. G r Whilst the vast majority of headaches are minor ailments, e Other titles of interest e some patients develop chronic symptoms that have n psychiatric dimensions. These symptoms can be immensely Behavioral Neurology & THE NEUROPSYCHIATRY OF a challenging to manage and can have a serious impact Neuropsychiatry n on the patient’s quality of life. The relationship between Edited by David B. Arciniegas, d headache and psychiatric disease is often rationalized as C. Alan Anderson, and M Headache Christopher M. Filley cause and effect; however, the interplay between the two (9780521875011) u is complex. Management of each part of the co-morbid s disorder affects the other one in positive and/or negative The Neuropsychiatry of k i ways. The Neuropsychiatry of Headache details the current Epilepsy, 2nd Edition n Edited by Michael R. Trimble concepts of various headache conditions and the psychiatric G syndromes; topics covered include migraine, mood disorders, and Bettina Schmitz ree medication overuse, and personality disorders. Headache (9780521154697) Th n & specialists, neurologists, psychiatrists, neuropsychiatrists, and Common Pitfalls in the e M neuropsychologists will fi nd this an invaluable resource for Evaluation & Management N u understanding and co-managing these conditions. of Headache s e k Elizabeth Loder, Paul Rizzoli, i u n 9 Mark W. Green is Professor of Neurology, Anesthesiology, and and Rebecca Burch r 7 (ISBN 9781107636101) o 8 Rehabilitation Medicine, and Director of Headache and Pain 1 p 10 Medicine, Mount Sinai School of Medicine, New York, NY. s 7 y 0 2 c 6 Philip R. Muskin is Professor of Clinical Psychiatry, Columbia h 2 0 University College of Physicians and Surgeons; Chief i 9 a P of Service: Consultation–Liaison Psychiatry, New York- t P r C Presbyterian Hospital, Columbia University Medical Center; y . C Faculty: Columbia University Psychoanalytic Center for o M Research and Training. f Y H K E A D A C H E Edited by: Mark W. Green Philip R. Muskin Cover illustration: © Jahannes Norpoth / iStockphoto. Cover designed by Zoe Naylor The Neuropsychiatry of Headache The Neuropsychiatry of Headache Edited by Mark W. Green, MD ProfessorofNeurology,Anesthesiology,andRehabilitationMedicine,andDirectorofHeadacheandPainMedicine, MountSinaiSchoolofMedicine,NewYork,USA Philip R. Muskin, MD ProfessorofClinicalPsychiatry,ColumbiaUniversityCollegeofPhysiciansandSurgeons,ChiefofService:Consultation-LiaisonPsychiatry,NewYork-PresbyterianHospital, ColumbiaUniversityMedicalCenter,Faculty:ColumbiaUniversityPsychoanalyticCenterforResearchandTraining,NewYork,USA cambridge university press Cambridge,NewYork,Melbourne,Madrid,CapeTown, Singapore,SãoPaulo,Delhi,MexicoCity CambridgeUniversityPress TheEdinburghBuilding,CambridgeCB28RU,UK PublishedintheUnitedStatesofAmericabyCambridgeUniversityPress,NewYork www.cambridge.org Informationonthistitle:www.cambridge.org/9781107026209 ©CambridgeUniversityPress2013 Thispublicationisincopyright.Subjecttostatutoryexception andtotheprovisionsofrelevantcollectivelicensingagreements, noreproductionofanypartmaytakeplacewithoutthewritten permissionofCambridgeUniversityPress. Firstpublished2013 PrintedandboundintheUnitedKingdombytheMPGBooksGroup AcataloguerecordforthispublicationisavailablefromtheBritishLibrary LibraryofCongressCataloguinginPublicationdata Theneuropsychiatryofheadache/editedbyMarkW.Green,PhilipR.Muskin. p. ; cm. Includesbibliographicalreferencesandindex. ISBN978-1-107-02620-9(Hardback) I. Green,MarkW. II. Muskin,PhilipR. [DNLM: 1. Headache. 2. Comorbidity. 3. HeadacheDisorders.WL342] 616.80491–dc23 2012037118 ISBN978-1-107-02620-9Hardback CambridgeUniversityPresshasnoresponsibilityforthepersistenceor accuracyofURLsforexternalorthird-partyinternetwebsitesreferredto inthispublication,anddoesnotguaranteethatanycontentonsuch websitesis,orwillremain,accurateorappropriate. Everyefforthasbeenmadeinpreparingthisbooktoprovideaccurateandup-to-dateinformationwhichisinaccordwith acceptedstandardsandpracticeatthetimeofpublication.Althoughcasehistoriesaredrawnfromactualcases,everyefforthas beenmadetodisguisetheidentitiesoftheindividualsinvolved.Nevertheless,theauthors,editorsandpublisherscanmakeno warrantiesthattheinformationcontainedhereinistotallyfreefromerror,notleastbecauseclinicalstandardsareconstantly changingthroughresearchandregulation.Theauthors,editorsandpublishersthereforedisclaimallliabilityfordirector consequentialdamagesresultingfromtheuseofmaterialcontainedinthisbook.Readersarestronglyadvisedtopaycareful attentiontoinformationprovidedbythemanufacturerofanydrugsorequipmentthattheyplantouse. Contents Listofcontributors pagevi Preface ix 1. Epidemiologyofthepsychiatriccomorbidities 8. Theneuropsychiatryofpsychosisand ofheadache 1 