Wow, thanks for the great replies, encouragement, and ideas. I'm going to try again with the patch today. Chantix has worked for me in the past, but my shrink doesn't like the side effects so has cautioned me not to use it again. I think I can do it with the patch. I just have to have the energy to fight it through but with the depression and then some triggering I didn't feel strong enough. Now that my meds are starting to work and it is almost the end of school I think I might be able to get a decent chance. I will keep trying. If it has to wait a week until school is over, that's okay too. Thanks so much. I really need the reassurance and I will look into suggestions.