\u00eb d\u00ebshtuara q\u00eb gjenerojn\u00eb frustrim. Kuptimi i mekanizmave psikologjik\u00eb pas <a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/crregullime-te-lidhura-me-substancat\/\" data-type=\"page\" data-id=\"2098\">var\u00ebsis\u00eb<\/a> \u00ebsht\u00eb hapi i par\u00eb p\u00ebr t\u00eb dal\u00eb prej saj. <\/p>\n\n<p class=\"wp-block-paragraph\">Duhanpir\u00ebsi q\u00eb tenton t\u00eb l\u00ebr\u00eb duhanin kalon tipikisht n\u00ebp\u00ebr <a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/kater-fazat-e-historise-se-nje-duhanpiresi-fillimi-mirembajtja-nderprerja-rikthimi-dhe-rifillimi-i-pirjes-se-duhanit\/\" data-type=\"post\" data-id=\"3041\">kat\u00ebr stade<\/a>: 1) fillimi; 2) mbajtja; 3) nd\u00ebrprerja e duhanit; 4) r\u00ebniet e p\u00ebrs\u00ebritura (recalcet) dhe rifillimi.   <\/p>\n\n<p class=\"wp-block-paragraph\">N\u00eb k\u00ebt\u00eb artikull do t\u00eb prezantoj nj\u00eb p\u00ebrmbledhje t\u00eb qasjeve kryesore t\u00eb p\u00ebrdorura p\u00ebr t\u00eb nd\u00ebrprer\u00eb zakonit e duhanpirjes, me referenc\u00eb t\u00eb ve\u00e7ant\u00eb ndaj efikasitetit t\u00eb <a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/terapia-kognitive-sjellese\/\" data-type=\"page\" data-id=\"262\">qasjes kognitive-sjellore<\/a>, nj\u00eb protokoll i strukturuar q\u00eb bashkon baza t\u00eb forta historike me strategjit\u00eb psikologjike m\u00eb moderne.<\/p>\n\n<div class=\"wp-block-stackable-spacer stk-block-spacer stk--no-padding stk-block stk-564dbb8\" data-block-id=\"564dbb8\"><\/div>\n\n<p class=\"wp-block-paragraph\"><strong>Nd\u00ebrhyrja farmakologjike dhe kriza e abstinenc\u00ebs<br data-mce-bogus=\"1\"\/><\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Nj\u00eb nga problemet kryesore n\u00eb l\u00ebnien e duhanit \u00ebsht\u00eb tejkalimi i <strong>kriz\u00ebs s\u00eb abstinenc\u00ebs<\/strong>.<\/p>\n\n<p class=\"wp-block-paragraph\">Nd\u00ebrhyrja farmakologjike, <strong>e cila duhet t\u00eb kryhet gjithmon\u00eb n\u00ebn kontrollin e rrept\u00eb mjek\u00ebsor<\/strong>, \u00ebsht\u00eb sot shum\u00eb e evoluar dhe ofron opsione t\u00eb ndryshme p\u00ebr t\u00eb zbutur simptomat fizike dhe d\u00ebshir\u00ebn e pap\u00ebrmbajtshme (<em>craving<\/em>):<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Terapia Z\u00ebvend\u00ebsuese e Nikotin\u00ebs (NRT):<\/strong> p\u00ebrdorimi i fllaster\u00ebve (patch), \u00e7am\u00e7ak\u00ebz\u00ebve, pastileve ose spray-ve oral\u00eb lejon rregullimin e doz\u00ebs s\u00eb nikotin\u00ebs n\u00eb m\u00ebnyr\u00eb t\u00eb kontrolluar, duke e reduktuar at\u00eb gradualisht brenda disa muajve p\u00ebr t\u00eb shmangur var\u00ebsin\u00eb e organizmit pa d\u00ebmet e djegies (kombustionit).<br\/><\/li>\n\n\n\n<li><strong>Ila\u00e7et me sh\u00ebnjest\u00ebr cerebrale: <\/strong> molekula si <em>Vareniklina<\/em> ose <em>Bupropioni<\/em> veprojn\u00eb drejtp\u00ebrdrejt n\u00eb receptor\u00ebt e trurit p\u00ebr t\u00eb reduktuar k\u00ebnaq\u00ebsin\u00eb e lidhur me cigaren dhe p\u00ebr t\u00eb zbutur irritimin e abstinenc\u00ebs.