Headaches
The role of the psychologist in chronic headache needs to be tailored to
the patient’s presentation. For some patients, psychological issues
need to be directly addressed (e.g., psychiatric co-morbidity,
difficulties coping with headache, significant problems with sleep
and/or stress, medication overuse, and where there is a history of
abuse). In other situations, such as considering the patient’s beliefs
about their readiness and ability to actively manage their headaches,
medication adherence, and managing triggers does not require direct
contact with a psychologist but all these involve
behavioral/psychological principles. This manuscript reviews the
literature on the importance of psychological issues in headache
management and provides suggestions for how behavioral and cognitive
changes can improve headache management.
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