title: [Tension headache and psychogenic headache].
abstract: Psychogenic headache in the French nosology and the Anglo-Saxon concept of tension headache have many points in common but are not quite identical. Tension headache includes headaches in which the psychic element may be associated with muscular, articular or other causes. Subjects with this type of headache feel as though their skull was compressed by a tight helmet and was heavy, or as though the back of their neck and the occipital region were under tension. The condition is chronic and often lasts for long periods. Psychological and psychopathological analysis discloses the genesis of this tension headache which may simply be a response to a more or less repetitive stress or to anxiety and/or depression, but may also be the somatic expression of a neurotic state with a more consistent structure. This analysis leads to a treatment which includes psychotropic drugs, but where the relational component remains fundamental in the management of these patients.
authors.affiliation: Service de neurologie, hôpital Pellegrin, Bordeaux.
authors.forename: P
authors.initials: P
authors.lastname: Henry
mesh_terms: D004644:Emotions / Q000502:physiology*; D006261:Headache / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D006801:Humans; D011602:Psychophysiologic Disorders / Q000523:psychology*; D013315:Stress, Psychological / Q000150:complications
vernacular_title: Céphalées de tension et céphalées psychogènes.