<br\/><\/li>\n\n\n\n<li><strong>Citizina:<\/strong> nj\u00eb parim aktiv me origjin\u00eb natyrore i rikthyer s\u00eb fundmi n\u00eb v\u00ebmendje p\u00ebr efikasitetin e tij n\u00eb simulimin e efektit t\u00eb nikotin\u00ebs, duke e b\u00ebr\u00eb shk\u00ebputjen m\u00eb pak traumatike.<\/li>\n\n\n\n<li><strong>Mb\u00ebshtetja p\u00ebr ankthin: <\/strong> n\u00eb raste t\u00eb p\u00ebrzgjedhura, mjeku mund t\u00eb p\u00ebrshkruaj\u00eb barna p\u00ebr t\u00eb menaxhuar aktivizimin emocional t\u00eb dit\u00ebve t\u00eb para, ndon\u00ebse q\u00ebllimi i terapis\u00eb mbetet p\u00ebrfitimi i strategjive t\u00eb menaxhimit autonom.<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\"><em>Sh\u00ebnim: Kombinimi i mb\u00ebshtetjes farmakologjike dhe psikoterapis\u00eb tani konsiderohet si &#8220;standardi i art\u00eb&#8221; p\u00ebr t\u00eb maksimizuar shanset e suksesit.<br\/><\/em><\/p>\n\n<figure class=\"wp-block-image alignright size-medium\"><img loading=\"lazy\" decoding=\"async\" width=\"450\" height=\"450\" src=\"https:\/\/studiopsicoterapiabonaventura.it\/wp-content\/uploads\/2025\/04\/Vittoria-450x450.jpg\" alt=\"\" class=\"wp-image-11114\"\/><\/figure>\n\n<div class=\"wp-block-stackable-spacer stk-block-spacer stk--no-padding stk-block stk-e0355b7\" data-block-id=\"e0355b7\"><style>.stk-e0355b7 {height:50px !important;}<\/style><\/div>\n\n<p class=\"wp-block-paragraph\"><strong>Hipnoza dhe teknikat e relaksimit<br data-mce-bogus=\"1\"\/><\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Nj\u00eb lloj nd\u00ebrhyrjeje jofarmakologjike e p\u00ebrdorur gjer\u00ebsisht \u00ebsht\u00eb <a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/hipnoze-perkufizime-karakteristika-dhe-funksione\/\" data-type=\"page\" data-id=\"1038\">hipnoza klinike<\/a>. Ajo bazohet n\u00eb bindjen se, <strong>n\u00eb gjendjen e sugjestionit<\/strong>, m\u00ebsimi i sjelljeve t\u00eb reja \u00ebsht\u00eb m\u00eb i shpejt\u00eb. Nj\u00eb metod\u00eb specifike \u00ebsht\u00eb <strong>desensibilizimi<\/strong>, ku shoq\u00ebrohen imazhe t\u00eb pak\u00ebndshme me aktin e pirjes s\u00eb duhanit.  <\/p>\n\n<p class=\"wp-block-paragraph\">P\u00ebrve\u00e7 hipnoz\u00ebs, <strong>autohipnoza<\/strong> dhe <a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/relaksimi-i-muskujve-dhe-i-brendshem-relaksim-progresiv-i-muskujve-trajnim-autogjenik-dhe-teknikat-imagjinative-te-relaksimit\/\" data-type=\"post\" data-id=\"996\">teknikat e relaksimit<\/a> fuqizojn\u00eb vullnetin dhe ndihmojn\u00eb n\u00eb menaxhimin e emocionalitetit t\u00eb lidhur me abstinenc\u00ebn.<\/p>\n\n<div class=\"wp-block-stackable-spacer stk-block-spacer stk--no-padding stk-block stk-28d8424\" data-block-id=\"28d8424\"><\/div>\n\n<p class=\"wp-block-paragraph\"><strong>Protokolli Kognitiv-Sjellor: 3 Fazat<br data-mce-bogus=\"1\"\/><\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Nd\u00ebrhyrja e <a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/terapia-kognitive-sjellese\/\" data-type=\"page\" data-id=\"262\">psikoterapis\u00eb kognitive-sjellore<\/a> zhvillohet p\u00ebrgjat\u00eb nj\u00eb rruge precize, sot e pasuruar me elemente t\u00eb vet\u00ebdijes moderne.