title: Tertiary treatment for psychiatric comorbidity in headache patients.
abstract: The presence of significant and confounding psychiatric comorbidity is greater in patients attending headache clinics than in headache patients from the general population. The frequent comorbidity of headache with generalized anxiety disorder can take advantage of the administration of benzodiazepines. With regard to depression-related headache, it's wellknown that the antidepressive drugs can improve migraine as well as tension-type headache. Antiepileptic drugs give one more good opportunity. The recognition of a psychiatric comorbidity is mandatory for an accurate management of the patient because prevents the clinicians from using any drug that might be dangerous for a mysdiagnosed psychiatric disturbance and often permits to administer medications that can efficaciously control both headache and psychiatric disorders.
authors.affiliation: Headache Disorders Center, Department of Neurological and Psychiatric Sciences, University of Bari, Piazza G. Cesare 11, I-70124, Bari, Italy. m.savarese@neurol.uniba.it
authors.forename: Mariantonietta
authors.initials: M
authors.lastname: Savarese
authors.forename: Mario
authors.initials: M
authors.lastname: Guazzelli
authors.forename: Maria Pia
authors.initials: MP
authors.lastname: Prudenzano
authors.forename: Mafalda
authors.initials: M
authors.lastname: Carnicelli
authors.forename: Marco
authors.initials: M
authors.lastname: Rossi
authors.forename: Valentina
authors.initials: V
authors.lastname: Cardinali
authors.forename: Sergio
authors.initials: S
authors.lastname: Genco
authors.forename: Paolo
authors.initials: P
authors.lastname: Lamberti
authors.forename: Paolo
authors.initials: P
authors.lastname: Livrea
mesh_terms: D001008:Anxiety Disorders / Q000150:complications* / Q000188:drug therapy*; D015897:Comorbidity; D003866:Depressive Disorder / Q000150:complications* / Q000188:drug therapy*; D006261:Headache / Q000150:complications* / Q000188:drug therapy*; D006801:Humans