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Behavioral medicine for migraine and medication overuse headache

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Abstract

Primary headaches, including migraine and medication overuse headache (MOH), can be conceptualized as biobehavioral disorders based on the interaction of biological, psychological, and environmental factors. This article reviews empirically supported and efficacious behavioral approaches to the treatment and management of headaches in general, with an emphasis on migraine and MOH from a biopsychosocial perspective. Evidence-based behavioral medicine treatments for migraine and MOH are reviewed, including patient education, cognitive behavioral therapy, and biobehavioral training (biofeedback, relaxation training, and stress management). Information regarding psychological comorbidities and risk factors for progression of migraine and the development of MOH is also reviewed. Strategies are provided for enhancing adherence and motivation, as well as facilitating medical communication.

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Authors and Affiliations

  1. Department of Psychology, University of West Florida, 11000 University Parkway, Pensacola, FL, 32514, USA

    Frank Andrasik

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  1. Frank Andrasik
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  2. Dawn C. Buse
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  3. Licia Grazzi
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Correspondence to Frank Andrasik.

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Andrasik, F., Buse, D.C. & Grazzi, L. Behavioral medicine for migraine and medication overuse headache. Current Science Inc 13, 241–248 (2009). https://doi.org/10.1007/s11916-009-0041-x

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