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>1. Faza e Monitorimit dhe Vet\u00ebdijesimit<br data-mce-bogus=\"1\"\/><\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Pacienti m\u00ebson t\u00eb kuantifikoj\u00eb dhe kualifikoj\u00eb sjelljen e tij. P\u00ebrmes pyet\u00ebsor\u00ebve, ditareve dhe teknikave t\u00eb vet\u00ebkontrollit, ai identifikon &#8216;trigger-at&#8217; (shkaktar\u00ebt): ku pi duhan, me k\u00eb, dhe mbi t\u00eb gjitha <strong>\u00e7far\u00eb po mendon dhe \u00e7far\u00eb gjendje shpirt\u00ebrore po p\u00ebrjeton<\/strong> [p\u00ebr t\u00eb thelluar m\u00eb shum\u00eb n\u00eb tem\u00ebn themelore t\u00eb vet\u00eb-monitorimit, shih <a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/shendeti-mendor-per-tcceo\/\" data-type=\"page\" data-id=\"822\">\u2018Sh\u00ebndeti mendor sipas TCCEO\u2019<\/a> (<a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/terapia-kognitive-sjellese-e-ekuilibrit-holistik-2\/\" data-type=\"page\" data-id=\"790\">Terapia Kognitive-Sjell\u00ebse e Ekuilibrit Holistik<\/a> t\u00eb <a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/karakteristikat-e-proceseve-te-vemendjes\/\" data-type=\"page\" data-id=\"826\">proceseve t\u00eb v\u00ebmendjes<\/a>)]. <\/p>\n\n<p class=\"wp-block-paragraph\">K\u00ebtij vet\u00eb-analizimi sot i bashkojm\u00eb <a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/meditimi-perkufizimet-karakteristikat-dhe-funksionet\/\" data-type=\"page\" data-id=\"1044\">Meditimin<\/a> (n\u00eb ve\u00e7anti <strong>Mindfulness<\/strong>), duke i m\u00ebsuar pacientit t\u00eb v\u00ebzhgoj\u00eb d\u00ebshir\u00ebn e pap\u00ebrmbajtshme si nj\u00eb dallg\u00eb q\u00eb vjen dhe pastaj ulet, pa pasur nevoj\u00eb ta veproj\u00eb at\u00eb.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>2. Faza e Veprimit dhe Reduktimit Progresiv<br\/><\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Biehet dakord p\u00ebr nj\u00eb plan t\u00eb uljes s\u00eb numrit t\u00eb cigareve deri n\u00eb zhdukjen totale. P\u00ebr t\u00eb p\u00ebrballuar <strong>simptomat e abstinenc\u00ebs<\/strong> (<a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/pagjumesia\/\" data-type=\"page\" data-id=\"2045\">pagjum\u00ebsia<\/a>, <a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/ankthi-i-pergjithesuar\/\" data-type=\"page\" data-id=\"1941\">ankthi<\/a>, v\u00ebshtir\u00ebsia n\u00eb p\u00ebrqendrim, shqet\u00ebsimi, etj.), pacienti p\u00ebrdor teknikat e treguara s\u00eb bashku me nd\u00ebrhyrjen p\u00ebrmes <a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/biofeedback-periferik-dhe-profili-psikofiziologjik\/\" data-type=\"page\" data-id=\"926\">biofeedback-ut periferik<\/a>, nj\u00eb