The research has shown that individuals suffering from migraine find it very important to take control of factors that can even make slight improvement in their condition.  Hence, the article answers several frequently asked questions as and provide actionable insights on migraine and Regression Therapy mind-body interventions.

Migraine – Did you know?

Several important insights about migraine are captured below[1]:

  1. Migraine is the most common headache disorder with one-year prevalence of about 10% overall, however, women are more likely to experience it (14.5 to 18%) compared to men (4.5 to 6%).
  2. Among women in 30s, the prevalence could be as high as 25%.
  3. More than 50% of the migraine patients are not properly treated and this causes impact on the quality of life and disability.
  4. Migraine is often associated with psychiatric disorders, including depression and anxiety[2] [3]!

Precipitating factors for Migraine

There are several factors that precipitate the likelihood of migraine.  Based on a systematic review, these factors are highlighted below:

  1. Stress: 58% of the 7187 respondents highlighted stress as the trigger (or precipitating factor) for migraine. Stress has a profound impact on the nervous and endocrine system. Both acute and chronic stress influence changes that lead to imbalance in nervous, endocrine and circulatory systems that influence changes in systemic inflammation that eventually impairs the immune system also [4][5].
  2. Auditory: Both noise and sound are linked to migraine.
  3. Fatigue: While the link between fatigue and stress is not well-defined and clear, fatigue often plays a critical role as a precipitating factor for migraine. The decrease in physical and emotional energy often leads to fatigue that contributes to migraine.

Additional factors include fasting, hormonal, sleep, weather and so on.  Details are available in this review[6]. It is important to realize and recognize the adverse childhood experiences are important contributors to (a) stress (b) fatigue (c) sleep challenges and as a result, increase the risk of migraine for the individuals[7]. The research indicates that there is dose-response relationship (i.e. more the number of ACE experience, the more is the expected impact) between the number of ACEs experience and the prevalence of migraine.  The risk of frequent headaches increased more than 2-fold (odds ratio of 2.1, 95% confidence interval) in individuals with an ACE score >=5 compared to those with ACE score of 0.  Our coaching the therapy sessions integrate the ACE, anxiety, depression and wellbeing framework and hence often results in the reduction or complete elimination of migraine !

Our experience at Wellness Space on migraine and Regression Therapy mind-body interventions.

We do not work, directly, on the migraine, and instead, we work on addressing the precipitating factors.  Our research with the Society for Energy & Emotions in the area of stress and energy management could be leveraged for individuals suffering from migraine.

  • First, the SEE Protocol for Self-Hypnosis provides significant reduction in negative mood, an increase in positive mood and results in increased heart rate variability or HRV (stress or any further imbalance that eventually leads to chronic disease is known to decrease HRV) See Figure 1 for details[8]. This is established by our own research reviews[9]. You can learn the SEE Protocol for Self-Hypnosis either by joining and experiential Module 1 – Integrated Regression Therapy and Life Coaching certification or via individual session with our therapist. Four weeks of the SEE Protocol practice reduces anxiety and depression, increases quality of sleep and wellbeing (this data is not published and hence not shared here).
  • Second, in our coaching sessions, we work with HRV data and measure energy (depletion or renewal). Our research on humming and sound bath meditation has demonstrated that human energy can be measured and by identifying and eliminating energy drains along with focusing on energy enhancement activities, overall fatigue can be significantly decreased.  Only 20 mins of singing bowls (supine) session increase the energy and decrease the stress levels (Figure 2 has details)[10].
  • Finally, sleep quality is integral part of the measurements we do. Our therapeutic interventions and/or the SEE Protocol for Self-Hypnosis can significantly improve the sleep quality.

Changes in mood for the SEE Protocol for Self-hypnosis

Figure1: The SEE Protocol for Self-hypnosis results in significant reduction in negative mood and similar increase in positive mood.  This is also accompanied with increased HRV (denoting stress reduction).

Singing bowls and stress reduction

Figure 2:  A short 20 min session of Singing Bowl is more effective as compared to just supine relaxation in reducing stress and increasing energy recovery.

Case study – Migraine and Regression Therapy mind-body interventions. (An individual in 20s)

Meenakshi Nair worked with individual who presented with very high ACE (Adverse Childhood Experiences) score (way beyond the average we get!).  This individual also share that he/she had migraine (MIDAS[11] disability Grade III with score of 17 and HIT[12] score of 68 (denoting “Severe” impact on life.

