Treatment of chronic migraine and neck pain with cognitive-behavioral therapy. Case report
- Authors: Golovacheva V.A.1, Golovacheva A.A.1
-
Affiliations:
- Sechenov First Moscow State Medical University (Sechenov University)
- Issue: Vol 23, No 11 (2021)
- Pages: 852-857
- Section: Articles
- URL: https://journals.rcsi.science/2075-1753/article/view/96617
- DOI: https://doi.org/10.26442/20751753.2021.11.201137
- ID: 96617
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Abstract
The article presents a case of a patient with chronic migraine, neck pain, drug-induced headache and generalized anxiety disorder. We analyzed the relationship between migraines and neck pain. The article discusses the interdisciplinary treatment of chronic migraine, which included educational conversation, detoxification therapy, rational relief of migraine attacks, preventive pharmacotherapy and cognitive-behavioral therapy. The latter allowed to change the patient's perception of the disease, reduce anxiety and catastrophization of pain, cope with fears, stop taking benzodiazepines, reduce the intake of pain relievers, and increase daily activity and productivity at work. Clinical efficacy (reduction in the frequency of headaches per month by 50% or more) was achieved after 3 months of treatment. Long-term (12 months) follow-up of the patient showed long-term clinical effect of the interdisciplinary treatment.
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##article.viewOnOriginalSite##About the authors
Veronika A. Golovacheva
Sechenov First Moscow State Medical University (Sechenov University)
Author for correspondence.
Email: xoxo.veronicka@gmail.com
ORCID iD: 0000-0002-2752-4109
Cand. Sci. (Med.)
Russian Federation, MoscowAnzhelika A. Golovacheva
Sechenov First Moscow State Medical University (Sechenov University)
Email: xoxo.veronicka@gmail.com
ORCID iD: 0000-0002-2845-7323
Clinical Resident
Russian Federation, MoscowReferences
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