Dec 15, 2025
3 min read
The race is an important thing in the support patient and its impact on health is necessary to deal with the mind of the disease.
"Chronic migraine is a system failure" - delay in diagnosis and delay in diagnosis
Breastfeeding is an important part of patient support, and its impact on mental health requires a psychological extension of the pathology.
December 9, 2025. Updated at 11:30 am Cerebral epilepsy presents no abnormalities.This is confirmed by Roberto Belvís, director of the Neurology Service at the Hospital de la Santa Creu in Sant Pau, Barcelona, and director of the Head of Studies of the Spanish Society of Neurology (Sen.).There is no lesion that can be observed in an imaging test and does not cause other neurological diseases."The sole process involves certain changes related to sleeping patterns, periods of stress, fasting, hormonal fluctuations or even food in a different way," he explains.The cause is unknown.This was explained at the 3rd Lundbeck Migraine Seminar, held in Alcalá de Henares.
Although there are more than a hundred types of headache, migraine is the most common entity seen by neurologists.
It is classified as headache detail 3 (iCH-3) and slow thrust.The latter is diagnosed when headaches occur a dozen or more times a month.When it describes the aura, the visual, sensory or central nervous system.Before they suffered brain damage.
According to Belvís, if there are more than four migraine days in a month, patients also have symptoms between attacks."The patient is unstable and photophobic all day. It's not just a pain disease, and it's a mistake that professionals have been seeing for years, saying it's just the headache," he says.
Finally, there is chronic migraine, "the most feared when there are more than fifteen headache days per month".In Spain, more than four million people suffer from the episodic form, but more than a million suffer from the chronic form."It is a record disease of self-medication, because there are many patients with milder cases who self-medicate. It happens that they are not always the right ones. There is also excessive use of painkillers," explains the neurologist.The problem is that the trigger for its chronicity can be self-medication.
Delays in diagnosis and difficulty accessing some treatments
It takes an average of six years for 95% of patients to receive a diagnosis, and 40% of patients remain undiagnosed." We believe that only 10% of patients end up in neuron," Belvis said. In the chain of other processes living with the micrograph, from the onset of symptoms until the cevit is maintained, the administration of this butter therapy is done with preventive care.Therefore, 50% of patients leave treatment after the first consultation, and as a result, less than 20% of patients receive specialized treatment.
"Treatment begins without medication. The important thing is information, the neurologist's working time is less," he said.After this first part is completed, there is medication to treat the symptoms of migraine attacks, "100% of patients should be treated if they have a migraine attack, they should be taken immediately";and prevention, which aims to reduce the frequency of crises, their severity and disability.
Belvís is shocked to see the gap between the courts and the difficulties in obtaining these specific drugs."Chronic migraine is a systemic failure;"The National Health System is responsible for many factors being chronic.
Nurses are vital in supporting migraine sufferers
Tania Herrera is a care nurse with Neurology consultation at the Hospital of the University of Donostia and a Member of the Spanish Society (Seden), but she realizes that being a person has not happened, but she sees that being a person who is not a worker, "commits herself. However, in primary care, emergencies, day hospitals and pharmacies. There are also
"In migraine, one of the biggest challenges is not to find the right treatment, but to get the patient to maintain it over time. Adherence is key to therapeutic effectiveness. It is the nurse who explains the therapeutic plan, works to understand the treatment with tools such as the migraine calendar, detects adverse effects and promotes self-care," says Herrera.Thus, it ensures that its role is not only focused on clinical care.
For this reason, he emphasizes that ensuring the presence of nurses specializing in headaches in all monograph consultations at the state level is a major challenge to ensure equitable care."To achieve this, we must promote advanced training and strengthen their integration into multidisciplinary teams. Only in this way can we provide quality care and effectively contribute to improving the quality of life of people with migraine," he explained.
When the pain goes next: migraines and mental health
Migraines affect emotions, society and work.Moreover, the relationship that exists between it and mental health is two-way.For example, stress is a serious but also a trigger: "Migraine crisis includes stress, that is, patients do not suffer from the crises they have experienced."60% of migraine patients have some psychological symptoms.
"You can't talk about a comprehensive approach if the emotional dimension of the patient is not addressed, not only does migraine increase pain, but it also changes the physiological experience of pain," he said.A treatment that has demonstrated scientific evidence for this is cognitive behavior or acceptance and commitment.
However, Dr.Belvvs now "nobody else's attachment of the crowd. However, we are very welcoming the researchers in this line.
