HeadWise HeadWise: Volume 6, Issue 3 | Page 9

Book Review “not your typical dry textbook. It is full of clinical pearls and cutting-edge advice.” “road to acceptance” may take years, and often includes a frantic search for “cures” that do not exist. This book places a focus on what each patient can actively do to help themselves. The impact of “fear of headache” is discussed in a remarkably thorough section. It can “take a village” to help those with chronic pain, and the authors discuss the collaborative approach. This involves recruiting other healthcare providers, as well as family members. The importance of a headache diary is emphasized. Ideally, the diary will include the frequency and severity of headache, as well as a log of medications, moods, and triggers. The role of behavioral treatment is covered, including biofeedback, re- laxation, meditation, stress management, yoga, and others. The importance of exercise and walking are considered. Stress management and cognitive therapy are covered in depth. The important subject of “catastrophizing” is explored in a comprehensive section. Medication management is addressed, including a discussion of “as needed (acute)” medications, versus daily preventive treatments. “Rescue therapies”, or “what to do when nothing works” is part of the discourse. This section includes a protocol for in-office intranasal Ketamine therapy. The vital role of sleep and insomnia also occupies a major section. This is an enjoyable book to read – not your typical dry text- book. It is full of clinical pearls and cutting-edge advice. Even for those without a medical background, the book is readable and accessible. It is highly recommended. Lawrence Robbins, MD Riverwoods, Illinois www.headaches.org | National Headache Foundation 9