ACT for High Frequency Migraine; A Virtual Mindfulness Intervention

Acceptance and Commitment Therapy for High Frequency Episodic Migraine

Mindfulness Training specifically for pain to be offered to migraine patients

Patients with high frequency migraine will be randomized to UC or intervention. Those in intervention will attend a multi session training on Acceptance and Commitment Therapy. All participants will track responses.

Inclusion Criteria:

• Women ages 18-65
• Diagnosis of episodic migraine (according to International Classification for Headache Diagnosis criteria)
• 4-14 migraine days per month over the past 3 months
• No change in medication in the past 3 months
• Greater than 1 year of migraines
• Agreeable to participate, commit to all study procedures and to be randomized to either group
• Fluent in English

Exclusion Criteria:

• Any unstable medical or psychiatric conditions requiring immediate treatment or could lead to difficulty complying with the protocol
• Active suicidal ideation
• Moderate to severe depression
• Current alcohol or substance abuse
• Recent Cognitive Behavioral Therapy, Mindfulness Based Cognitive Therapy, Dialectic Behavioral Therapy or Acceptance and Commitment Therapy within past 3 years
• Current use of narcotics
• Psychiatric hospitalization within past year
• Comorbid pain condition rated as more painful than migraine
• Starts new migraine treatment during study
• Inability to complete study visits