Personal Headache Management Plan

Patient Information

Name: _________________________ Date: _________________________ Neurologist: ___________________

Headache Type(s)

• Primary diagnosis: ________________
• Secondary conditions: _____________

Triggers to Avoid

• Stress and anxiety
• Irregular sleep patterns
• Certain foods/drinks: ___________
• Environmental factors: __________
• Screen time/bright lights
• Other: _______________________

Prevention Strategies

Lifestyle Modifications

1. Maintain regular sleep schedule
2. Stay hydrated (_____ oz daily)
3. Regular exercise: _____ times/week
4. Stress management techniques:
   • Deep breathing exercises
   • Progressive muscle relaxation
   • Mindfulness meditation

Preventive Medications

Acute Treatment Plan

Early Warning Signs

Rescue Medications

Step 1: ___________________________ Step 2: ___________________________ Step 3: ___________________________

Emergency Plan

When to Seek Immediate Care

• Sudden, severe headache ("thunderclap")
• Headache with fever and neck stiffness
• Visual changes or speech difficulties
• Weakness in arms or legs
• Confusion or loss of consciousness

Emergency Contacts

Neurologist: ______________________ Emergency Room: __________________

Headache Diary

Track daily:

• Pain intensity (0-10)
• Duration
• Triggers
• Medications taken
• Effectiveness of treatment

Follow-up Plan

Next appointment: ________________ Frequency of visits: _____________

_Patient Signature: ______________ Date: __________________________