Non-pharmacological approaches to treating chronic migraine with medication overuse.
Medication overuse headache (MOH) is now recognized as a biobehavioral disorder, a condition wherein emotion and pain are intermingled. This review discusses the steps to consider when treating this condition. The first step involves educating patients about MOH and the pathways to chronicity. The second step concerns working with patients to identify risk factors and behaviors that are present and contributing to the condition. The final step involves behavioral intervention. Examples for accomplishing each step are provided.
Andrasik
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F
Department of Psychology, University of West Florida, 11000 University Parkway, Pensacola, FL 32514, USA. fandrasik@uwf.edu
Grazzi
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L
Usai
S
S
Buse
D C
DC
Bussone
G
G
D000700:Analgesics / Q000009:adverse effects*; D001521:Behavior Therapy; D002908:Chronic Disease; D051271:Headache Disorders, Secondary / Q000453:epidemiology / Q000628:therapy*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008881:Migraine Disorders / Q000453:epidemiology / Q000628:therapy*; D009042:Motivation; D010353:Patient Education as Topic; D012307:Risk Factors; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000628:therapy*
D000700:Analgesics