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Psychiatric screening for headache patients.

Morris Maizels¹

¹Blue Ridge Headache Center, Asheville, NC 28803, USA. morris.maizels@gmail.com

|May 1, 2012

Summary

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Psychiatric screening in migraine patients has pros and cons. While psychiatric conditions are common in migraineurs, treating them doesn't improve headache outcomes, suggesting careful consideration of screening.

Area of Science:

Neurology
Psychiatry
Clinical Medicine

Background:

Migraine is frequently associated with psychiatric comorbidities.
The clinical utility and impact of screening for these conditions in migraine patients remain debated.

Purpose of the Study:

To explore the rationale for and against psychiatric screening in migraine patients.
To discuss available screening instruments and provide clinical insights.

Main Methods:

Review of existing literature on psychiatric comorbidity in migraine.
Discussion of clinical perspectives and screening tools.

Main Results:

Consistent evidence of psychiatric comorbidity in migraine patients.

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Lack of evidence demonstrating that treating psychiatric comorbidity improves headache outcomes.

Conclusions:

While psychiatric screening for migraine patients has justifications, its direct impact on headache outcomes is not established.
Clinical pearls for effective screening are provided, emphasizing a balanced approach.