Anatomy of a Headache

Dr. Robbins Free Medical
Radio Podcasts



Long-Acting Opioids for
Refractory Chronic
Migraine

Study results for a group
of difficult-to-treat
migraineurs provide a
basis for determining
efficacy and guidelines
for the use of long-term
opioids in this
population.

 

Heatherís Chronic
Migraine: an Interactive
Case History

This column will take you,
step by step, through
the diagnosis of a complex
headache patient with
the pseudonym of "Heather."

 

ROBBINS HEADACHE CLINIC

60 Revere Drive, Suite 330, Northbrook, IL 60062
Phone: 847-480-9399

Title:
Direct Diagnosis and Management of Emotional Factors in Chronic Headache Patients
Author:
Abbass A, Lovas D, Purdy A.
Date:
Posted: November 2009
Source:
Cephalalgia  2008;28:1305-1314

Somatization, anxiety, depression and personality disorders are common features of many patients with chronic headaches. Intensive short-term dynamic psychotherapy (ISTDP) is a brief therapy method developed specifically to treat patients with this cluster of somatic problems, symptoms and maladaptive behaviors thorough focusing on how the patient handles emotional experiences. It also contains a direct method of assessing the somatic discharge pathways of both emotions and anxiety, thus allowing direct observation of somatization in the case of many chronic headache sufferers. In this review, we summarize the extant literature on emotional factors in headache, review the evidence of short-term dynamic therapies in somatic problems and describe the assessment and treatment method of ISTDP we use routinely with chronic headache sufferers.

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