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Managing the "difficult" headache patient.

S M Baskin1

  • 1New England Institute for Behavioral Medicine, 778 Long Ridge Rd., Stamford, CT 06902, USA. sbphd@aol.com

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
|May 18, 2007
PubMed
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Managing complex headache patients requires addressing adherence issues and co-occurring mood or anxiety disorders. Overcoming medication overuse is crucial for effective chronic migraine and daily headache treatment.

Area of Science:

  • Neurology
  • Psychiatry

Background:

  • Complex headache patients often experience chronic daily headache or high-frequency disabling migraine.
  • Treatment adherence challenges can reduce efficacy and lead to medication misuse and overuse.
  • Migraine, particularly chronic migraine, is associated with elevated risks of mood and anxiety disorders, and personality disorders.

Purpose of the Study:

  • To review current research on managing complicated headache patients.
  • To provide clinical suggestions for improving the management of these challenging cases.

Main Methods:

  • Review of current research literature on headache management challenges.
  • Synthesis of clinical findings and therapeutic strategies.

Main Results:

Related Experiment Videos

  • Medication overuse can transform headaches and diminish acute and preventive therapy effectiveness.
  • Co-occurring mood, anxiety, and personality disorders complicate treatment efforts.
  • Adherence issues significantly impact treatment outcomes in complex headache populations.

Conclusions:

  • Effective management necessitates addressing adherence, medication overuse, and comorbid psychiatric conditions.
  • Tailored clinical strategies are essential for improving outcomes in patients with chronic or high-frequency disabling migraine.
  • Integrated care approaches may enhance treatment success for complicated headache patients.