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APA Psychotherapy Training Videos are intended solely for educational purposes for mental health professionals. Viewers are expected to treat confidential material found herein according to strict professional guidelines. Unauthorized viewing is prohibited.
Working With Headaches presents an example of Dr. Donald B. Penzien's multidisciplinary, cognitive–behavioral approach to treating clients who suffer from headaches. In addition to talking directly with the client, the approach emphasizes working closely with the client's physicians to make sure that the client receives the best medical treatment.
In this session, Dr. Penzien works with a 60 year-old African American woman who has suffered from headaches since she was 17. The session illustrates an initial evaluation, including gathering information about medication, stressors, and behavior that may affect the client.
This video illustrates part of the initial evaluation process to identify candidates for psychological and behavioral headache therapies. Rather than being open-ended, this assessment is highly focused on the presenting medical condition—recurrent headache—and potentially related factors. The assessment is designed to establish a headache diagnosis, to gather relevant headache history (including prior and present medical interventions), and to identify potential psychological and behavioral factors that may be pertinent to the patient's presenting complaint—information required by the psychologist to ascertain the patient's candidacy for behavioral intervention.
Read more about the approach
is a clinical psychologist who specializes in assessment and treatment of recurrent headache. He is particularly interested in headache diagnosis, behavioral headache therapies, and meta-analysis.
Read more about Dr. Penzien
- Campbell, J. K., Penzien, D. B., Wall, E. M. (2000). Evidence-based guidelines for migraine headaches: Behavioral and physical treatments. Retrieved February 28, 2006, from http://www.aan.com/ professionals/practice/pdfs/gl0089.pdf
- Duckro, P. N., Richardson, W. D., & Marshall, J. E. (1995). Taking control of your headaches: How to get the treatment you need. New York: Guilford Press.
- Holroyd, K. A., Lipchik, G. L., & Penzien, D. B. (1998). Psychological management of recurrent headache disorders: Empirical basis for clinical practice. In K. S. Dobson & K. D. Craig (Eds.), Best practice: Developing and promoting empirically supported interventions (pp. 187–235). Newbury Park, CA: Sage.
- Holroyd, K. A., Penzien, D. B., & Lipchik, G. L. (2001). Behavioral management of headache. In S. D. Silberstein, R. B. Lipton, & D. J. Dalessio (Eds.), Wolff's headache and other head pain (7th ed., pp. 562–598). New York: Oxford University Press.
- Lake, A. E., Rains, J. C., Penzien, D. B., & Lipchik, G. L. (2005). Headache and psychiatric comorbidity: Historical context, clinical implications, and research relevance. Headache, 45, 493–506.
- McGrath, P. J., Penzien, D. B., & Rains, J. C. (2006). Psychological and behavioral treatments of migraine. In J. Olesen, P. Goadsby, N. Ramadan, P. Tfelt-Hansen, & K. M. A Welch (Eds.), The headaches (3rd ed., pp. 441–448). Philadelphia: Williams & Wilkins.
- Penzien, D. B., Andrasik, F., Freidenberg, B. M., Houle, T. T., Lake, A. E., III, Lipchik, G. L., et al., (2005). Guidelines for trials of behavioral treatments for recurrent headache. Headache, 45, S109–S131.
- Penzien, D. B., & Maizels, M. (Eds.). ( 2005 ). Headache research methodology [Special series]. Headache, 45, 408–537.
- Penzien, D. B., Peatfield, R. C. & Lipchik, G. L. (2006). Headache in patients with comorbid psychiatric disease. In J. Olesen, P. Goadsby, N. Ramadan, P. Tfelt-Hansen, & K. M. A Welch, The headaches (3rd ed., pp. 1117–1124). Philadelphia: Williams & Wilkins.
- Penzien, D. B., & Rains, J. C. (1995a). Self-Management Training Program for Chronic Headache: Patient manual. Sarasota, FL: Professional Resource Press.
- Penzien, D .B., & Rains, J. C. (1995b). Self-Management Training Program for Chronic Headache: Therapist manual. Sarasota, FL: Professional Resource Press.
- Penzien, D. B., Rains, J. C., Lipchik, G. L., & Creer, T. L. (2004). Behavioral interventions for tension-type headache: Overview of current therapies and recommendation for a self-management model for chronic headache. Current Pain and Headache Reports, 8, 489–499.
- Penzien, D. B., Rains, J. C., Lipchik, G. L., Nicholson, R. A., Lake, A. E., & Hursey, K. G. ( 2005 ). Future directions in behavioral headache research: Applications for an evolving healthcare environment.Headache, 45, 526–534.
- Rains, J. C., Penzien, D. B., McCrory, D. C. & Gray, R. N. (2005). Behavioral headache treatment: History, review of the empirical literature, and methodological critique.Headache, 45, S91–S108.
- Rapoport, A. M., Sheftell, F. D., & Tepper, S. J. (2004). Conquering headache (5th ed.). Hamilton, Ontario, Canada: BC Decker.
- Swanson, J. R. (2004). Mayo Clinic on headache. Rochester, MN: Mayo Clinic Health Information.
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