HeadWise

Lindsay Weitzel, PhD, and Dawn Buse, PhD, explore practical strategies for managing anxiety. They discuss importance of recognizing the distinction between occasional bouts of anxiety and the presence of an anxiety disorder that requires professional intervention. They also highlight various effective methods for managing anxiety, including relaxation techniques, cognitive behavioral therapy, and medication when necessary. This discussion serves as a reminder that it's okay to ask for help and that resources and support are available for those struggling with anxiety

HeadWise Episode 155: A New Voice in Migraine Advocacy "Within (the migraine community) I noticed there was a need for a voice that had not been heard before...I thought maybe my voice would help." Kelsey Feng is a dedicated migraine and chronic disease advocate who educates and builds community through Kelsey's Migraine on Instagram. Don't miss this episode where Lindsay Weitzel, PhD hears Kelsey's journey, what Kelsey felt was missing, and what motivated Kelsey to become so dedicated to migraine advocacy.

In this episode of HeadWise™, host Lindsay Weitzel, PhD, welcomes Katy Oakley, the new Chief Executive Officer of the National Headache Foundation (NHF). Katy shares her personal journey living with post-traumatic headache and chronic migraine following a traumatic brain injury in her twenties and how years of daily head pain, delayed diagnosis, and difficulty accessing care shaped her path to leadership within the headache community. Drawing from both her lived experience and professional background in marketing and mission-driven organizations, Katy discusses how she plans to expand NHF’s reach, empower people living with headache and migraine, and strengthen education and certification for healthcare providers—especially in primary care. In this conversation, they explore: - Living with post-traumatic headache and chronic migraine - The emotional and practical toll of daily head pain - Barriers to care, step therapy, and treatment access - Why patient-centered leadership matters - Katy’s vision for the future of the National Headache Foundation - How HeadWise listeners can help shape future episode topics This episode offers a behind-the-scenes look at the leadership guiding NHF forward—and a reminder that people living with headache and migraine are not alone.

In this episode of HeadWise™, host Lindsay Weitzel, PhD, talks with headache specialist Fred Cohen, MD, about the viral migraine remedies circulating on TikTok, Instagram, and social media — and whether any of them are actually helpful. Together, they break down popular home remedies and “migraine hacks,” explaining which approaches may offer real relief, which lack evidence, and which could potentially cause harm. Dr. Cohen shares the science behind commonly discussed strategies like caffeine, cold and warm compresses, salt cravings, topical treatments, neuromodulation, and cannabis, while also addressing more extreme trends such as mustard on the feet, banana peels, hair cutting, and specialty ear piercings. This episode emphasizes that migraine is a neurological disease, not a condition solved by a one-size-fits-all fix. What works for one person may not work for another — and some remedies deserve a closer look before trying them. In this episode, you’ll learn: - Why caffeine can help some migraine attacks but trigger others - How cold and warm therapies may influence pain pathways - Which viral remedies lack scientific evidence - What the research says about cannabis and migraine relief - When neuromodulation may be a safer, evidence-based option - Why talking with your healthcare provider about home remedies matters If you’ve ever wondered whether social media migraine tips are worth trying, this episode offers clear, practical guidance grounded in medical expertise.

In this episode of HeadWise™, host Lindsay Weitzel, PhD, talks with Vincent Martin, MD—director of the Headache and Facial Pain Center at the University of Cincinnati—about a foundational and evolving question in headache medicine: Is migraine a systemic disease? Dr. Martin explains why migraine is not always a single neurological disorder and how emerging genetic and population-based research is revealing that only about half of migraine risk is inherited. He discusses how certain environmental factors—including head trauma, respiratory and immune-related conditions, and even gastrointestinal disorders—may contribute to developing migraine disease or increasing migraine frequency over time. They explore: • Why migraine may be neurologic, vascular, or influenced by other systemic conditions • What Mendelian randomization studies reveal about diseases that may actually cause migraine • How depression, asthma, autoimmune disease, IBS, and celiac disease intersect with migraine • Why people sometimes develop migraine later in life after injury or physiological change • The difference between what causes migraine disease versus what triggers an attack • How whole-person clinical evaluation may change migraine diagnosis and management This conversation offers clarity on a topic many people have sensed but lacked language for—why migraine often feels like more than “just head pain”—and presents a science-based understanding of how the brain, immune system, vascular function, and other organ systems interact in migraine disease.

