Headaches And Brain Injury From A Biopsychosocial Perspective: A Practical Psychotherapy Guide (the Brain Injuries Series)

Post-traumatic headache is the most common symptom after mild/moderate brain injury. Similar to the characteristics of naturally occurring headaches, it is multi-faceted in nature and includes neurophysiological, psychological and social aspects. Consequently, headache has an enormous impact on the quality of life of the sufferer. Effective headache treatment has a focus on all aspects of the pain and the needs of the individual. This book describes a cognitive-behavioural program which was developed as part of a research project in a brain injury service. It is based, firstly, on the evidence provided by the outcomes of this research project. The interested reader may study the literature associated with this research for which the references can be found at the back of this volume. Secondly, this headache therapy guide is the result of clinical experience and the application of cognitive behavioural therapy to patients who experience complex difficulties following a brain injury. COVER 1 CONTENTS 6 LIST OF THERAPY WORKSHEETS 8 LIST OF RELAXATION SCRIPTS 10 LIST OF QUESTIONNAIRES AND SCORING GUIDELINES 12 LIST OF HEADACHE OUTCOMES 14 ACKNOWLEDGEMENTS 16 ABOUT THE AUTHOR 18 SERIES EDITORS’ FOREWORD 20 FOREWORD 22 Introduction 26 PART I THEORY 30 CHAPTER ONE Headaches and brain injury 32 CHAPTER TWO Biopsychosocial approaches to headaches following brain injury 44 PART II PRACTICE 82 CHAPTER THREE Implementation of a practical biopsychosocial approach 84 PART III THERAPY MANUAL 158 CHAPTER FOUR Cognitive–behavioural therapy guide 160 CHAPTER FIVE Module 1: headache assessments 164 CHAPTER SIX Module 2: health management 180 CHAPTER SEVEN Module 3: individual headache therapy 200 APPENDIX I Therapy worksheets 258 APPENDIX II Relaxation scripts 300 APPENDIX III Questionnaires and scoring guidelines 332 APPENDIX IV Headache outcomes 350 REFERENCES 358 INDEX 370