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Behavioral Approaches to CDH: Evidence and Outcomes

  • Shalonda S. Slater
  • Hope L. O’Brien
Chapter

Abstract

Non-pharmacological options for the management of chronic daily headache are of increasing interest to patients and providers given the high cost of prescription medication, poor efficacy, and concern for potential side effects. Options include behavioral approaches, relaxation techniques, and lifestyle modification, which can be used alone or in conjunction with traditional pharmaceutical therapies. The goals of a behavioral approach are to increase functioning and minimize disability related to chronic pain and should be taught or administered by a trained professional. Lifestyle modification involves educating the patient about the importance of maintaining a healthy balanced diet rich in vegetables, without skipping meals, staying hydrated, practicing good sleep hygiene, incorporating regular exercise, and avoiding caffeine and other potential triggers. This chapter focuses on the evidence that supports current practice recommendations for managing chronic daily headache and highlights limitations where further research is warranted.

Keywords

Cognitive behavioral therapy Relaxation Mindfulness Lifestyle modification Healthy habits Triggers 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Behavioral Medicine and Clinical Psychology, Department of PediatricsCincinnati Children’s Hospital Medical Center, University of Cincinnati College of MedicineCincinnatiUSA
  2. 2.Division of Neurology, Department of PediatricsCincinnati Children’s Hospital Medical Center, University of Cincinnati College of MedicineCincinnatiUSA

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