A12.3 Headache attributed to depressive disorderHartmut Gobel2018-01-31T16:32:38+00:00

A1. Migraine
A2. Tension-type headache (alternative criteria)
- Bibliography
A3. Trigeminal-autonomic cephalalgias (TACs)
A4. Other primary headache disorders
- A4.11 Epicrania fugax
- Bibliography
A5. Headache attributed to trauma or injury to the head and/or neck
A6. Headache attributed to cranial and/or cervical vascular disorder
- A6.10 Persistent headache attributed to past cranial and/or cervical vascular disorder
A7. Headache attributed to non-vascular intracranial disorder
A8. Headache attributed to a substance or its withdrawal
- A8.4 Persistent headache attributed to past use of or exposure to a substance
A9. Headache attributed to infection
A10. Headache attributed to disorder of homoeostasis
A11. Headache or facial pain attributed to disorder of the cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cervical structure
A12. Headache attributed to psychiatric disorder

A12.3 Headache attributed to depressive disorder

Diagnostic criteria:

Any headache fulfilling criterion C
Major depressive disorder (single episode or recurrent) or persistent depressive disorder has been diagnosed according to DSM-5 criteria
Headache occurs exclusively during depressive episodes
Not better accounted for by another ICHD-3 diagnosis.

Comment:

Many antidepressants, especially tricyclic antidepressants, are effective against headache disorders even when depression is not present. This makes it difficult to determine whether remission of or improvement in a headache disorder associated with depression and treated with a tricyclic antidepressant is, in fact, evidence of causation. Remission of headache is more suggestive of a psychiatric cause when a major depressive disorder improves under treatment with other types of antidepressant shown to be less effective in headache treatment.