Todd A. Smitherman, PhD, FAHS, is Assistant Professor and Director of the Center for Behavioral Medicine in the Department of Psychology at the University of Mississippi and has published extensively on psychiatric comorbidities and other behavioral issues in headache disorders. Dr. Smitherman serves as Associate Editor for the journal Headache: The Journal of Head and Face Pain, is a Fellow of the American Headache Society and Chair of its Behavioral Issues Section. Donald B. Penzien, PhD, FAHS, is widely recognized for his expertise and contributions in headache research methodologies and development of cost-efficient behavioral interventions for headache (i.e., limited therapist-contact therapies). He presently serves as Professor of Anesthesiology at the Wake Forest School of Medicine in Winston- Salem, NC. He is a Fellow of the American Headache Society and the Society of Behavioral Medicine and is Associate Editor for Headache: The Journal of Head and Face Pain. Jeanetta C. Rains, PhD, FAHS, is Clinical Director of the Center for Sleep Evaluation at Elliot Hospital in Manchester, NH. She is Fellow of the American Board of Sleep Medicine, the American Academy of Sleep Medicine, and the American Headache Society. She is a leading authority in the field of headache and sleep medicine, having worked in this area since 1991. She is Associate Editor for Headache: The Journal of Head and Face Pain.

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

The conceptualization, assessment, and evidence-based behavioral treatment of migraine and headache - how to ensure optimal outcomes with two of the most common medical conditions in the world.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 providers are unfamiliar with how to work effectively with these patients to ensure optimal outcomes.This book, the first major work on behavioral treatment of headache in over 20 years, provides much-needed help: An overview of relevant psychological factors and the behavioral conceptualization of headache is followed by a step-by-step, manual-type guide to implementing behavioral interventions within clinical practice settings. Mental health practitioners and trainees and other healthcare professionals who want to improve their headache patients' outcomes by supplementing routine medical treatment with empirically supported behavioral strategies will find this book invaluable.Earn 5 CE credits for reading volumes of the Advances in Psychotherapy book series. Click here to find out more!