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Headache Attributed to Psychiatric Disorder: A Case Series

Received April 28, 2004; revision received Aug. 9, 2004, accepted Sept. 13, 2004. From Harvard Medical School, Boston; and the Headache and Pain Management Programs, Spaulding Rehabilitation Hospital, Boston. Address correspondence and reprint requests to Dr. Loder, 125 Nashua St., Boston, MA 02114; eloder{at}partners.org (e-mail).

The association between psychiatric illness and headache is widely recognized. However, cases in which psychiatric disorders are the principal cause of headache are believed to be rare. "Headache attributed to psychiatric disorder" is a new category of secondary headache in the 2004 revision of the International Classification of Headache Disorders. The authors describe six patients in whom a psychiatric disorder is the most plausible cause of headache; most meet the new criteria or candidate criteria for headache attributed to a psychiatric disorder. The revised headache classification system appropriately recognizes headaches attributed to psychiatric disorder as a form of secondary headache.

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