The purpose of this study is to demonstrate that Acceptance and Commitment Therapy's (ACT) implementation outcomes are at least as good as those of traditional cognitive behavioral therapy (CBT).

Inclusion Criteria:

1. ages 18 and older
2. smokes at least ten cigarettes per day (to be eligible for NRT) and has done so for at least the past 12 months
3. wants to quit smoking in the next 30 days
4. if concurrently using any other nicotine or tobacco products wants to quit using them within the next 30 days
5. willing to be randomly assigned to either group
6. willing and able to speak and read in English
7. willing and medically eligible to use NRT
8. resides in the U.S., and expects to continue for at least 12 months
9. not participating in other smoking cessation interventions (including our own intervention trials)
10. has regular access to a telephone.

Exclusion Criteria:

The exclusion criteria are opposite of the inclusion criteria listed above.

In addition we will exclude:

1. anyone who is pregnant or breast feeding
2. has had a heart attack in the past 30 days
3. has unstable angina
4. has evidence of arrhythmia in the past 6 months
5. has a history of severe skin reaction to adhesive patches.