Migraine changes after Regression Therapy

Figure 3: Change in Migraine scores after Regression Therapy sessions

After therapeutic intervention of several sessions of Regression Therapy and Life coaching which focused on ACE and emotional challenges the client faced, the client reported significant reduction in migraine frequency and intensity. Her MIDAS score went down to 6 denoting “moderate” impact on life.  The HIT score reduced to 56 (that showed decreased impact on life).  The work still continues and the individual is feeling very positive about this positive outcome. Refer to Figure 3 for more details on migraine and Regression Therapy mind-body interventions..

 

To summarize, by working on addressing stress and increasing the energy, we are able to increase sleep quality.  If there is any adverse childhood experience, we also need to address that since it causes stress, may impact sleep and continue to drain energy.  To summarize, we need to work on both the mind and the body and create the right balance through stress reduction, increase the energy and restore sleep quality while addressing any emotional implications of the childhood experiences that may be contributing to all of the above.

Please contact us ([email protected]) if you wish to learn more about stress or energy management and wish to improve your sleep quality.

Gunjan Y Trivedi

References:

[1] Peng, K. P., & Wang, S. J. (2012). Migraine diagnosis: screening items, instruments, and scales. Acta Anaesthesiologica Taiwanica50(2), 69-73.

[2] Breslau N, Davis GC, Schultz LR, Peterson EL. Joint 1994 Wolff Award Presentation. Migraine and major depression: a longitudinal study. Headache 1994;34(7):387e93

[3] Breslau N, Davis GC. Migraine, physical health and psychiatric disorder: a prospective epidemiologic study in young adults. J Psychiatr Res 1993;27(2):211e21.

[4] Trivedi Gunjan, Y., Hemalatha, R., & Ramani, K. V. (2018). Chronic Diseases and Mind Body Management, an Introduction (Technical Note), Reference No: CMHS0044TEC. Indian Institute of Management.

[5] Trivedi, G. Y., & Saboo, B. (2020). The Risk Factors for Immune System Impairment and the Need for Lifestyle Changes. Journal of Social Health and Diabetes8(01), 025-028.

[6] Peroutka, S. J. (2014). What turns on a migraine? A systematic review of migraine precipitating factors. Current pain and headache reports18(10), 454.

[7] Anda, R., Tietjen, G., Schulman, E., Felitti, V., & Croft, J. (2010). Adverse childhood experiences and frequent headaches in adults. Headache50(9), 1473–1481. https://doi.org/10.1111/j.1526-4610.2010.01756.x

[8] Trivedi, G. Y., Patel, V., Shah, M. H., Dhok, M. J., & Bhoyania, K. (2020). Comparative study of the impact of active meditation protocol and silence meditation on heart rate variability and mood in women. International Journal of Yoga13(3), 255.

[9] Trivedi, G. Y., Saboo, B., Singh, R. B., Maheshwari, A., Sharma, K., & Verma, N. (2019). Can decreased heart rate variability be a marker of autonomic dysfunction, metabolic syndrome and diabetes?. Journal of Diabetology10(2), 48.

[10] Trivedi, G. Y., & Saboo, B. (2019). A comparative study of the impact of Himalayan singing bowls and supine silence on stress index and heart rate variability. Journal of Behavior Therapy and Mental Health2(1), 40.

[11] Migraine Disability Assessment Test or MIDAS is an assessment to understand the impact of head-ache on the disability.  Sauro, K. M., Rose, M. S., Becker, W. J., Christie, S. N., Giammarco, R., Mackie, G. F., … & Gawel, M. J. (2010). HIT‐6 and MIDAS as measures of headache disability in a headache referral population. Headache: The Journal of Head and Face Pain50(3), 383-395.

[12] Headache Impact Test (or HIT) is designed to communicate the way the individual feels and what he/she cannot do because of the headache. Sauro, K. M., Rose, M. S., Becker, W. J., Christie, S. N., Giammarco, R., Mackie, G. F., … & Gawel, M. J. (2010). HIT‐6 and MIDAS as measures of headache disability in a headache referral population. Headache: The Journal of Head and Face Pain50(3), 383-395.