Migraine impacts 12 percent of the population and even more caregivers across multiple contexts including but not limited to the home, work-place, and medical care delivery systems. Mental healthcare professionals (MHPs) are likely to see clients with migraine which sometimes has not been diagnosed but greatly impacts psychological functioning. They may need to recognize the signs of migraine in order to refer for concurrent medical care and then to coordinate to optimize care of this often chronic condition. In this workshop a physician will describe 10 symptoms of migraine and common comorbidities that warrant referral by MHPs for assessment and pharmacological treatment. As well, specific ways the MHP can support care will be described. The role of internalized stigma in patients with migraine and some examples of its aftermath that can impact outcomes will also be described. Once migraine is diagnosed by a medical professional and medical management is occurring, there are several roles for mental health professionals in optimizing care. This can include psychoeducation about the causes of migraine and the importance of lifestyle behavioral factors; the role of prospective tracking; interventions such as biofeedback integrated with CBT; and other treatment modalities. Causes of migraine, and both pharmacological and non pharmacological interventions that can be coordinated in care to bring relief will be described in this workshop by a psychologist who delivers care in a hospital headache center setting.
CE Objectives
After attending this workshop the learner will be able to:
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List 10 symptoms of migraine
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List 5 comorbidities of migraine
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Describe migraine stigma and list three toxic effects of internalized stigma
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List and describe 2 CBT interventions that may be used when treating migraine
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Describe the use of biofeedback in self regulation associated with migraine
Presenters
William B. Young, MD, FAHS, FAAN
Dr. William Young is a neurologist and headache specialist at the Jefferson Headache Center. He received his medical degree from Penn State College of Medicine and his Neurology Residency at Tufts/New England Medical Center in 1989. He has worked as a headache specialist since 1990 at the Jefferson Headache Center, which is one of a very few comprehensive academic headache centers in the country. The Center, founded in 1982, specializes in the treatment of patients with all types of headache pain. Dr. Young is the President of Miles for Migraine, founder of the Coalition for Headache and Migraine Patients and former president of the Alliance for Headache Disorders Advocacy.
Jennifer Kengeter, Psy.D.
Dr. Kengeter works as a psychologist at the Jefferson Headache Center where she has been for 6 years. She attended Rutgers University as an undergraduate and completed her graduate training at Philadelphia College of Osteopathic Medicine (PCOM) where she earned her doctorate in psychology. At PCOM, she learned cognitive behavioral therapy with a focus on health psychology. Since that time, she has incorporated Acceptance and Commitment Therapy and Dialectic Behavioral Therapy skills into her work. She also has worked in primary care and pediatric neurology settings. She especially enjoys training medical residents .
Currently, she works on the inpatient unit at Methodist hospital with the Jefferson Headache team and she also sees outpatients where the focus is predominately on headache and comorbid disorders. In addition, she trained in CBT-Insomnia which has widened her focus on lifestyle management of pain. Lastly, she obtained training in biofeedback at Jefferson.
She enjoys being active in snowboarding, running, and weightlifting. She is an avid music and Philadelphia sports fan. She also serves as a coach for one her three sons' sports teams with her husband on weekend mornings.
Target Audience
This presentation is intended for licensed mental health professionals and advanced graduate student trainees seeking licensure and with some clinical experience. The instructional level of this presentation is BEGINNER.
Continuing Education
- Philadelphia Behavior Therapy Association is approved by the American Psychological Association to sponsor continuing education for psychologists*. Philadelphia Behavior Therapy Association maintains responsibility for this program and its content.
- This program provides one (1.5) hours of CE credits.
- Philadelphia Behavior Therapy Association is also approved by the NY State Education Department to offer psychology continuing education
PBTA is also an authorized provider of CE credits for Professional Counselors, Marriage and Family Therapists, and Clinical Social Workers licensed in the state of Pennsylvania.
- Non-Psychologists outside of PA and be sure to confirm with your licensing board regarding if this meets criteria for your CE requirements.
- ZOOM VIDEO LINK WILL BE SENT TO REGISTRANTS 24 and 48 HOURS BEFORE, & MORNING OF, EVENT
- Full attendance with video display is required to obtain CE credit for this program. APA guidelines do not permit PBTA to issue partial CE credits. No refunds are provided for CE programs. No exceptions allowed.
- All events are Eastern Time Zone
- Contact PBTAcontinuingeducation@philabta.org if you need any learning accommodations no later than one week before event.
Suggested Readings
Cámara-Lemarroy CR, Rodriguez-Gutierrez R, Monreal-Robles R, Marfil-Rivera A. Gastrointestinal disorders associated with migraine: A comprehensive review. World J Gastroenterol. 2016 Sep 28;22(36):8149-60. doi: 10.3748/wjg.v22.i36.8149. PMID: 27688656; PMCID: PMC5037083.
Harris, P., Loveman, E., Clegg, A., Easton, S., & Berry, N. (2015). Systematic review of cognitive behavioural therapy for the management of headaches and migraines in adults. British journal of pain, 9(4), 213-224.
Radat F, Creac’h C, Swendsen J, et al. Psychiatric Comorbidity in the Evolution From Migraine to Medication Overuse Headache. Cephalalgia. 2005;25(7):519-522. doi:10.1111/j.1468-2982.2005.00910.x
Seng, E. K., Singer, A. B., Metts, C., Grinberg, A. S., Patel, Z. S., Marzouk, M., ... & Buse, D. C. (2019). Does mindfulness‐based cognitive therapy for migraine reduce migraine‐related disability in people with episodic and chronic migraine? A phase 2b pilot randomized clinical trial. Headache: The Journal of Head and Face Pain, 59(9), 1448-1467.
Wells, R. E., O’Connell, N., Pierce, C. R., Estave, P., Penzien, D. B., Loder, E., ... & Houle, T. T. (2021). Effectiveness of mindfulness meditation vs headache education for adults with migraine: a randomized clinical trial. JAMA internal medicine, 181(3), 317-328.
