Behavioral Medicine for Migraine.

Behavioral medicine is based on the biopsychosocial theory that biological, psychological, and environmental factors all play significant roles in human functioning. This article reviews empirically supported and efficacious behavioral approaches to the treatment and management of migraine including cognitive behavioral therapy and biobehavioral training (ie, biofeedback, relaxation training, and stress management). These techniques have demonstrated efficacy when learned and practiced correctly and may be used individually or in conjunction with pharmacologic and other interventions. Data are also reviewed regarding patient education, support groups, psychological comorbidities, modifiable risk factors for headache progression, strategies for enhancing adherence and motivation, and strategies for effective medical communication.

Neurol Clin. 2009 May;27(2):445-465. Buse DC, Andrasik F. Department of Neurology, Albert Einstein College of Medicine of Yeshiva University, NY, USA; Clinical Health Psychology Doctoral Program, Ferkauf Graduate School of Psychology of Yeshiva University, NY, USA; Montefiore Headache Center, 1575 Blondell Avenue, Suite 225, Bronx, NY 10461, USA.