Chronic migraine treatment: multidisciplinary approach. Case report
Abstract
We described clinical case of chronic migraine and such comorbid disorders as insomnia and panic disorder. The influence of anxiety, insomnia, painkillers overuse on the chronicity of migraine has been shown. Multidisciplinary program was made for treatment of patient with chronic migraine, insomnia and panic disorder. Multidisciplinary program included education, detoxification therapy, cognitive-behavioral therapy and pharmacotherapy. Patient's mistaken ideas about disorders was changed by using of cognitive-behavioral therapy. Also techniques of cognitive-behavioral therapy were needed for education of patient about effective skills to overcome pain, insomnia and anxiety. The transformation of migraine from chronic to episodic, improved sleep, improved emotional state and functional activity were noted after 3 months of treatment. Follow-up of the patient for 12 months showed long lasting positive effect of treatment for chronic migraine, insomnia and panic disorder.
Представлено клиническое наблюдение за пациенткой с хронической мигренью и коморбидными расстройствами хронической инсомнией и паническим расстройством. Показано влияние тревоги, инсомнии, избыточного приема обезболивающих препаратов на хронизацию мигрени. Для лечения была составлена междисциплинарная программа, включавшая образовательные беседы, дезинтоксикационную терапию, когнитивно-поведенческую терапию и фармакотерапию. С помощью когнитивно-поведенческой терапии удалось изменить ошибочные представления…
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Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
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