In this episode of HeadWise™, host Lindsay Weitzel, PhD, talks with Ferdinand Hui, MD, Medical Director of Neuro-Interventional Surgery at the University of Hawaii, about cerebral venous congestion—an emerging and often misunderstood contributor to persistent head pressure, visual symptoms, and chronic daily head pain. Dr. Hui explains how impaired venous outflow can disrupt the brain’s “waste-clearing” system, why anatomical compression points can create significant symptoms, and how this evolving disease model overlaps with conditions such as idiopathic intracranial hypertension. He also shares why many people with long-standing, daily head pain may have been miscategorized—and how engineering principles are helping researchers rethink these disorders. They explore: • What cerebral venous congestion is (and why the theory is gaining traction) • How structural compression and venous narrowing contribute to head pressure and pain • Why cerebral venous congestion symptoms can mimic migraine disease in some individuals • The role of connective tissue disorders in venous flow problems • How venous drainage, CSF pressure, and intracranial dynamics interact • When surgery may be considered for cerebral venous congestion and why diagnosis must be extremely precise This episode sheds light on a rapidly developing area of neurology—one that may help explain symptoms that many people have struggled to name—while offering a clear, science-driven look at how venous congestion affects head pain, vision, and overall brain function.

In this episode of HeadWise, host Lindsay Weitzel, PhD, talks with Elizabeth Seng, PhD, Associate Professor of Psychology at Yeshiva University, about cogniphobia—the fear and avoidance of cognitive exertion because of the belief that thinking too hard might trigger or worsen pain. Dr. Seng explains how this fear develops and how it can condition the brain to associate mental effort with danger. While some people do experience migraine symptoms during intense cognitive tasks, cogniphobia itself is about anticipatory fear—avoiding activities like reading, studying, or problem-solving out of worry they could lead to pain. They explore: - What cogniphobia is (and what it isn’t) - How fear and avoidance patterns develop - Ways cogniphobia can impact school, work, and daily life - Why avoiding mental effort can affect long-term brain health - How gradual re-engagement and self-awareness can reduce fear This episode sheds light on a rarely discussed aspect of migraine psychology—one that can limit people’s lives far beyond the attacks themselves—and offers insight on how to rebuild confidence in cognitive activity.

Moving from high school to college, or from your parents’ care to your own, can be a major life transition. For people living with migraine or other headache disorders, these changes can also mean adjusting how you access, organize, and maintain effective care. In this episode of HeadWise, Dr. Lindsay Weitzel talks with Dr. Hope O’Brien, neurologist, headache specialist, and CEO of the Headache Center of Hope in Cincinnati, Ohio. Together, they explore how young adults and their families can prepare for the transition from pediatric to adult headache care while keeping migraine management consistent. Dr. O’Brien shares expert advice on: - Recognizing when teens are ready to manage their own migraine medications - How and when to transition from pediatric to adult healthcare providers - Planning ahead for Botox and other in-office migraine treatments - Managing insurance changes, medication coverage, and medical records - Supporting students who live with migraine while maintaining their independence - How letters and campus accommodations can make college more migraine-friendly Filled with insight and empathy, this discussion helps families and young adults prepare for a smooth transition in migraine care.

