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Child and adolescent headache sufferers and their parents often request behavioral treatment either in addition or as an alternative to pharmacologic treatment. Although evidence supports a number of behavioral approaches,1-2⇓ they are typically time-consuming, administered by specially trained non-neurologists in multidisciplinary settings, and sometimes entail special resources (e.g., biofeedback equipment). Behavioral researchers are aware of these limitations and have begun to focus upon approaches that can be used in a wider range of settings and that provide more favorable cost–benefit returns. One approach focuses on alternative delivery modes, such as group administration3 or reduced therapist-contact.4 A recent article in Neurology5 examined the utility of single-session behavioral therapy. Although significance was obtained, percent symptom reductions were only 10%, 25%, and 25% for headache severity, frequency, and duration, respectively, at a modest follow-up (average of 21 weeks). In this note we describe our initial examination of a brief group behavioral treatment …
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