Key Questions
Which mood disorders are most commonly linked to migraine disease?
Do psychiatric conditions usually appear before migraine disease or vice versa?
Why have I been prescribed an antidepressant if I do not suffer from a psychiatric condition?
What anxiety disorders are related to migraine disease?
What symptoms should I look for if I am not sure if I have anxiety?
Is bipolar disorder more common in people who experience the pain and disability of migraine disease?
What are some effective therapies for people with migraine disease?
Are these therapies covered by insurance?
What should I do if my insurance does not cover these therapies?
Interview Notes
Key Questions
What is an autoimmune disorder?
What kind of doctor can effectively address an autoimmune disorder?
What are the most common autoimmune disorders?
Does migraine cause autoimmune disorders?
What is Sjogren’s syndrome?
Is facial pain or allodynia associated with migraine different from Sjogren’s?
What does scleroderma have in common with migraine?
What role does inflammation play both in migraine and autoimmune disorders?
Is there a connection between migraine and either fibromyalgia or lupus?
Are there therapies that can be helpful for both migraine and autoimmune diseases?
Interview Notes
Key Questions
What is status migraine?
How common is status migraine?
How can someone with chronic migraine know if they’re having individual daily attacks or one prolonged status migraine?
How do low- and high-pressure headaches compare to status migraine?
Is medication overuse headache, or rebound headache, sometimes confused with status migraine?
Are some people more at risk for status migraine than others? What are some of the risk factors?
What is the importance of prevention of migraine, particularly for those prone to status migraine?
What can patients do when acute treatment fails?
Do patients with status migraine always need to go to the emergency room or urgent care, or is there a backup plan they can follow to self-treat at home?
What type of medical professionals are best suited for treating status migraine?
Interview Notes
Key Questions
How would treatment for migraine with a psychologist differ from treatment with a medical doctor?
What is the functional model for primary headaches that you have developed?
Who can benefit from the functional model?
How do we escape the anxiety/pain feedback loop?
Does the functional model replace medicinal treatment or work in conjunction with it?
Do certain types of anxiety occur more often in people with migraine?
Why do comorbid psychiatric conditions increase the risk of migraine disease evolving from episodic to chronic?
Are there psychological treatments that can target both depression and migraine disease?
What is social support and how does it relate to people with migraine disease?
What can we do to increase our resilience?
Interview Notes
Key Questions
What is CGRP?
Why is CGRP significant during a migraine attack and in it’s treatment?
What is the link between CGRP and triptans, antibodies and gepants?
Which CGRP treatments are preventive and which are for acute use?
How do gepants differ from triptans?
What is medication overuse headache or rebound headache?
What are antagonists, receptors and antibodies?
What is the science behind effective drug treatments for the brain/migraine?
Are CGRP treatments more effective than other preventive treatments?
Are there side effects with CGRP treatment methods?
What are the current concerns about using CGRP treatments?
Interview Notes
Key Questions
Why can’t people with chronic migraine skip a meal when other people do it all the time?
What are the risks of fasting or intermittent fasting for someone living with migraine disease?
What is the association between weight and frequency of migraine attacks?
What are some important factors related to weight loss that are important for those with migraine to consider when attempting to lose weight?
How should the presence of mood issues affect the approach to a weight loss plan?
What are important considerations regarding use of a ketogenic diet?
How does sufficient water help us to ensure that we’re getting proper functioning of our brain and body?
How do you know if you’re dehydrated?
How much water do we need to drink and what are additional ways to stay hydrated?
What additions to the water we drink might actually be working against hydration?
When are hospital-administered IV fluids necessary?
How should people living with migraine disease prioritize establishing healthy eating and drinking habits versus searching for food-related triggers?
Interview Notes
Key Questions
What are some of the obstacles to migraine diagnosis in Europe?
What headache specialists are available in England, and are they available in other countries?
What is a headache nurse?
What specialized clinics or centers are available in Europe?
What is your clinic’s approach to a new headache patient?
When treating migraine patients, is it a good idea to change only one thing at a time?
What are some successful multidisciplinary approaches to treating migraine?
What are tailored treatments?
What are the responsibilities of the doctor and the patient in treating migraine?
Why should patients join headache associations in their countries?
Interview Notes
Key Questions
When is cyclic vomiting syndrome, or CVS, most commonly diagnosed?
Why does migraine affect the stomach at all?
Should CVS be viewed as a gastrointestinal or a neurological issue, and then which specialist should the patient see?
How often does CVS evolve into more typical migraine over time?
What treatments are available for CVS, and how do they differ for adults versus children?
What’s the youngest age at which you might see a patient with CVS, and have you seen connections with infants with colic?
How can patients improve their quality of life while dealing with CVS?
When nausea accompanies migraine, what are some medications that patients could take instead of oral treatments?
What can you tell us about the gut-brain connection and how it affects migraine?
What can you tell us about the interplay between genetics and environmental factors and pediatric headache?
Interview Notes
Key Questions
What is the difference between marijuana and hemp?
What are the health benefits of CBD?
What are the concerns with using CBD?
Should CBD be used as a preventive or acute medication for migraine?
What is the connection between neuro-inflammation and migraine?
Why don’t we have good studies on the effects of marijuana?
How has public opinion on marijuana changed?
Is THC more effective for migraine than CBD?
What are the difficulties for patients trying to use marijuana in the U.S.?
How long would it take to see results from a maintenance dose of CBD or marijuana?
Is there a lethal dose of CBD or THC?
Interview Notes
Key Questions
What type of surgeries are available for people with migraine?
What are the Reed and Omega procedures?
Is there good evidence for surgeries for migraine?
What are some of the side effects or risks for migraine surgery?
Are there any life-long restrictions following migraine surgery?
How difficult is it to reverse surgery or remove any implanted devices?
Migraine surgery-based organizations make a lot of claims. What should we be wary about?
Is there an ideal candidate that you would recommend for surgery?
Is there a general point at which an implanted device typically stops working?
What is Chiari malformation surgery?
Interview Notes
Key Questions
What is neuroplasticity?
How does mindfulness meditation help with headache disorders?
Are there any negative side effects of mindfulness meditation?
Is mindfulness meditation based on religion?
What is the difference between mindfulness and meditation?
How does meditation change the brain?
What is the role of stress in migraine disease and what is the impact of mindfulness meditation?
Is there evidence that mindfulness meditation can help with migraine disease?
When should a person living with migraine disease consider mindfulness meditation?
Interview Notes
Key Questions
How common is light sensitivity (photophobia) in people living with migraine disease?
Can people who are blind and also living with migraine disease be light sensitive?
How is migraine disease related to the optic nerve?
How do different colors/types of light impact migraine attacks?
Is it common for people living with other headache disorders to experience light sensitivity? Why, or why not?
Are there any colors/types of light that are beneficial for people living with migraine disease?
What is green light and why should people living with migraine be excited about it?
Does filtering out specific colors/types of light really help with migraine attacks?
Interview Notes
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