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Managing Migraine and Other Headaches

Joseph Barber

The disabling pain of migraine headache remains a significant health challenge. For migraine sufferers, both work and family life is rendered unpredictablewaking with a migraine episode may mean that the patient remains bedridden, seeking unconsciousness, for a day or two at a time, only to emerge for a brief reprieve of a few days or weeks, then to be once again plunged into the next wave of pain and debility. Although a majority of migraine patients are able to manage with improved pharmacologic means, a significant number have no effective medical remedy. Hypnotic methods, integrated with psychotherapeutic support for appropriate life change, can be a boon to such patients. While chronic pain patients have features in common with migraine patients, there are features unique to the latter-including the tendency toward overcommitting the migraine patient's time and energy, that require the effective clinician's attention...