Query
I'm a 35-year-old male who has been a migraine patient for about five years now. I have heard that migraine also brings many mental health problems in its wake including memory-loss. Recently I have been struggling even to recall familiar names. This didn't happen before and I think it is because of migraine. I want to know if it is something I need to worry about. And what can I do to improve things? -KB
Answer by Dr. Rishav Koirala, Psychiatrist at Grande Hospital
First, for proper diagnosis and treatment, it is important to know the intensity and frequency of headaches. In rare cases migraine is associated with forgetfulness, which is known as transient global amnesia, but it is not as specific as you have mentioned, i.e. only forgetting familiar names. Forgetfulness is common in anxiety disorders as well as in depression. Over 50 percent of migraine patients have depression and anxiety and more than 80 percent of migraine episodes are precipitated by stress. So we need to explore it to properly address migraine as well as to find the cause of forgetfulness you suffer from. This can be done by visiting a psychiatrist who will treat both.
As you have had migraine for a long time, it is even more important to address it. Migraine is a major cause of disability as it hampers with your work as well as social life. It must also have hampered your life both directly and indirectly. Being aware of what is really going on will help you with the fear and worry you’re experiencing, and you might be reassured once you know you are being treated.
On a personal level, you can try mindfulness meditation. You can find plenty of 10-30 minute meditation guides on YouTube. Taking some time out to meditate will do wonders for your mental health.
Another thing you can do is maintain a headache diary. After you have a migraine episode, write down what you did in the 24 hours before the episode: list all your activities and events of the day as well as your food intake. After doing this six or seven times, you may observe common activities that trigger your migraine. An empty stomach, disrupted sleep, and high coffee and alcohol intake can also trigger migraine. But most importantly, you need to talk to an expert before jumping to conclusions.