mjet elektronik q\u00eb ndihmon n\u00eb vizualizimin dhe zvog\u00eblimin e aktivizimit t\u00eb sistemit nervor gjat\u00eb gjendjeve intensive emocionale. <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>3. Faza e Parandalimit t\u00eb R\u00ebnies (Recalc\u00ebs)<br data-mce-bogus=\"1\"\/><\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">Kjo faz\u00eb, funadamentale p\u00ebr mbajtjen e rezultateve afatgjat\u00eb, ndahet n\u00eb <strong>pes\u00eb pjes\u00eb<\/strong>:<\/p>\n\n<ol class=\"wp-block-list\">\n<li><strong>Ekuilibri i stilit t\u00eb jetes\u00ebs:<\/strong> Programimi i t\u00eb pakt\u00ebn 30 minutave n\u00eb dit\u00eb me aktivitete gratifikuese (sport, lexim) si alternativa ndaj duhanit.<\/li>\n\n\n\n<li><strong>Identifikimi i situatave me rrezik: <\/strong> Parashikimi i momenteve kritike dhe planifikimi i strategjive t\u00eb p\u00ebrgjigjes.<\/li>\n\n\n\n<li><strong>Prova e r\u00ebnies:<\/strong> <a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/roli-i-imazheve-mendore-ne-psikoterapine-kognitive-sjellese\/\" data-type=\"post\" data-id=\"1020\">Vizualizimi n\u00eb gjendje relaksimi<\/a> t\u00eb thell\u00eb i situatave t\u00eb tundimit p\u00ebr t\u00eb \u2018st\u00ebrvitur\u2019 mendjen drejt p\u00ebrgjigjes s\u00eb sakt\u00eb.<\/li>\n\n\n\n<li><strong>Menaxhimi i \u2018Rr\u00ebshqitjes\u2019<\/strong>: \u00cbsht\u00eb jetike t\u00eb b\u00ebhet dallimi mes nj\u00eb gabimi t\u00eb vet\u00ebm dhe d\u00ebshtimit total. Rr\u00ebshqitja \u00ebsht\u00eb nj\u00eb gabim nga i cili duhet m\u00ebsuar; q\u00ebllimi \u00ebsht\u00eb thjesht <em>\u2018t\u00eb mos pihet cigareja tjet\u00ebr\u2019<\/em>, duke shmangur <a href=\"https:\/\/studiopsicoterapiabonaventura.it\/sq\/nga-ndjenja-e-fajit-tek-pergjegjesia\/\" data-type=\"post\" data-id=\"69\">ndjenj\u00ebn e fajit<\/a> q\u00eb do t\u00eb \u00e7onte n\u00eb nj\u00eb r\u00ebnie t\u00eb v\u00ebrtet\u00eb e t\u00eb plot\u00eb. <\/li>\n\n\n\n<li><strong>Vet\u00eb-shp\u00ebrblimi:<\/strong> Vler\u00ebsimi i progresit t\u00eb vetjak p\u00ebr t\u00eb p\u00ebrforcuar imazhin e vetes si \u2018jo-duhanpir\u00ebs\u2019.<\/li>\n<\/ol>\n\n<p class=\"wp-block-paragraph\"><strong>P\u00ebrfundim<\/strong><\/p>\n\n<p class=\"wp-block-paragraph\">L\u00ebnia e duhanit nuk \u00ebsht\u00eb nj\u00eb prov\u00eb force, por <strong>nj\u00eb proces m\u00ebsimi<\/strong>. N\u00ebse personi \u00ebsht\u00eb lart\u00ebsisht i motivuar dhe angazhohet aktivisht n\u00eb k\u00ebto tri faza, <strong>mund\u00ebsit\u00eb p\u00ebr t\u00eb arritur l\u00ebnien p\u00ebrfundimtare jan\u00eb shum\u00eb t\u00eb larta<\/strong>.<br\/> <\/p>\n\n<p class=\"wp-block-paragraph\">Psikoterapia nuk ofron vet\u00ebm nj\u00eb metod\u00eb, por siguron <strong>mjetet psikologjike dhe vlerat personale<\/strong> t\u00eb nevojshme p\u00ebr t\u00eb marr\u00eb p\u00ebrs\u00ebri n\u00eb dor\u00eb sh\u00ebndetin e vet n\u00eb m\u00ebnyr\u00eb t\u00eb q\u00ebndrueshme.