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Screening Patients With Headaches for Abuse

Schulman, Elliott A. MD, FAAN; Franchek-Roa, Kathleen MD, FAAP

CONTINUUM: Lifelong Learning in Neurology: August 2015 - Volume 21 - Issue 4, Headache - p 1150–1156
doi: 10.1212/CON.0000000000000200
Practice Issues

ABSTRACT Nearly 6 in 10 patients with migraine have experienced childhood maltreatment. Asking about childhood or ongoing abuse is essential in developing optimal treatment plans. By using the Adverse Childhood Experiences Study questionnaire, neurologists can capture information about childhood adversity. Childhood adversity is associated with chronic migraine, but can also lead to psychiatric comorbidity. Knowing how to address previous adversity can improve health outcomes.

Address correspondence to Dr Elliott A. Schulman, Lankenau Medical Center, 100 East Lancaster Ave, MOB East, Suite 256, Wynnewood, PA 19096, esmdha@gmail.com.

Relationship Disclosure: Dr Schulman serves as a consultant for Allergan, Inc and Teva Pharmaceutical Industries Ltd. Dr Schulman receives paid travel accommodations/meeting expenses for training from Teva Pharmaceutical Industries Ltd, personal compensation for reviewing legal documents, and royalties from Oxford University Press. Dr Franchek-Roa receives royalties from UpToDate, Inc.

Unlabeled Use of Products/Investigational Use Disclosure: Drs Schulman and Franchek-Roa report no disclosures.

© 2015 American Academy of Neurology
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