Maintaining Nonsmoking

All participants will receive 12 weeks of varenicline treatment at standard dosage of 1 mg bid. Participants in the Extended Relapse Prevention plus varenicline will receive varenicline for up to 40 additional weeks.

Five 90 minute individual counseling sessions to occur during the first 12 weeks of initial treatment.

Monthly brief (10-15 minutes) meetings with medical staff.

Monthly counseling sessions across a nine month period with content based on a health education model. Each session is 30-45 minutes in duration.

Eleven individual counseling sessions across a nine month period with content based on a relapse prevention model. Each session is 30-45 minutes in duration.