pinging...
Drink more. Smoke more. Then, you won't have time to fit your thumb in there.
No charge.
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You're not alone.
Dude. Seek help.
Keep drinking and smoking and pretty soon you won't have to worry about the third item... or the first and second.
at age, 30 my only vices are FR and smoking, i dont drink or suck my thumb ;^)

Harry you old dog!
For sleeping try this trick: take 2 generic benedryl 1 hour before you want to go to sleep. 1/2 hour later go to bed and read (or write poetry or cheat on your taxes, etc.) for 30 minutes and turn the light out. You are linking the feeling of being sleepy with a specific place and routine. Do it for a week or so and then go to 1 pill for a week or two, then none.
You won't get a substitute addiction with this but you might get cotton-mouth.
For the smoking, just get it down to 3 or 4 cigs a day and take the herb Lobelia. Leave it there for a few months and THEN decide what you want to do. Knowing you can have a few smokes should get rid of that fuzzy brain feeling and getting down to that point is actually 95% of the battle.
Now I DO know what you are doing thumbwise since a good friend of mine does it. I agree - leave it alone.
Health freaks always want you to do everything immediately. What nerve! Get 80% of your problems 90% solved and you are WAY ahead of the pack.
Good Luck!
As far as smoking goes I did a ton of nicotine gum. I used a lot more than the prescribed dose and I chewed it for a lot long than the schedule said. After I felt I had the psychological addiction under control I weaned off the gum. This is not the recommend course of behavior but I had a very high nictoin intake and was very tied into it emotionally. I found the 4 mg. dose ever 1 to 2 hours way to low to start with.
AA likes to make a big to do about prescription drugs and alcoholics. I think a lot of what they say is sweeping generalizations. I have never taken a drug that made me want to drink. Of course that all varies with the individual. I just don't take what the group says as holy writ. I would just make it a point to stay away from prescription tranquilizers. They are very hard to get off of and doctors love to hand them out to people doing alcohol withdrawal.
Over the years, I've gone through periods where I have drunk very heavily and steadily, then just stopped, and suffered no ill effects. Now I drink occasionally, maybe five or six beers a week, with a bender thrown in every few months. I know I could walk away from it forever with no problem. I never had a drop during pregnancy. Have you tried getting pregnant? That could help. You'll be so exhausted you can't help but sleep. Oh wait...you're a guy.
Nope! Can't help you there, either. I'm on a roll now.
As for smoking, I have been a pack-a-day smoker since I was sixteen, more than half of my life. I have tried everything but hypnosis in my quest to kick, to no avail. Having pins stuck all over my face made me smoke more than ever. Wearing a patch while smoking gives an interesting little buzz. The gum made me barf, which made me want to have a smoke. I took Zyban for about a month, and that actually worked. I did quit smoking. I also quit eating and sleeping. I spent most of my time wandering aimlessly through the house, crying incessantly, wishing I were dead.
Upon my doctor's advice, I quit using Zyban and resumed smoking. I did manage to cut back to five smokes a day while I was pregnant (again, no help to you) but I've never managed to go longer than 8 hours without a smoke. I even snuck out of the hospital during labor for a quickie.
If you can think of any way to help me quit smoking, let me know. I hate smoking. I hate the taste, I hate the smell, I hate the expense, I hate eating food and no longer being able to taste it. I'm down to pure addiction at this point. There is absolutely nothing pleasurable about it anymore.