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Insomnia and Migraine: A Review of Evidence-Based, Biobehavioral Interventions


Purpose of Review

The purpose of this review is to discuss the current evidence for Cognitive Behavioral Therapy for Insomnia (CBT-I) for patients with migraine and comorbid insomnia. In this article, we provide a narrative review of the literature on CBT-I and migraine, highlighting recent advances in research into this topic. Finally, we propose a way for clinicians to integrate CBT-I into clinical practice.

Recent Findings

Multiple studies support CBT-I as a validated modality for the treatment of insomnia in migraine.


CBT-I is used to treat insomnia and should be offered as first line therapy. Clinicians should screen for insomnia in all patients with headache, especially in those with migraine, to best manage this condition through the implementation of specific insomnia treatment.

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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Correspondence to Lauren R. Natbony.

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David Walker, Niushen Zhang, and Lauren R. Natbony declare no conflict of interests.

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Walker, D., Zhang, N. & Natbony, L.R. Insomnia and Migraine: A Review of Evidence-Based, Biobehavioral Interventions. Curr Pain Headache Rep 27, 19–25 (2023).

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