headache 75 KathleenMullin,DawnC.Buse,C.MarkSollars, SanderMarkx andRichardB.Lipton 9. Chronicdailyheadache 95 2. Migraine 9 RobertP.Cowan MarkW.Green 10. Stressmanagement 106 3. Tension-typeheadache 21 NomitaSonty RobertG.Kaniecki 11. Workingwithpersonalityandpersonality disordersintheheadachepatient 119 4. Mooddisorderandheadache 30 ElizabethHaase MallikaLavakumar,PhilipR.Muskin,andPeter A.Shapiro 12. Complementaryandalternativemedicine (CAM)approachestoheadache 131 5. Anxietydisordersandprimaryheadache 42 MauricePreterandSamuelLieblich JustinM.Nash,RabinChandran,andLucy Rathier 13. Somatoformdisordersandheadache 149 FilzaHussain,PeterA.Shapiro,andPhilip 6. Stressandheadache 54 R.Muskin CarolynB.Britton 7. Drugdependenceinheadache patients 63 Index 164 MargaretE.M.Haglundand EricD.Collins Colorplatesaresituatedbetweenpp.72and73. v Contributors CarolynB.BrittonMD RobertG.Kaniecki,MD ColumbiaUniversity, DepartmentofNeurology, NeurologicalInstitute, UniversityofPittsburgh, NewYork,USA Pittsburgh,PA,USA DawnC.Buse,PhD MallikaLavakumar,MD MontefioreMedicalCenter, FellowinPsychosomaticMedicine, BronxNYandAlbertEinsteinCollegeofMedicine, ColumbiaUniversityMedicalCenter, Bronx,NYC,USA NewYork,USA RabinChandran,MD SamuelLieblich,MBBS AssociateProfessorofFamilyMedicine RegistrarinPsychiatryUniversityofMelbourne WarrenAlpertMedicalSchoolofBrownUniversity RoyalMelbourneHospital andMemorialHospitalofRI, Melbourne Pawtucket,USA VIC,Australia EricD.Collins RichardB.Lipton,MD DepartmentofPsychiatry, MontefioreMedicalCenter, NewYork-PresbyterianMedicalCenter, BronxNYandAlbertEinsteinCollegeofMedicine, NewYork,USA Bronx,NYC,USA RobertP.Cowan,MDFAAN SanderMarkx,MD,PhD DepartmentofNeurology, DepartmentofPsychiatry, StanfordUniversityMedicalCenter, ColumbiaUniversityMedicalCenter, Stanford,CA,USA NewYork,USA MarkW.Green,MD ProfessorofNeurology,Anesthesiology,and KathleenMullin,MD RehabilitationMedicine,andDirectorofHeadache DepartmentofNeurology,MountSinaiSchoolof andPainMedicine,MountSinaiSchoolofMedicine Medicine, NewYork,NY,USA NewYork,NY,USA ElizabethHaase,MD PhilipR.Muskin,MD DepartmentofPsychiatryColumbiaUniversity ProfessorofClinicalPsychiatry, NewYork,NY,USA ColumbiaUniversityCollegeof PhysiciansandSurgeons, MargaretE.M.Haglund,MD ChiefofService:Consultation-LiaisonPsychiatry, ColumbiaUniversity/NewYorkStatePsychiatric NewYork-PresbyterianHospital, InstituteDepartmentofPsychiatry,NY,USA ColumbiaUniversityMedicalCenter, FilzaHussain,MBBS Faculty:ColumbiaUniversity PsychosomaticFellow, PsychoanalyticCenterfor ColumbiaUniversity, ResearchandTraining, NewYork,USA NewYork,USA vi Listofcontributors JustinM.Nash,PhD WarrenAlpertMedicalSchoolofBrownUniversity AssociateProfessorofFamilyMedicineand andTheMiriamHospital, PsychiatryandHumanBehavior,WarrenAlpert Providence, MedicalSchoolofBrownUniversityandMemorial USA HospitalofRI, PeterA.Shapiro,M.D. Pawtucket,USA. ProfessorofClinicalPsychiatry,ColumbiaUniversity, MauricePreter,MD NewYork,USA AssistantProfessorofClinicalPsychiatry,Columbia C.MarkSollars,MS UniversityCollegeofPhysiciansandSurgeonsand Adj.AssociateProfessorofNeurology, MontefioreMedicalCenter, StateUniversityofNewYork, BronxNY,USA DownstateMedicalCenter, NomitaSonty,Ph.D,M.Phil NewYork,USA DivisionofPainMedicine, LucyRathier,PhD DepartmentofAnesthesiology, ClinicalAssistantProfessorofPsychiatry ColumbiaUniversity, andHumanBehavior, NY,USA vii Preface Headaches run the gamut from an annoying experi- This book is directed towards practicing neurolo- ence to a symptom of a life altering disorder. While gists,psychiatrists,psychologists,andothersinvolved “Not tonight dear, I have a headache,” may exist in in the care of headache sufferers. We have brought the common parlance, this statement points to the specialists together from a wide variety of disciplines complex interaction between biology and psychology in order to address the dramatic complexity of the intheexperienceofaheadache.Psychiatricsyndromes headachesufferer. are commonly comorbid with headaches. Therefore, We would like to thank the chapter authors who any practitioner treating one disorder is likely to have contributed important information relevant to encountertheother.Thereisawell-documentedbidir- the care of these individuals. They have given gener- ectionalinfluenceonthetreatmentofthesedisorders; ouslyoftheirtime,theirknowledge,andtheirclinical however, it is not always a positive influence. expertisetoguidepractitioners inunderstanding and Understandingthecomplexitiesofhowtheconditions treatingthisdiversepatientpopulation. and their management influence each disorder is keytoasuccessfultreatmentoutcomeofthepatient’s MarkW.Green,MDand suffering. PhilipR.Muskin,MD ix
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