What have you found helpful in counseling patients with migraine reluctant to take preventative medications?

I think all of the responses here are very reasonable, but often the hesitancy is based less on resistance to a specific medication than on the self-stigmatization we see in patients with chronic headache, migraine, or other primary or secondary headaches. Because migraine is not a life-threatening ...

What I have found helpful in this regard is to use preventive migraine medications that patients, almost by definition, tolerate well, which, in my experience are the CGRP antibodies. Injection-site reactions are occasionally an issue with the subcutaneously injected antibodies, but injecting them i...

By the time patients suffering from migraine reach the doorstep of a neurologist, they are prepared to get started on either a preventative or an abortive therapy. Since the discussion here is about counseling patients about a preventative therapy, the goal must be to limit the number of times that ...

It is not uncommon for me to encounter patients with migraine headache disorder who would benefit from a daily preventative medication but are hesitant to consider initiating one. Typically, they express concerns about side effects or generally do not identify as “medication-oriented” and prefer not...

I have found discussing the benefits, providing education, and establishing rapport with patients to be most valuable. Some patients are not initially open to a regular medication as prevention but once we maximize the efficacy of their abortive and address any lifestyle modifications needed to impr...