Main description:

This book describes the conceptualization, assessment, and evidence-based behavioral treatment of migraine and tension-type headache - two of the world's most common medical conditions, and also frequent, highly disabling comorbidities among psychiatric patients. Headache disorders at their core are neurobiological phenomena, but numerous behavioral factors play an integral role in their onset and maintenance - and many health or mental health providers are unfamiliar with how to work effectively with patients to ensure optimal outcomes. This book, the first major work on the topic for 20 years, provides much-needed help. The first part consists of a concise yet scholarly overview of relevant psychological factors and outlines the behavioral conceptualization of headache. The second part is a step-by-step, manual-type guide to implementing behavioral interventions within clinical practice settings, supplemented by a brief review of their efficacy and mechanisms of action. This evidence-based, structured approach to behavioral treatment of headache can be individually tailored to unique patient presentations and needs.Mental health practitioners and trainees, as well as other healthcare professionals who want to improve their headache patients' outcomes by supplementing routine medical treatment of headache with empirically supported behavioral strategies, will find this book invaluable.

Contents:

Table of Contents Preface Acknowledgments 1. Description 1.1 Terminology 1.2 Definition 1.3 Epidemiology 1.4 Course and Prognosis 1.5 Differential Diagnosis 1.5.1 Cluster Headache 1.5.2 Medication Overuse Headache 1.5.3 Posttraumatic Headache 1.5.4 "Sinus Headache" 1.5.5 Menstrual Migraine 1.6 Diagnostic Red Flags 1.7 Comorbidities 1.7.1 Depression 1.7.2 Anxiety Disorders 1.7.3 Other Psychiatric Comorbidities 1.7.4 Insomnia and Other Disturbances of Sleep 1.7.5 Obesity 1.7.6 Cardiovascular Disease 1.8 Headache Triggers 1.9 Diagnostic Procedures and Documentation 1.9.1 Headache Self-Monitoring 1.9.2 Headache Diagnostic Interviews 1.9.3 Headache Questionnaires 1.9.4 Assessing Psychiatric Comorbidity 1.9.5 Assessing Improvement over Time 2. Theories and Models 2.1 The Biopsychosocial Perspective 2.2. Pathophysiology of Headache 2.3 Stress-Arousal Headache 2.3.1 Stress 2.3.2 Arousal 2.3.3 Headache 2.4 Contemporary Behavioral Models 2.4.1 Avoidance 2.4.2 Headache-Related Cognitions 2.4.3 Coping Strategies 2.5 Treatment Implications of the Model 3. Diagnosis and Treatment Indications 3.1 Medical History and Diagnosis 3.2 Assessment of the Headache Patient 3.2.1 Domains of Assessment 3.2.2 Recommended Assessment Protocol 3.3 Empirically Supported Treatments 3.3.1 Pharmacotherapy 3.3.2 Behavioral Therapies3.4 Factors Influencing Treatment Decisions 3.4.1 Age 3.4.2 Other Demographic Variables 3.4.3 Education Level 3.4.4 Patient Preference 3.4.5 Headache Diagnosis 3.4.6 Medication Overuse 3.4.7 Previous Treatment History 3.4.8 Psychiatric Comorbidities 3.4.9 Hormonal Factors 3.4.10 Life Stress and Coping Skills 3.4.11 Appropriate Candidates for Behavioral Therapy 3.5 Presenting the Rationale for Behavioral Therapy 4. Treatment 4.1 Methods of Treatment 4.1.1 Health Behavior Education 4.1.2 Relaxation Training 4.1.3 Biofeedback Training 4.1.4 Stress Management Training 4.1.5 Trigger Management Training 4.1.6 Acceptance-Based Techniques 4.1.7 Promoting Adherence to Pharmacotherapy and Other Interventions 4.2 Mechanisms of Action 4.2.1 Physiological Mechanisms 4.2.2 Psychological Mechanisms 4.3 Efficacy and Prognosis 4.3.1 Efficacy for Migraine 4.3.2 Efficacy for Tension-Type Headache 4.3.3 Maintenance of Treatment Gains Over Time 4.4 Variations and Combinations of Methods 4.4.1 Limited-Therapist-Contact Behavioral Therapies 4.4.2 Nonprofessionally Administered Treatment 4.4.3. Self-Help Treatment 4.4.4 Internet and Mass Communications Treatment 4.4.5 Behavioral Interventions within Medical Practice 4.5 Problems in Carrying out the Treatments 4.5.1 Difficulties with Relaxation 4.5.2 Difficulties with Biofeedback 4.5.3 Difficulties with Stress Management 4.5.4 Difficulties with Trigger Management 4.6 Multicultural Issues 5. Conclusion 6. Further Reading 7. References 8. Appendix: Tools and Resources