Enhancing cognitive-behavioural therapy for recurrent headache by integrating into it a new approach to the management of headache triggers (Learning to Cope with Triggers)

This study is testing two different approaches to managing headache triggers within a broader cognitive-behavioural therapy (CBT) program. Most people with migraines or tension-type headaches are told to avoid triggers, but this trial tests whether learning to gradually cope with triggers — rather than always avoiding them — might lead to fewer headaches and less reliance on pain medication. You may be eligible if: - You are between 18 and 75 years old - You have been diagnosed with migraine (with or without aura), chronic migraine, or frequent or chronic tension-type headache - You have had at least 6 headache days per month - Your headaches have been present for at least 12 months and have been stable for the last 6 months You may NOT be eligible if: - You have medication overuse headache - Your headaches are continuous (never go away) - You have recently changed your headache prevention medication (it needs to be stable for at least 1 month) - You are pregnant, planning to become pregnant, or breastfeeding - You are currently receiving psychological or psychiatric treatment Talk to your doctor about whether this trial might be right for you.