None listed
Conditions
Brief summary
The experience of both migrainous and vestibular symptoms is likely to be associated with greater compromise than for either disorder presenting independently. The impact of VM is compounded due to the current lack of evidence-based treatment that has proven to be definitely efficacious. CBT is likely to be an effective adjunct treatment to medication in the treatment of VM. Trials are urgently needed to provide an evidence-base for such approaches.
Interventions
If participants agree to take part in this study they will be randomly allocated to one of two conditions, an immediate treatment condition or a waitlist control. The immediate treatment condition involves a detailed assessment of psychological functioning and 8 weeks of group psychological treatment based on cognitive behavioural therapy principles. This program is specifically designed to try to improve frequency of dizzy spells, dizziness-related handicap, quality of life and psychopathology in the context of vestibular migraine. Each weekly treatment session will be conducted by a psychologist and last 120 minutes. The sessions will include the following components: orientation to therapy and psychoeducation about vestibular migraine and anxiety; behavioural experiments and addressing avoidance through exposure; cognitive therapy strategies to challenge unhelpful beliefs; consolidation of skills developed throughout the program, identification of high risk situations and development of a plan for managing symptoms.
Sponsors
Study design
Eligibility
Inclusion criteria
People with vestibular migraine
Exclusion criteria
About to undergo major surgery or significant change to medication Significantly impaired cognitive functioning Psychosis Inability to speak English