Headache, chronic tension type
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Headache, chronic tension type: Essentials
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Key points about treatments

There are good treatments for chronic tension headache. You and your doctor should be able to find a treatment that works for you. The treatment may not get rid of all your headaches, but it can help you feel a lot better.

Doctors say you have chronic tension headache when you have tension headaches for about 15 days a month for at least three months.

Key messages about treatments for chronic tension headache
  • The antidepressant drugs amitriptyline and mirtazapine (brand name Remeron) can both help with chronic tension headache.
  • A talking treatment called
     
     
     
     
     
    cognitive behavioral therapy
    Cognitive behavior therapy (CBT) is a type of talking treatment (psychotherapy). It is based on the idea that the negative thoughts and beliefs people have play an important role in how they feel and how they act. CBT helps people identify, look at and change unwanted thoughts, feelings and behaviors.
     
     
     
     
     
    cognitive behavioral therapy might also help.
  • If you've been taking lots of painkillers, such as acetaminophen and ibuprofen, you should cut down. Taking painkillers more than two or three times a week can make headaches worse.
  • You shouldn't take
     
     
     
     
     
    tranquilizer
    A tranquilizer is a drug that can help you relax and feel less anxious.
     
     
     
     
     
    tranquilizers such as diazepam. They may help you relax, but they have serious side effects. And tranquilizers can cause unpleasant symptoms when you try to stop taking them.

This information was last updated on May 01, 2008
BMJ Group
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment.
© BMJ Publishing Group Limited 2009. All rights reserved.
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