Mother is in an EXTREME quit smoking program

I saw this movie in around 89/90. From what I can recall it was a low budget indi dark comedy. Mostly about a group of teen or twentysomething friends. Very dark non-pc humor. The only scene that I never forgot was of one of the character’s mother. She was aging and trying to get healthy. She’s running on a tread mill in her living room with a cigarette. But she wants to quit so she’s been going to a quit smoking treatment that consists of her sitting in front of a large, muscular black man. Her “Dr.” standing beside him. The doctor asks if she would like a cigarette. She said yes. He gives her on and she lights it and takes a drag. In response to this the big man calmly “profesionally” punches her in the face. The treatment continues…

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