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[Cognitive behavioral therapy for tension-type headache: a case report].
İsmail Barış Salman1, Hanife Özlem Sertel Berk
1Istanbul University Counseling Unit, Istanbul, Turkey. barisslmn@gmail.com.
Cognitive behavioral therapy combined with muscle relaxation effectively treats chronic tension-type headaches. This multidisciplinary approach reduces headache severity and improves daily life participation for patients.
Area of Science:
- Neurology
- Psychiatry
- Behavioral Science
Background:
- Tension-type headache (TTH) significantly impacts society, with high prevalence rates.
- Noninvasive, multidisciplinary treatments are recommended for TTH management.
- Cognitive behavioral therapy (CBT) and relaxation techniques are recognized as effective interventions.
Observation:
- A case report details the application of an enhanced CBT protocol for chronic TTH.
- The protocol integrated progressive muscle stretching and relaxation exercises.
- The patient presented with a 6-year history of chronic headaches.
Findings:
- Following 10 CBT sessions, the patient demonstrated improved muscle tension awareness and relaxation.
- The patient learned to better recognize and express emotions and identify/reframe automatic thoughts.
- Significant reduction in headache severity was observed.
Implications:
- This enhanced CBT approach shows promise for managing chronic TTH.
- Improved headache control can lead to increased patient participation in daily activities.
- Highlights the value of integrating psychological and physical therapeutic techniques.
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