Management of psychiatric comorbidities in migraine

Abstract

Psychiatric commorbidities are one of the main issues in migraine management. Diagnosis and treatment strategies are deeply affected by mental health diagnosis and symptoms. Depression and anxiety has been the most studied topics, anxiety aspects such as excessive worry, inability to control worries, inability to relax are highligheted. It is also reviewed in this paper data on the relation of psychiatric symptoms and migraine; the rationale for using a symptom-based approach; how migraine overlaps with anxiety, ADHD, and bipolar symptoms. Screening tools addressing specific mental health topics are discussed, as a comprehensive approach for frequent acute medication intake considering psychiatric comorbidity. An algorythm is proposed for the general management of psychiatric comorbidity in migraine.