Inclusion Criteria:

- Self identify as lesbian, gay, bisexual, or transgender

- Age 18-65

- Current cigarette smoker (More than 5 packs in lifetime AND past year smoking AND 4
or more days per week AND CO air expired reading of ≥ 8 ppm)

- Desire to quit smoking (self-report rating of interest in quitting at least a 5 on a
10-point scale)

- Relatively healthy, with no medical conditions that would adversely interact with
study parameters (see exclusion criteria for specific details)

- Agree to attend behavioral counseling sessions, be randomized, and be followed-up

- Agrees to use nicotine patch and has no prior adverse reactions to patch

- Has stable residence and telephone and can provide the name of an outside household
collateral family member or close friend for contact and follow-up.

Exclusion Criteria:

- Does not identify as LGBT

- Outside age range (< 18 years old or > 65 years old)

- Not current smoker

- Low desire to quit smoking (self-report rating of interest in quitting at < 5 on a
10-point scale)

- Does not agree to behavioral counseling, randomization, or follow-up

- Does not agree to use nicotine patch or has had adverse reactions to the patch

- Uncontrolled hypertension per medical screening

- Active coronary artery disease or other heart condition per medical screening

- Currently pregnant, plans to become pregnant, currently lactating, or plans for
breastfeeding over study enrollment period (i.e., 13 months) per medical screening

- Moderate to severe alcohol dependence (score of ≥ 5 on the Short Michigan Alcohol
Screening Test, SMAST)

- Substantial to severe alcohol dependence (score of ≥ 6 on the Drug Abuse Screening
Test-10, DAST)