Tables allow rapid look-up of the various disorders and their distinguishing characteristics; trigger point referral patterns; and the comparative merits of migraine medications. Simple cases involve relatively short-term drug overuse, relatively modest amounts of overused medications, minimal psychiatric contribution, and no history of relapse after drug withdrawal. Upon activation of this system, the smooth muscles surrounding the blood vessels under the skin surface contract resulting in decreased blood flow to the capillaries and capillary beds body tissue near the skin surface. Other psychological issues will only be relevant for certain patients, but when they are, a psychologist will likely be beneficial. It is designed to make the tools of assessment and therapy widely accessible, while placing them in the context of how the disorders arise. However, we have no reason to believe that chronic daily headaches would be less susceptible than other conditions to behavioral treatment.
Cognitive Therapy and Research, 1, 121-133. A diary is the best way to determine what triggers are most relevant and helps the patient recognize patterns in their headaches. These aims are achieved through the investigation and application of behavioral, cognitive, and other evidence-based principles to assessment, prevention, and treatment. This tightening affects oxygen and nutrient intake to the muscles. The third type of trigger is unavoidable but manageable. The behavior therapist typically maintains close contact with the doctor. Current studies suggest a high rate of relapse at 3 to 4 years after drug withdrawal and pharmacological treatment, with most relapse occurring during the first year of treatment.
Only the common cold occurs more often. Medical, herbal, and behavioral therapies are discussed in terms of the underlying science. Headache Nosology and Warning Signs -- 2. Although any patient with chronic headache may do this on occasion, this needs to be addressed when it becomes a persistent response pattern to pain or to life. A relaxation exercise is provided, as are muscle tension and hand temperature norms. Measures were administered before and after an intensive 3-week outpatient treatment program. Many patients seen by a behavior therapist also see a medical doctor.
Patients are taught to recognize stressful situations e. Readers will gain expertise in headaches and a clear sense of how to translate this knowledge into clinical practice. Lipchik and colleagues have written a helpful overview of the techniques most commonly used in behavioral management of headache. The book closes with an analysis of how well the treatments work, the mechanisms behind the efficacy, and guidelines for treatment matching. This work reviews the physiology and psychology of pain, and each disorder. This is the first new book in many years to provide a comprehensive review of the latest theory, research, and treatment of chronic headaches from a biopsychological perspective. These approaches aid people in achieving specific changes or goals.
Headache: The Journal of Head and Face Pain 45 s2 , S92-S109. This could be done by pointing out the costs e. Tables allow rapid look-up of the various disorders and their distinguishing characteristics; trigger point referral patterns; and the comparative merits of migraine medications. Part I introduces the major types of headaches and provides a comprehensive review of pain. The use of direct questions, headache diaries, and behavioral analysis can help identify relevant stressors.
Patients learn that blood vessel constriction followed by dilation were associated with migraine pain and that the goal of relaxation training is to stop this process. Both factors contribute to the experience of pain. Behavioral medicine referrals for biofeedback and stress management therapy can be useful in straightforward cases and should be a requirement for challenging patients and severe forms of chronic daily headache. In the study, published in the July 2004 issue of Pediatrics, the researchers surveyed 572 children and adolescents. Effectiveness By 1990, there had been 60 studies, involving over 2440 patients, of the effectiveness of thermal biofeedback in preventing migraines. The physiology and psychology of pain, and each disorder, are reviewed in an accessible manner.
There are in essence three types of triggers. The physiology and psychology of pain, and each disorder, are reviewed in an accessible manner. Attacks are intermittent, lasting from a few hours to as long as a day or more. However, for people who fall in this category, dietary management may be an important component of treatment. A clinical presentation introduces each type of headache, followed by the physiological and psychological underpinnings and their implications for assessing and treating patients. In children, headache is a leading cause of school absences. While other books on chronic headaches focus on migraines, Dr.
. Higher levels of internal locus of control are associated with better headache management e. The current leading model suggests that chronic diseases are better managed via collaboration between the clinician and the patient. These include the presence of a psychiatric co-morbidity, significant problems with sleep or stress, medication overuse, and history of abuse. This includes hormones, weather changes, and certain types of travel e. Lower-level undergraduates and above in the health care field, especially practitioners. Biofeedback works with specific bodily response systems.