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 on these for 3 months, while my headaches have been there for 18 years!!”…..Of course, rebound does occur, but it is overdiagnosed (in my opinion..but this is my blog, so I can pontificate…)…..We need to know much more about what causes rebound, which drugs, who, why, when yada yada….certainly it does occur, particularly with high-caffeine drugs, butalbital, opioids, some nsaids etc…..