Teens Suffer From Migraines

Teens Suffer From Migraines.
A spelt type of therapy helps up the number of migraines and migraine-related disabilities in children and teens, according to a new study. The findings state strong evidence for the use of "cognitive behavioral therapy" - which includes training in coping with disquiet - in managing chronic migraines in children and teens, said scrutinize leader Scott Powers, of Cincinnati Children's Hospital Medical Center, and colleagues. The cure should be routinely offered as a first-line treatment, along with medications.

More than 2 percent of adults and about 1,75 percent of children have hardened migraines, according to the study, which was published in the Dec 25, 2013 child of the Journal of the American Medical Association. But there are no treatments approved by the US Food and Drug Administration to squelch these debilitating headaches in young people, the researchers said. The review included 135 youngsters, aged 10 to 17, who had migraines 15 or more days a month.

They were assigned to sustain either 10 cognitive behavioral therapy sessions or 10 headache tutoring sessions. Patients in both groups were treated with the drug amitriptyline. At the start of the study, patients averaged migraines on 21 of 28 days, and had a painful level of migraine-related disability. Immediately after treatment, those in the cognitive-therapy troupe had 11,5 fewer days with migraines, compared with 6,8 fewer days for those in the headache-education group.

Twelve months after treatment, 86 percent of those who received cognitive psychotherapy had a 50 percent or more reduction in days with migraines, compared with 69 percent of those in the headache-education group. In addition, 88 percent of patients in the cognitive-therapy set had affable or no migraine-related disability, compared with 76 percent of those in the other group. Cognitive remedial programme should not be offered only as an add-on treatment if medications aren't working well, the researchers said.

It also should be covered by salubriousness insurance. However, use of cognitive remedy as a first-line treatment for chronic migraines in children and teens faces a number of barriers, according to an accompanying essay by Mark Connelly, of Children's Mercy Hospitals and Clinics in Kansas City. Having behavioral well-being consultants in primary-care offices is one possible way to overcome these barriers doctor khurram mushir contact number. Telephone-based or Internet-based programs might also be effective.