1Awareness of bipolar disorder when treating migraine headacheIn this issue Leo and Singh  present interesting findings on the relationship between migraine headache and bipolar disorder. The connection between chronic pain and mental disorders is well known from the literature, and previous studies have consistently shown that the combination of migraine headache and depression is rather common. This paper adds to our knowledge by its findings that comorbid bipolar disorder also is often seen, and that it seems to be the second most prevalent comorbid mental disorder after major depressive disorder among migraine headache sufferers. As the authors state, the finding of increased prevalence of bipolar disorder in migraine headache does not say anything about the underlying mechanisms, and at this point of time these remain speculative .2Bipolar or major depressive disorder?There are two main classes of affective disorders; bipolar and depressive disorders. The life time prevalence of bipolar disorders is about 2%, while depression hits a much larger number . Bipolar disorders are classified in two categories. The diagnosis of bipolar I disorder requires at least one full blown manic episode, and this is diagnostically often quite clear-cut. In bipolar II the elevated episode is hypomania. The diagnosis
Scandinavian Journal of Pain – de Gruyter
Published: Apr 1, 2016
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