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Review

SEEDS for success: Lifestyle management in migraine

Jennifer Robblee, MD, MSc and Amaal J. Starling, MD
Cleveland Clinic Journal of Medicine November 2019, 86 (11) 741-749; DOI: https://doi.org/10.3949/ccjm.86a.19009
Jennifer Robblee
Department of Neurology, Mayo Clinic Arizona, Scottsdale, AZ
Roles: Headache Fellow
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Amaal J. Starling
Department of Neurology, Mayo Clinic Arizona, Scottsdale, AZ
Roles: Assistant Professor
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  • For correspondence: [email protected]
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    TABLE 1

    Sleep hygiene and behavior modification

    Stimulus control therapy
    (bedroom as cue for sleep)
    Dark room
    Cold room temperature
    Quiet room ± white noise machine
    No screen (TV, phone, tablets)
    Planned bedtime and wake-up
    Get out of bed if not sleeping
    Relaxation techniques before bedtime
     Mindfulness/meditation
      Progressive muscle relaxation
    Consistent bedtime routine
    Sleep restriction therapy
    (optimizing sleep efficiency)
    Reduce time in bed to match current time asleep
    Choose consistent wake-up time
    Prescribe a bedtime
    Add 30-minute increments to bedtime until 7–8 hours per night
    Goal of 90% sleep efficiency (time asleep / time in bed)
    No naps
    Do not use in untreated sleep apnea
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    TABLE 2

    Techniques for stress management in migraine

    Biofeedback
    Cognitive behavioral therapy
    Mindfulness
    Other relaxation techniques (visualization, progressive muscle relaxation)
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Cleveland Clinic Journal of Medicine: 86 (11)
Cleveland Clinic Journal of Medicine
Vol. 86, Issue 11
1 Nov 2019
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SEEDS for success: Lifestyle management in migraine
Jennifer Robblee, Amaal J. Starling
Cleveland Clinic Journal of Medicine Nov 2019, 86 (11) 741-749; DOI: 10.3949/ccjm.86a.19009

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SEEDS for success: Lifestyle management in migraine
Jennifer Robblee, Amaal J. Starling
Cleveland Clinic Journal of Medicine Nov 2019, 86 (11) 741-749; DOI: 10.3949/ccjm.86a.19009
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  • Article
    • ABSTRACT
    • S IS FOR SLEEP
    • E IS FOR EXERCISE
    • THE SECOND E IS FOR EAT (FOOD AND DRINK)
    • D IS FOR DIARY
    • THE SECOND S IS FOR STRESS
    • LIFESTYLE FOR ALL
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