Cognitive-Behavioral Therapy: How Medical Providers Can Increase Patient and Family Openness and Access to Evidence-Based Multimodal Therapy for Pediatric Migraine

Headache. Nov-Dec 2015;55(10):1382-96. doi: 10.1111/head.12605. Epub 2015 Jul 21.


Although evidence supports the recommendation for cognitive-behavioral therapy (CBT) for pediatric migraine, few children actually receive this evidence-based intervention. In this article, we briefly review the most recent empirical evidence supporting CBT. We then identify both provider- and system-related barriers as well as patient-related barriers. Finally, we provide practical solutions to addressing these barriers in the service of facilitating children receiving optimal comprehensive management of their headaches.

Keywords: care integration; cognitive-behavioral therapy; pediatric migraine.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Child
  • Cognitive Behavioral Therapy / methods*
  • Combined Modality Therapy / methods
  • Evidence-Based Medicine / methods*
  • Humans
  • Migraine Disorders / diagnosis
  • Migraine Disorders / psychology
  • Migraine Disorders / therapy*
  • Pediatrics / methods*
  • Physician-Patient Relations
  • Professional-Family Relations*