Cognitive Behavioral Therapy (CBT) is one of the most evidence-based approaches for migraine, with decades of research supporting its effectiveness.
What Is CBT for Migraine?
CBT for migraine works by identifying and challenging the negative thought patterns and behaviors that maintain migraine. It's practical, structured, and time-limited.
Core CBT Techniques for Migraine
Cognitive Restructuring: Identify automatic negative thoughts related to migraine and evaluate their accuracy. Replace distorted thinking with balanced perspectives.
Behavioral Activation: Gradually re-engage with activities that migraine has caused you to avoid. Action often precedes motivation, not the other way around.
Exposure Work: For migraine involving avoidance, gradual, supported exposure helps reduce the fear response over time.
Thought Records: Track the connection between situations, thoughts, feelings, and behaviors to identify patterns in your migraine.
What to Expect in CBT for Migraine
A typical CBT course for migraine lasts 8-20 sessions. You'll learn skills between sessions through homework and practice.
Finding a CBT Therapist
Look for a therapist trained in CBT who has experience treating migraine. Many sessions are now available online.