When a migraine attack strikes, finding the right acute treatment can make all the difference. In this episode of HeadWise, Lindsay Weitzel, PhD, talks with Dr. Robert Kaniecki, Director of the UPMC Headache Center, about today’s full range of acute migraine medications — what they are, how they work, and who they help most. Together they review everything from over-the-counter pain relievers to advanced migraine-specific medications, including: - OTC options like ibuprofen, naproxen, and acetaminophen - Prescription NSAIDs and higher-dose anti-inflammatories - Triptans (Imitrex, Maxalt, Zomig, and more) — and how to choose among them - Combination medications like Treximet and Symbravo - Gepants for migraine relief (Nurtec, Ubrelvy, Zavzpret) - New DHE delivery options — Trudhesa, Atzumi, and Brekiya - Non-drug strategies that can support faster recovery Whether you’re exploring new treatment options or revisiting what’s in your migraine “toolbox,” this conversation offers expert insight into how to stop migraine attacks effectively.

In this episode of HeadWise, Lindsay Weitzel, PhD talks with Paula Dumas, founder of Migraine Again and co-host of the Migraine World Summit, about what happens when migraine forces you to rethink your career path. Paula shares her personal journey and the lessons she’s learned along the way. Together, Lindsay and Paula explore: - How to recognize when your job is no longer working for your health - The stigma people living with migraine often face in the workplace - What makes a job migraine-friendly (and what doesn’t) - Real stories of people who successfully transitioned to healthier, more flexible careers - Practical tools and resources like Migraine at Work, the Job Accommodation Network, and StrengthsFinder If you’re considering a career change or trying to make your current work more migraine-friendly, this conversation offers validation, insight, and hope.

What are the limits of mind-body approaches in managing migraine? In this episode of HeadWise, Lindsay Weitzel, PhD, talks with Elizabeth Seng, PhD, Associate Professor of Psychology and expert in headache psychology, about the promises and pitfalls of behavioral strategies for migraine. Together, they explore: - Why lifestyle and psychological techniques can help but don’t “cure” migraine - How misconceptions fuel stigma and self-blame for people living with migraine - The role of psychology in supporting effective treatment without dismissing migraine as “all in your head” - Practical insights for patients, caregivers, and clinicians to provide support without judgment Lindsay Weitzel and Elizabeth Seng discuss how stress, behavior, and biology intersect—and why it’s essential to move away from blame and toward understanding.

In this special HeadWise News episode, Lindsay Weitzel, PhD and Tim Smith, MD, break down some of the most talked-about new studies in headache and migraine research. Topics include: GLP-1 medications and their potential to reduce migraine days Reassuring data on ubrogepant use while breastfeeding How memantine may help adolescents with migraine The link between Ajovy and improved outcomes for patients with migraine and depression Why new daily persistent headache (NDPH) responds differently to treatments A surprising connection between migraine attacks and the new moon Stay up to date with the latest research that could impact treatment, prevention, and everyday life for people living with headache and migraine. Study 1: https://pubmed.ncbi.nlm.nih.gov/40525593/ Study 2: https://headachejournal.onlinelibrary.wiley.com/doi/10.1111/head.14960 Study 3: https://headachejournal.onlinelibrary.wiley.com/doi/10.1111/head.14979 Study 4: https://pubmed.ncbi.nlm.nih.gov/40323613/ Study 5: https://thejournalofheadacheandpain.biomedcentral.com/articles/10.1186/s10194-025-02111-2 Study 6: https://headachejournal.onlinelibrary.wiley.com/doi/full/10.1111/head.15035

In this episode of HeadWise, Lindsay Weitzel, PhD, is joined by neurosurgeon Dr. Betsy Grunch to explore idiopathic intracranial hypertension (IIH)—also known as pseudotumor cerebri or high-pressure headache. Dr. Grunch explains what IIH is, why it can be difficult to diagnose, and how it differs from migraine and other headache disorders. Follow Dr. Betsy Grunch (Ladyspinedoc) on social media: Facebook: https://www.facebook.com/ladyspinedoc Instagram: https://www.instagram.com/ladyspinedoc/ TikTok: https://www.tiktok.com/@ladyspinedoc YouTube: https://www.youtube.com/@ladyspinedoc

