Diagnosing Migraine

Which of the following is included in the ICHD-3 criteria for migraine?

A 65-year-old woman with a history of chronic migraine presents to your office for headache. She reports that she experienced the worst, most severe headache of her life last night with coughing that was unlike her typical migraine attacks. The headache remained intense for about three minutes and then slowly improved over time. She currently only has some neck pain and stiffness. She is concerned because her father passed away from stroke last year. On examination, papilledema is seen bilaterally. Which of the following is NOT considered a red flag or indicator of a secondary headache type in this scenario?

Billy Baker is a 30-year-old man with a history of migraine who presents for his annual physical examination. He reports that he has had about three migraine attacks in the past month, and he is able to treat them effectively with sumatriptan. He does note, however, that the day before he gets an attack, he is unusually tired and irritable and has difficulty focusing at work. What phase of migraine is Mr. Baker describing?

Behavioral management of migraine includes: