PTSD and Migraine: Connection, Triggers, and Treatments

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By Staff
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“There is a significant association between migraine and PTSD,” says MaryAnn Mays, MD, a neurologist and headache specialist at Cleveland Clinic. “Studies suggest that people with PTSD are more likely to experience migraine than the general population.”

Dr. Mays also says that PTSD likely worsens migraine symptoms, and vice versa.

People with PTSD tend to have higher scores on questionnaires about migraine’s impact on a person, says Ryan Serdenes, DO, a psychiatrist at Temple University Hospital in Philadelphia and an assistant professor of clinical psychiatry at Temple’s Lewis Katz School of Medicine.

While the connection is definitely there, experts still aren’t exactly sure how the two conditions are connected. Researchers also don’t know if having migraine increases your risk of getting PTSD, or if PTSD increases your chances of developing migraine, or both.

“Overall, the relationship between both conditions is complex and likely bidirectional,” Dr. Serdenes says, meaning that each condition may influence your chance of developing the other.

Statistics on PTSD, Migraine, and Other Headache Disorders

Results from a large-scale health and wellness survey in Japan found that 7.7 percent of people with migraine also had PTSD. Other research suggests that people living with PTSD are almost four times more likely to develop migraine later in life.
Around 5 to 8 percent of the general population will be affected by PTSD at some point, with women being around twice as likely as men to develop the condition. Women are 2 to 3 times more likely than men to have both PTSD and migraine together.
Military veterans have a higher risk of developing PTSD, and therefore may have a higher risk of migraine. A large study found that in U.S. veterans, over 8 percent of men and over 30 percent of women had a history of migraine. Hispanic and Latina women had the highest rates.

Do Headaches Lead to PTSD?

“Headaches themselves do not directly lead to PTSD, but can contribute to the overall burden of PTSD symptoms and exacerbate the condition,” says Mays.

“However, chronic migraine can lead to psychological distress, anxiety, or depression, which may mimic some PTSD symptoms,” she says.

Serdenes says that “generally speaking, PTSD is characterized by either a direct or indirect exposure to trauma,” so headaches or migraine cannot directly lead to PTSD.

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