MBCT-M

Mindfulness-Based Cognitive Therapy for Migraine

Introduction

For those living with migraine, the journey to relief is often complex and multifaceted. One promising avenue that has emerged from recent research is Mindfulness-Based Cognitive Therapy (MBCT), specifically tailored for migraine sufferers (-M). A study published in HEADACHE in November 2023 provides insight into how this approach may alter the way individuals with migraine relate to their pain, potentially reducing the disability associated with this condition.

The study, conducted in New York led by Dr. Elizabeth Seng, PhD, investigated the impact of MBCT-M on pain catastrophizing—the tendency to focus on and exaggerate the threat and impact of pain—and cognitive fusion—the blending of thoughts and experiences so that thoughts are experienced as the literal truth.

Methods

60 adults diagnosed with migraine were divided into two groups: one receiving MBCT-M and the other continuing with their usual care. The study aimed to understand whether MBCT-M could adjust these cognitive processes and, as a result, alleviate the burden of migraine.

The participants who engaged in MBCT-M attended eight weekly sessions, where they learned skills to enhance their mindfulness and change their relationship with pain.

Pain catastrophizing is known to amplify the experience of pain and can contribute to a heightened sense of disability.

Results

Mindfulness, a practice of being fully present and engaged in the moment without judgment, can be particularly beneficial in managing chronic pain. By fostering a non-reactive awareness of pain, individuals can experience discomfort with less emotional distress.

The MBCT-M group showed a significant reduction in pain catastrophizing compared to those who did not receive this therapy.

Discussion

This study highlights the potential of MBCT-M in reducing the emotional distress caused by migraines. It further highlights a key component of TheHeadacheNP's philosophy of treating pain: pain is inevitable, suffering is optional. By reminding individuals that the experience of pain doesn't necessarily result in a catastrophizing mindset, MBCT-M

It's essential to remember that while MBCT-M shows promise, it is not a standalone cure for migraines. It is one tool among many that individuals can use to manage their symptoms. If you're interested in MBCT-M, consider it as part of a broader treatment strategy, which may include medication, lifestyle changes, and other forms of therapy.

MBCT-M could serve as an important component of a comprehensive migraine management plan.

Pregnancy, heart disease, age, and other factors may prevent some individuals from being able to take the best medications to prevent or abort migraine attacks. MBCT-M might especially be of use in these populations when medication isn't an option.

While further research is needed to fully understand and optimize its effects, MBCT-M may offer hope for many who live with the daily challenges of migraine.

For those interested in exploring this therapy, it is recommended to seek out a qualified mental health professional who can guide them through the process. As the field of headache medicine continues to evolve, the integration of mindfulness practices could become an increasingly important aspect of care for those seeking to regain control over their lives from the grip of migraine.

Source article:

Kruse JA, Seng EK. Changes in cognitive appraisal in a randomized controlled trial of mindfulness-based cognitive therapy for patients with migraine. Headache. 2023; 63: 1403-1411. doi:10.1111/head.14627