Our expert says:
I notice that GPs these days seem intensely interested in doing thyroid tests ( I've never come across these as useful in migraine conditions ) and brain scans. I would be highly cautious about any suggestion of Surgery for migraine, as this is also not accepted as a standard remedy. I'm also not yet convinced that Botox injections are useful ( or I'd have tried them myself !).
What troubles me is that more routinely accepted meds don't seem to have been tried. Yes, some people do respond usefully to the old antidepressant Trepiline, and some don't. Maxalt is a very new and expensive drug at least primarily intended for migraine, but there are others, a bit older and less expensive usually, related to maxalt, such as sumatriptan, and at least 5 others. Even very old meds like Cafergot help some people, usually those with very long-lasting geadaches.
I think CBT style counselling can help one to control better one's anxiety and other reactions to the onset of a migraine attack, and to relax when this would be useful.
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