Early started clinical investigation of tobacco dependence in adolescents promotes the physicians with the opportunity to choose the adequate therapy approches.

The aim of the study was to disclose the meaning of both clinico-psychopathological and character traits of smoking adolescents in organizing special antinicotine programs.

85 adolescents, middle age 16,1, regular smoking period more, then 1 year. All the adolescents had special clinical signs of tobacco dependence (TD): easy-going adaptation to nicotine intoxication; fast growth of smoking intensity, 1 cigarette per day; the craving for tobacco symptoms (impossibility to control the mental ideas of smoking, soma to-vegetative disturbances, high level of irritation, attention deficit).The character traits of heavy smoking adolescents were complicated (according DSM-IV) and included schizo-hysteric, schizo-epileptoid origin (gr.1,2, Fig.1). Character traits were strongly associated with intensity of ideatory component of TD and irritation level.

Heavy smoking adolescents need special therapy including both personality and TD approaches - bio-feed-back, psychotherapy, antinicotine drugs.