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Cognitive behavioral therapy in the treatment of chronic migraine: a clinical case report

https://doi.org/10.14412/2074-2711-2021-1-74-80

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Abstract

The paper describes a clinical case of a female patient with chronic migraine (CM) and shows a modern approach to diagnosing CM and assessing chronicity factors. The patient received interdisciplinary treatment that involved standard therapy and cognitive behavioral therapy (CBT), a psychological treatment for pain and emotional disorders. The use of CBT in this clinical case was justified by the fact that the patient had pain catastrophizing, emotional disorder, abuse of painkillers and their discontinuation problems, and unsatisfactory tolerability of preventive pharmacotherapy for migraine. CBT could change the patient's ideas about the causes and prognosis of the disease, increase her intraday activity, teach effective skills to overcome pain, and cope with the symptoms of anxiety and depression. A long-term (12-month) follow-up of the female patient receiving behavioral interdisciplinary treatment showed a clinically significant improvement as transformation from chronic to episodic of migraine, as normalization of the emotional state, and as an increase in daily activity.

About the Authors

V. A. Golovacheva
N.V. Sklifosovsky Institute of Clinical Medicine
Russian Federation

Veronika Aleksandrovna Golovacheva

Department of Nervous System Diseases and Neurosurgery

11, Rossolimo St., Build. 1, Moscow 119021



A. A. Golovacheva
N.V. Sklifosovsky Institute of Clinical Medicine
Russian Federation

Department of Nervous System Diseases and Neurosurgery

11, Rossolimo St., Build. 1, Moscow 119021



V. A. Parfenov
N.V. Sklifosovsky Institute of Clinical Medicine
Russian Federation

Department of Nervous System Diseases and Neurosurgery

11, Rossolimo St., Build. 1, Moscow 119021



G. R. Tabeeva
N.V. Sklifosovsky Institute of Clinical Medicine
Russian Federation

Department of Nervous System Diseases and Neurosurgery

11, Rossolimo St., Build. 1, Moscow 119021



D. V. Romanov
N.V. Sklifosovsky Institute of Clinical Medicine; Mental Health Research Center
Russian Federation

Department of Psychiatry and Psychosomatics; Department for the Study of Borderline Mental Pathology and Psychosomatic Disorders

11, Rossolimo St., Build. 1, Moscow 119021
34; Kashirskoe Shosse, Moscow 115522 



V. V. Osipova
Z.P. Solovyov Research and Practical Psychoneurological Center, Moscow Healthcare Department; University Headache Clinic
Russian Federation
43, Donskaya St., Moscow 115419
2, Molodogvardeyskaya St., Build. 1


Z. Katsarava
N.V. Sklifosovsky Institute of Clinical Medicine; University of Duisburg-Essen, University Hospital; Evangelical Hospital; EVEX Medical Corporation
Russian Federation

Department of Nervous System Diseases and Neurosurgery; Department of Neurology; Department of Neurology

11, Rossolimo St., Build. 1, Moscow 119021
Hufelandstr. 55, Essen 45122, Germany
Holbeinstr. 10, 59423 Unna, Germany
40 Vazha Pshavela Avenue, Tbilisi 0177, Georgia 



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For citation:


Golovacheva V.A., Golovacheva A.A., Parfenov V.A., Tabeeva G.R., Romanov D.V., Osipova V.V., Katsarava Z. Cognitive behavioral therapy in the treatment of chronic migraine: a clinical case report. Neurology, Neuropsychiatry, Psychosomatics. 2021;13(1):74-80. (In Russ.) https://doi.org/10.14412/2074-2711-2021-1-74-80

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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)