Psychiatric perspectives on headache and facial pain

Sandra A. Jacobson, Marshal F. Folstein

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


For a subset of headache patients, an understanding of psychological antecedents and interpersonal difficulties is an important part of the headache evaluation. This subset includes patients with chronic headache, frequent headache, treatment-refractory headache, analgesic misuse problems, and serious compliance issues. Inadequate coping with stress is central to the persistence of headache in many such patients. Other patients present to the headache specialist but actually suffer from a serious comorbid psychiatric disorder, such as major depression, panic disorder, substance abuse, or personality disorder. For successful treatment of headache, it is important that these related problems be detected and either treated (as outlined here) or referred to a specialist for treatment.

Original languageEnglish (US)
Pages (from-to)1187-1200
Number of pages14
JournalOtolaryngologic Clinics of North America
Issue number6
StatePublished - Dec 2003
Externally publishedYes

ASJC Scopus subject areas

  • Otorhinolaryngology


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