People With Mental Health Conditions

Know the Facts

Smoking is much more common among adults with mental health conditions than in the general population.

  • In fact, in 2019, 27.2% of U.S. adults with any mental illness reported smoking cigarettes during the past month compared to 15.8% of adults with no mental illness.*,†
  • Approximately 1 in 4 (or 25%) of adults in the U.S. have some form of mental illness or substance use disorder, and these adults consume almost 40% of all cigarettes smoked by adults.*

For More Information

Real Stories: People Featured in Tips®

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Quitting Help

People with mental health conditions, like depression and anxiety, face challenges in quitting smoking and may benefit from extra help to succeed. With the right support, you can quit smoking without worsening your mental health condition. In fact, studies show that quitting smoking can be good for your mental health.

To get started right now, see our How to Quit Smoking area featuring a Quit Guide.

Get free help to quit smoking by calling a quitline: 1-800-QUIT-NOW (1-800-784-8669). Quitline coaches can answer questions, help you develop a quit plan, and provide support.


Rebecca M., age 57, struggled with depression and smoked cigarettes to help her cope with her feelings. The more Rebecca smoked, the harder she felt it was to quit. Rebecca finally quit smoking for good after getting care for her depression. She now leads a smokefree life.

“I quit smoking and I got care for my depression.”

Today I start my quit journey. Free resources provided by

Quit-smoking treatments may be free or reduced in price through insurance, health plans, or clinics.

State Medicaid programs cover quit-smoking treatments. While the coverage varies by state, all states cover some treatments for at least some Medicaid enrollees.

Medicare currently covers two quit attempts per year and up to four face-to-face counseling sessions per attempt.

*Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2018 and 2019. Published: September 11, 2020. 2019 NSDUH Detailed Tablesexternal icon

†Lipari R, Van Horn S. Smoking and Mental Illness Among Adults in the United States.external icon The CBHSQ Report: March 30, 2017. Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration.