ABSTRACT

Cognitive behavioural programmes that target persistent post-concussion symptoms and posttraumatic headaches in that way showed that patients can achieve substantial improvements in their quality of life and can reduce their symptoms. The educational component of a biopsychosocial approach in headache therapy cannot be overemphasised. The person with brain trauma wants to understand the interwoven brain and behaviour pathways, the functioning of the nervous system, the physiology of stress, cognitive and emotional processing and the influence of social interactions. Medical specialists will have undertaken investigations and will have concluded that structural and organic changes can either be excluded or that the mild brain trauma has settled and does not effectively explain persistent headaches. Persistent post-concussion symptoms following an accident or assault often result in legal disputes. The psychosocial interview provides a tool for establishing a solid understanding of the headache condition with a view to planning the headache intervention.