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On their annual cleanup day last year, volunteers picked up more than 2 million cigarette butts from beaches, mostly brought there by stormwater systems

More recent longitudinal research, including a 2023 population-based study, reinforced these findings, showing sustained mental health improvements after quittingespecially among people with a history of psychiatric symptoms. While many people with anxiety or depression want to quit smokingand do so for the same reasons as the general populationthey may face unique challenges

Effects of withdrawal