<\/p>\n\n<div class=\"wp-block-stackable-spacer stk-block-spacer stk--no-padding stk-block stk-ee6ef46\" data-block-id=\"ee6ef46\"><\/div>\n\n<p class=\"wp-block-paragraph\"><strong>Bibliografia dhe Burimet Shkencore<\/strong><strong><\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Bandura, A. (1997).<\/strong> <em>Self-Efficacy: The Exercise of Control<\/em>. W.H. Freeman. <\/li>\n\n\n\n<li><strong>Beck, J. S. (2013).<\/strong> <em>La terapia cognitivo-comportamentale<\/em>. Astrolabio. <\/li>\n\n\n\n<li><strong>Hayes, S. C. (2016).<\/strong><em> Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive Therapies &#8211; Republished Article<\/em>. Behav Ther. 2016 Nov;47(6):869-885. doi: <a href=\"https:\/\/doi.org\/10.1016\/j.beth.2016.11.006\">10.1016\/j.beth.2016.11.006<\/a> Epub 2016 Nov 10. PMID: 27993338.   <\/li>\n\n\n\n<li><strong>Istituto Superiore di Sanit\u00e0 (ISS) Italiano.<\/strong> <em>Linee Guida per la cessazione del tabagismo<\/em>. <\/li>\n\n\n\n<li><strong>Marlatt, G. A., &amp; Gordon, J. R. (1985\/2005).<\/strong> <em><a href=\"https:\/\/www.guilford.com\/excerpts\/marlatt.pdf?t=1\">Relapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors<\/a><\/em>. Guilford Press.  <\/li>\n\n\n\n<li><strong>Ministero della Salute Italiano.<\/strong> <em>Promozione della salute e cessazione del tabagismo<\/em>.<\/li>\n\n\n\n<li><strong>Sanavio, E. (1991).<\/strong> <em>Psicoterapia cognitiva e comportamentale<\/em>. Carocci Editore. <\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>L\u00ebnia e duhanit \u00ebsht\u00eb nj\u00eb rrug\u00ebtim kompleks, shpesh i sh\u00ebnuar nga tentativa t\u00eb d\u00ebshtuara q\u00eb gjenerojn\u00eb frustrim. Kuptimi i mekanizmave psikologjik\u00eb pas var\u00ebsis\u00eb \u00ebsht\u00eb hapi i par\u00eb p\u00ebr t\u00eb dal\u00eb prej saj. Duhanpir\u00ebsi q\u00eb tenton t\u00eb l\u00ebr\u00eb duhanin kalon tipikisht n\u00ebp\u00ebr kat\u00ebr stade: 1) fillimi; 2) mbajtja; 3) nd\u00ebrprerja e duhanit; 4) r\u00ebniet e p\u00ebrs\u00ebritura [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":3820,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-3146","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-categorizzato"],"_links":{"self":[{"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/posts\/3146","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/comments?post=3146"}],"version-history":[{"count":13,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/posts\/3146\/revisions"}],"predecessor-version":[{"id":12633,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/posts\/3146\/revisions\/12633"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/media\/3820"}],"wp:attachment":[{"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/media?parent=3146"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/categories?post=3146"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studiopsicoterapiabonaventura.it\/sq\/wp-json\/wp\/v2\/tags?post=3146"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}