Management of psychiatric comorbidities in migraine


  • Mario Fernando Prieto Peres Hospital Israelita Albert Einstein, Universidade de São Paulo
  • Marcelo Moraes Valença Universidade Federal de Pernambuco
  • Raimundo Pereira Silva-Neto Universidade Federal do Piauí



Migraine, Psychiatric comorbidities, Anxiety, Depression, Bipolar, ADHD


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.


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Author Biographies

Mario Fernando Prieto Peres, Hospital Israelita Albert Einstein, Universidade de São Paulo

Hospital Israelita Albert Einstein, São Paulo, Brazil
Instituto de Psiquiatria, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil

Marcelo Moraes Valença, Universidade Federal de Pernambuco

Federal University of Pernambuco, Recife, Brazil

Raimundo Pereira Silva-Neto, Universidade Federal do Piauí

Federal University of Piauí, Teresina, Brazil




How to Cite

Peres MFP, Valença MM, Silva-Neto RP. Management of psychiatric comorbidities in migraine. Headache Med [Internet]. 2018 Jun. 30 [cited 2024 May 28];9(2):61-7. Available from:




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