Treatment of a 15-year-old girl with chronic muscle-contraction headache using implosive therapy

A 15-year-old girl with chronic muscle-contraction headache was treated initially using a behaviourally based headache programme. Little change in headache activity resulted. Implosive therapy was incorporated into treatment after the girl revealed a past episode of sexual abuse. A substantial reduction in headache activity was noted at post-treatment and follow-up.