Trying to manage your migraine can feel like pushing a heavy rock uphill—over, and over, and over. Here’s one possible reason for that frustration: migraine is a condition that’s misunderstood by a lot of people. 

These misconceptions often prevent others from supporting you the way they should, and can even hold you back from feeling better. How many of these migraine myths have you encountered?

Myth: Women get migraine because they are too emotional or can’t handle stress.

Let’s tackle a particularly insidious myth that targets women with migraine. For centuries, the medical establishment claimed that women who suffered frequent migraines were essentially doing it to themselves – by being overly emotional, high-strung, or unable to cope with stress. Even into the 20th century, some doctors propagated the idea of a “migraine personality” for women: suggesting that female migraine patients were typically anxious, perfectionistic, tense, or otherwise emotionally flawed. The reality is that migraine does not discriminate by personality or character. You can be the most laid-back woman in the world and still get migraines, or you might be a Type A personality who never experiences one.

Stress is a known trigger for migraine. In fact, nearly 70% of people with migraine (of any gender) report stress as a trigger for their attacks. It’s often called the “universal trigger” because it’s so common. This includes the stress itself and sometimes the “let-down” effect when stress suddenly recedes. So yes, stress management is important for everyone with migraine. 

But to leap from “stress can trigger migraine” to “women who have migraine just can’t handle stress” is an unsupported generalization. Remember: most people in the world experience stress, but only a subset have the neurological makeup that produces migraine attacks in response. If a woman gets a migraine attack after a busy week at work, it doesn’t mean she’s weak or “doing something wrong.” It means her brain is built a bit differently, and so it reacts to the physiological changes that stress can bring (like hormone fluctuations, blood pressure changes, etc.).

Even today, women sometimes encounter doctors or acquaintances who minimize their migraines as an emotional issue. If this happens to you, know that you’re allowed to seek a second opinion or consult a headache specialist who takes you seriously.

It’s true that emotional well-being can impact any chronic illness, and learning healthy coping strategies is always beneficial. But women are not to blame for having migraine. In fact, women juggle enormous stresses every day — jobs, family, societal pressures — and most do it while also battling migraines like absolute warriors. Far from being a sign of emotional weakness, continuing to live your life in the face of migraine takes strength. So let’s bury this sexist myth once and for all. Women with migraine are not “too emotional.” They are experiencing a legitimate medical condition that deserves empathy and proper care.

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Myth: Medication is the only effective way to treat migraine.

When you get diagnosed with migraine, the first thing you’ll likely discuss with your doctor is medication. There are many effective migraine medications out there, both for stopping an attack (acute treatments) and for preventing attacks (preventive treatments). These can range from over-the-counter pain relievers to prescription drugs like triptans, CGRP inhibitors, anti-seizure medications, beta blockers, and more. Proper medication can indeed be a lifesaver, reducing pain and giving people their lives back. However, the myth here is the word “only.” Migraine treatment is not one-size-fits-all, and meds are not the only tool in the toolkit.

Some people cannot take certain migraine medications due to side effects or health conditions, and sometimes medications alone don’t provide sufficient relief. The truth is that there are many non-medication approaches that can help manage migraine. 

Neuromodulation devices are one such option. These are doctor-approved devices that use electrical or magnetic stimulation to change the behavior of the nerves involved in migraine. CEFALY is an FDA-cleared device worn on the forehead that stimulates the trigeminal nerve to reduce migraine pain. Other devices target the vagus nerve or occipital nerve. These drug-free treatments have shown success for some patients, either alone or combined with medications.

Additionally, behavioral therapies and lifestyle changes play a significant role. Techniques like biofeedback or cognitive-behavioral therapy (CBT) can teach you to relax tense muscles and cope with pain. Healthy lifestyle habits are also considered part of treatment. Getting consistent sleep, staying hydrated, eating regular nutritious meals, managing stress, and exercising moderately can raise your threshold for migraines and make attacks less frequent.

 Supplements like magnesium or vitamin B2 help some people, and practices like yoga, meditation, or acupuncture have evidence for reducing migraine frequency in certain individuals. Even something as simple as applying a cold pack and lying in a dark, quiet room during an attack can provide relief in conjunction with other treatments.

