I will discuss chronic migraine in relationship to visual snow, tinnitus, and hypervigilance.
Each of the conditions will be described separately regarding clinical and pathophysiological aspects. I will discuss common clinical and pathophysiologic aspects among the conditions. I will also discuss how non-linear dynamics and evolutionary medicine fit in with these syndromes.

An exclusive focus on reducing headache symptoms can cause providers to overlook the important roles of patient behaviors and functioning. Avoidance can be an adaptive temporary response to pain to allow for rest and recovery, but prolonged and unwarranted avoidance can actually worsen headache over time. This session considers how fear of pain and excessive avoidance of putative headache triggers, stimuli associated with headache, and broad life domains may inadvertently worsen headache and compound disability. Behavioral strategies for reducing avoidance and fear of pain in clinical settings will be reviewed.

This talk will focus on the role of trauma in headache, how to assess for trauma history and what to do with this information, and how to conduct neurological exams in a trauma-informed way

The field of Functional Neurological disorders is evolving rapidly. Somatic Symptom Disorders are often associated to FND and chronic pain syndromes. This presentation will summarize the current definitions of these terms and investigate their mechanisms, including the Bayesian theory of the predictive brain. These notions will then be linked to headache medicine to suggest concrete applications and treatment approaches.

Dr. Posen will start the presentation and submit the slides, and then we will have a live discussion followed by Q&A

Headache patients are often well advised to seek assistance from a therapist, mental health, or social services practitioner for assistance with head pain management and/or for assistance in addressing behavioral, emotional, and/or psychosocial issues. This presentation will address screening and identification of patients who might benefit from such services, empirically validated therapeutic options (especially for head pain management), assisting in making good referrals (including providing a coherent rationale), and establishing collaborative relationships among medical and mental health providers.