First thing doctor must know if this migraine patients have a fear of a dangerous disease or not!
You can know that from her (his) face, eyes attention, empty look, or you can ask her/him about her life and you can see tears in her eyes or even she will cry.
When migraine patients tell you that his migraine headaches changed, it became in both sides and go back and come every day, you must know that he has a tension headaches due to his fear and this tension headaches bring his migraine attack much often.
In this case you must start talking this:
You must be happy that you have a migraine!!!!!
I know that better of course, without it, but there are a real diseases that do a headaches and there is a headaches without a real disease as in your case migraine headaches!!!!!
How that????
Migraine patients can go into a hospital and do preclinical investigations on all hospitals devices, floor by floor, and his results will be negative,,,,. You must tell him that no one in the world can write on any medical X.ry, Ct.sacan, MRI, that we found migraine!!!!! (this is a very big mistake that I found and lead migraine patients to fear of dangerous disease,), some doctors look at the medical pictures and tell patients that he have migraine, so when migraine patient look to this view he will thing that something wrong in his brain!!!!!
To calm him we must tell him this story that some doctors do that (maybe to show you that they didn’t ask you to do this investigations for nothing), but he cant write this, and no doctor can write this in the world.
Not only that but also we must tell him that all doctors in the world if they will examine him they will never found any thing.
He will ask why?
We must tell him because migraine not a disease but its un allergic situation.
You know that when somebody get un allergic situation due to different factors as eat, smell, wear, etc. He will get a skin red reaction, so this red reaction can be only due to 2 reasons: hemorrhage or vasodilatations. Its not a hemorrhage sure, Why? Because when you do a finger pressure on it you will see that red became into a white for a while and he will back into red color. That mean vasodilatation, because when you do a finger pressure you make this vessels empty of blood (white), and when blood comeback (red).
Migraine mechanism is the same thing.
As a response to certain provoke factor as (sun, cold, chocolate, ice cream, etc,,), un artery in the skin of the head (scalp) called superficial temporal artery do a very strong dilatation, and this artery is surrounded by a very sensitive nervous branches (trigeminal nerve- the same nerve that give teeth pain in dentistry- we must tell him that to know how sensitive this nerve), so this nerve branches will be pushed (pressed) by artery wall. What will happen? Of course headaches. How that? You will explain him how in lumbar disc pain: nerve pressure occur in low back region but pain appears in the legs, while legs are totally normal. The same thing happen in migraine headaches we have pressure over nerve branches around the superficial temporal artery and all the region where this nerve branches goes. Here you must give him this reality: If un ophthalmology doctor examine your eyes in time of migraine attack when its nearly closed and red with tears and photophobia, he will tell you that nothing pathological in your eyes its normal eyes, so what happen?