Neurological Sciences

, Volume 30, Supplement 1, pp 89–93 | Cite as

Non-pharmacological approaches to treating chronic migraine with medication overuse

  • F. AndrasikEmail author
  • L. Grazzi
  • S. Usai
  • D. C. Buse
  • G. Bussone


Medication overuse headache (MOH) is now recognized as a biobehavioral disorder, a condition wherein emotion and pain are intermingled. This review discusses the steps to consider when treating this condition. The first step involves educating patients about MOH and the pathways to chronicity. The second step concerns working with patients to identify risk factors and behaviors that are present and contributing to the condition. The final step involves behavioral intervention. Examples for accomplishing each step are provided.


Non-pharmacological treatment Chronic migraine with medication overuse Medication overuse headache 


Conflict of interest statement

The authors declare that they have no conflict of interest related to the publication of this manuscript.


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • F. Andrasik
    • 1
    Email author
  • L. Grazzi
    • 2
  • S. Usai
    • 2
  • D. C. Buse
    • 3
    • 4
  • G. Bussone
    • 2
  1. 1.Department of PsychologyUniversity of West FloridaPensacolaUSA
  2. 2.National Neurological InstituteMilanItaly
  3. 3.Department of NeurologyAlbert Einstein College of Medicine of Yeshiva UniversityNew YorkUSA
  4. 4.Montefiore Headache CenterNew YorkUSA

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