The bottom line: effective migraine care is usually a combination of strategies, not a single pill. Medication is often a crucial component — and you should never feel bad about using meds if you need them — but it’s empowering to know you have other options to complement your meds or use if meds aren’t enough. If the first treatment you try doesn’t work, don’t give up. Migraine specialists today can offer a toolbox of therapies (from pharmaceuticals to devices to lifestyle coaching) to find what works for you. Your migraine journey might include some trial and error, but many people find significant relief through an individualized blend of treatments. 

So, don’t buy the myth that “meds or nothing” is your fate. There’s a whole world of migraine management beyond the pill bottle, and you can explore it with your healthcare provider’s guidance.

Myth: “Nothing works for my migraine. I just have to live with it.”

If you’ve tried one or two treatments and still experience debilitating migraine attacks, it’s easy to fall into despair and start believing this myth. Many migraine warriors have felt that hopelessness, especially if they’ve been told by others that migraine is something you “just have to deal with” or if previous doctors weren’t up to date on new options. 

But take heart: this myth is on its way out. Thanks to ongoing research, we’re in a new era of migraine care, and more help is available now than ever before. It is absolutely not true that you have to simply suffer in silence. As pain management specialist Dr. Medhat Mikhael emphatically put it, the idea that doctors have “given up” on migraine is “totally false” – researchers are actively working on better understanding migraine and developing new treatments all the time. 

In just the past few years, there have been exciting innovations, from the first-ever migraine-specific preventive drugs (CGRP monoclonal antibodies) to the launch of wearable neuromodulation devices for acute treatment. There are clinical trials underway exploring everything from gene therapies to novel drug targets. In short, there is a lot of hope on the horizon.

Even outside of cutting-edge research, you might be surprised by the variety of existing options you haven’t tried yet. Maybe the oral medication you started isn’t reducing your migraines — but have you tried a different class of medication, or a combination approach? Perhaps medications alone aren’t enough, but have you explored adding a device, or physical therapy if neck tension is a trigger, or hormone therapy if attacks seem tied to your cycle? It may require patience and persistence to find the right thing. Migraine is a very individual condition, so what works for someone else might not work for you — and vice versa — but that doesn’t mean nothing will work for you.

If you’ve been to a general doctor and haven’t found relief, consider seeing a headache specialist or neurologist who really understands migraine. They can help identify subtleties in your condition and tailor treatments accordingly. Sometimes, a fresh perspective or a new specialist can open doors you didn’t know existed. 

Also, don’t underestimate the power of community and education. Online migraine communities (like those from migraine foundations) can keep you informed about new treatments and provide moral support so you don’t feel alone. As experts from the American Migraine Foundation and others often say: Help is available. People who felt stuck with chronic migraine a few years ago are now finding relief with newer treatments. So let’s bust this myth decisively — you do not have to simply accept endless pain. Keep advocating for yourself, keep hope alive, and work with healthcare professionals who encourage a proactive approach. Better days are possible, and you deserve to pursue them.

Better Days Ahead — Taking Charge of Your Migraine Journey

It’s normal to feel a bit overwhelmed by a new migraine diagnosis, but knowledge is power. Armed with facts instead of myths, you can approach your migraine journey with a lot more confidence and hope. Remember that you are not alone. Migraine affects people of all genders, ages, and walks of life, and there’s a vast community out here (doctors, researchers, and fellow patients) working to help each other.

What’s your next step? Consider keeping a migraine diary to learn about your personal triggers and patterns, but don’t stress if you can’t control every trigger. Work with a healthcare provider you trust – preferably one who listens and stays up to date on migraine treatments. Don’t hesitate to ask about both medication and non-medication options (like lifestyle changes or devices). If one approach doesn’t work, remember that multiple options exist and new developments are coming out each year. Be open to adjusting your plan with your doctor’s guidance. Essentially, take charge of your migraine management: Gather information, seek support, and be your own advocate.

Migraine might be a part of your life now, but it doesn’t define your future. With myths out of the way, you can focus on what does help you move toward better days – whether that’s a specific treatment, a healthier routine, or simply the relief of understanding what you’re dealing with. Every migraine warrior’s path is different, but each step you take to debunk a myth and embrace the facts is a step toward reclaiming your life. Better days are ahead, and you’ve got the knowledge and support to reach them. Here’s to moving past the myths and facing your migraine journey with empowerment and hope!

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