Pain — whether physical or emotional — and migraine interact in ways that require integrated understanding and treatment.
The Psychology of Pain and Migraine
Pain perception is fundamentally psychological as well as physical. Migraine lowers pain tolerance, increases pain catastrophizing, and alters how pain is processed in the brain.
Pain Catastrophizing and Migraine
Pain catastrophizing — expecting the worst from pain — is common in migraine and dramatically amplifies pain experience. Addressing this cognitive pattern reduces both pain and migraine.
Integrated Pain and Migraine Management
- Pain-focused CBT: Addresses catastrophizing and improves functioning despite pain
- ACT for pain: Build a fulfilling life even when pain and migraine persist
- Mindfulness: Changes how pain signals are processed in the brain
- Physical activity: Gentle movement is therapeutic for both pain and migraine