Cervicogenic headache is head pain caused by neck problems and can be misdiagnosed as migraine. Host Lindsay Weitzel, PhD, discusses causes, diagnosis, and treatments, from physical therapy to surgery, with guest neurosurgeon Betsy Grunch, MD. You’ll learn: ⬩ How cervicogenic headache differs from migraine ⬩ Why trauma isn’t the only cause—arthritis, degeneration, and hypermobility can play a role ⬩ Why imaging doesn’t always reveal the problem ⬩ Treatment approaches, including injections, nerve blocks, and surgery ⬩ How proper diagnosis can lead to success with the right treatment If you have persistent neck pain with headache, this could be the missing piece to your diagnosis.

What does it really mean to “take control” of your migraine or head pain? In this episode of HeadWise™, host Lindsay Weitzel, PhD, speaks with Elizabeth Seng, PhD, psychologist, researcher, and professor at Yeshiva University, about the psychological concept of locus of control and how it applies to people living with migraine and headache disease. They explore: - What “locus of control” and “self-efficacy” really mean - Why believing you caused your own migraine can be harmful - The link between self-blame, depression, and disability - How shifting your mindset can support your treatment plan - What a healthy balance of control looks like in headache care

Temporomandibular disorder (TMD) is more than just jaw pain—it can play a surprising role in migraine and head pain. In this episode of HeadWise™, Lindsay Weitzel, PhD, sits down with headache specialist Fred Cohen, MD, to explore how structural jaw issues might contribute to migraine attacks. They break down: - The difference between TMJ and TMD - How TMD can trigger or worsen migraine through the trigeminal nerve - Common symptoms and warning signs to watch for - Which providers treat TMD—and when surgery might be considered - How treatments like mouth guards and Botox (onabotulinumtoxinA) can help If you’ve ever wondered whether jaw tension, grinding, or clenching could be affecting your migraine, this episode offers clarity and guidance from a clinical expert.

In this episode of HeadWise™, Lindsay Weitzel, PhD, sits down with certified craniosacral therapist Elizabeth Browning Jones, RMT, to explore how this gentle, hands-on therapy may help people living with migraine and head pain. They unpack the science and theory behind craniosacral therapy, how it supports the nervous system, and why a light touch can lead to deep relief. This episode offers insight into a lesser-known therapy that may provide meaningful support on your headache and migraine journey.

Is OnabotulinumtoxinA (Botox) effective for chronic migraine and how does it really work? In this episode of HeadWise™, Lindsay Weitzel, PhD, sits down with headache specialist Fred Cohen, MD, to explore the science, real-world impact, and practical considerations of OnabotulinumtoxinA treatment for chronic migraine. Dr. Cohen breaks down: Why Botox works beyond muscle relaxation What the research and real-world data show about effectiveness How treatment protocols are customized for each patient The difference between cosmetic and migraine-related injections Whether Botox can be combined with CGRP monoclonal antibodies Common concerns about appearance, side effects, and insurance If you’re considering Botox for the first time or want to understand more about your current treatment, this episode is packed with insight from both a medical expert and a person living with migraine.

Why can something as simple as wearing earrings or taking a shower trigger pain when living with migraine? In this episode of HeadWise, Lindsay Weitzel, PhD, is joined by leading headache specialist Dr. Richard Lipton to explore the phenomenon of allodynia—when normally non-painful touch becomes painful. They break down how this symptom develops through central and peripheral sensitization, why it can signal migraine progression, and how early treatment may help reverse it. You’ll also learn: What allodynia feels like How to tell if you have it (and why it matters) Which medications help—or hurt—when allodynia is present Why pain in other parts of the body often travels with migraine

What do migraine, chronic fatigue, and connective tissue have in common? In this episode of HeadWise, Lindsay Weitzel, PhD talks with neurologist Ilene Ruhoy, MD, about the misunderstood world of ME/CFS. They explore how fatigue, headache, and pain overlap—and what doctors may be missing when symptoms go unexplained.