Description
Migraine affects over 47 million Americans, is the 2nd most disabling condition (in DALYs) and is comorbid with many psychiatric conditions (affective disorders, anxiety, etc.). Multiple studies on migraine and mental health comorbidity demonstrate that comorbidity between migraine and mental health disorder are not only incredibly common. Depression is three times more common among people with migraine than in the general population, and this rate is even higher in patients with migraine presenting to clinical settings. Dual Migraine- mental health comorbidity has decreased quality of life, poorer response to headache treatment, and overall worse prognosis. The demoralizing effects of living with chronic pain, feeling like a burden to others, constantly wondering when the next attack occurs—frequently has a bidirectional relationship with depression and other mood and anxiety disorder. In particular, many studies have found that individuals who suffer from migraine are more likely to experience suicidal ideation and attempt suicide than those without migraine. Specific populations are vulnerable to dual-diagnosis comorbidity including the military active duty and veteran populations as well as women mental health population. Within the military, headache accounts for greater than 50% of outpatient Neurology encounters. It is a cause for medical attention in 4% of all service members, placing significant demands on the healthcare system. Migraines are more prevalent amongst women and thus a concern for women in pregnancy and may manifest by first affecting mental health-psychiatrists can help mental health by treating the migraine. Psychiatrists must be made aware how to ask about headaches when taking a comprehensive history, and they must become familiar with the existing and emerging medication and behavioral treatments available for common, disabling headache conditions like migraine. provide an update on the various comorbid psychiatric conditions of people with migraine. We will discuss how to efficiently screen these patients for the comorbidities and will discuss how to treat these patients using pharmacologic and non-pharmacologic strategies. We will finalize presentation with presentation of collaborative cases from both military population as well as other dual diagnosis population to help participants learn how to use tools to diagnosis and treat migraines in their practice.
Format
Recorded webinar.
This content was recorded during the APA 2023 Annual Meeting.
Learning Objectives
- Identify and describe the characteristics of migraine and how these differ from other headache disorder
- Describe and identify migraine and mental health comorbidities
- Describe shared biopsychosocial aspects of migraine and mental health comorbidity and how this can be used to approach treatment
- Describe non-pharmacological treatments for migraine such as cognitive behavioral therapy, relaxation, and biofeedback and neuromodulation
- Identify where psychiatrists can learn more about headache medicine and become involved in headache specialty care
Target Audience
Residents/Fellows, Psychiatrists, Psychologists
Estimate Time to Complete
Estimated Duration: 1.5 hours
Program Start Date: May 1, 2025
Program End Date: May 1, 2028
How to Earn Credit
Participants who wish to earn AMA PRA Category 1 Credit™ may do so after completing all sections of the course including the evaluation. After evaluating the program, course participants will be provided with an opportunity to claim hours of participation and print an official CME certificate (physicians) or certificate of participation (non-physicians) showing the completion date and hours earned.
Continuing Education Credit
In support of improving patient care, the American Psychiatric Association is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
The APA designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Faculty and Planner Disclosures
The American Psychiatric Association adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CME activity — including faculty, planners, reviewers or others — are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.
Instructors
- Mia Minen, MD, MPH, FAAN, FAHS, UCNS Headache and Neuropsychiatry/ Behavioral Neurology
- Melinda Thiam, MD, PMH-C, AQH
- Lex Denysenko, MD, FACLP, UCNS Headache
Planners
- Vishal Madaan, MD, Chief of Education and Deputy Medical Director at the American Psychiatric Association.
Accessibility for Participants with Disabilities
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Technical Requirements
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- Internet Explorer 11+
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Optimal System Configuration:
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