Robbins Headache Clinic Blog
Depression
Depression is a physical, medical illness with a very strong genetic basis. Depression usually profoundly affects your feelings, moods, productivity and behavior, and can cause physical problems as well. Depression is a relatively common illness that affects all...
Personality Disorders
Approximately 10-15% of people have strong features of a personality disorder. General characterisitcs of personality disorders include: lack of insight, poor response to psychotherapy or other therapeutic interventions, difficulty with attachment and trusting, sense...
Attention Deficit Disorder (ADD)
4.7% of adults have ADD; it tends to be underdiagnosed, and is one of the more untreated conditions in the country. ADHD includes the "H" for hyperactivity, but most people lose the hyperactive, fidgety portion by age twenty. ADD is the most genetic of all...
Bipolar Illness and Migraine
The comorbidity of migraine with anxiety and depression is well established, both in clinically based studies and in epidemiologic samples from community populations. The physiologic overlap between migraine and depression is considerable, and antidepressants or mood...
Long-Term Success of Preventive Medications for Chronic Daily Headaches
In the study conducted by Dr. Robbins and Joseph Maides, Jr., DO, only 46% of tested patients obtained significant long-term relief from a preventative medication. Lack of efficacy was cited as the primary reason for medication discontinuation. Chronic daily headache...
Treatment of Menstrual Migraine
Menstrual headaches are often severe, prolonged and debilitating. The abortive therapy follows the general abortive therapy for migraine. In addition to the usual abortives, cortisone (Prednisone, Dexamethasone) is effective for many women; they are utilized in very...
Ten Clinical Pearls for Treating Headache Patients
1. Legitimize the headache problem as a physical illness. When we mention that it is a medical condition, primarily inherited, and that there is too little serotonin in the brain in people with headaches, patients respond exceedingly well to this. Once we have...
Rebound (Withdrawl) Headache
Rebound occurs when a drug is used, or overused, and causes a headache later on, or the next day. The medicines that contain higher amounts of caffeine (such as Excedrin) are more likely to induce rebound. This is a murky area, as many patients are told that they...
Rebound Overdiagnosis
I see many patients with the following scenario; they go to a new neurologist/headache doc, with daily headaches. The doc asks what they are on, then proceeds to tell them that whatever meds they are on cause the headaches. The patient says "..But doctor, I have been...
Pardon Our Reconstruction….
We are in the process of reposting Dr. Robbins previous column posts in our new blog. Dr. Robbins will be back to posting soon! Thank you for your patience. Debbie, Webmaster