7 things you must know to overcome headache

Once upon a time there was a drunkard looking for his keys under a lamppost. A fellow countryman who was passing by went to look for them with him, and after a while he asked him:

- Hey, are you sure you lost them here?

To which the drunk replied:

- No, I’ve lost them over there, but it's too dark to look for them.

It's exactly the same with chronic headaches: you look for the cause where there seems to be more light, in neuroscience, but it's really beyond that.

TABLE OF CONTENTS

01 - The capacity to feel pain is neurophysiological

02 - The hypothesis of the medical model

03 - What is perceiving?

04 - Pain and fear, reasonable similarities

05 - All heads hurt

06 - How do you change perception?

07 - Neuroscience

01

The capacity to feel pain is neurophysiological

We don't know everything about pain, but we do have some certainties. For example, we all agree that the capacity to feel pain is neurophysiological: for a person to feel pain, there has to be a neurophysiological activation; without that activation there is no pain. What we do not agree on is why that capacity is triggered.


There are many different approaches, each with its own why; depending on the approach you choose to treat your headache, you will have a treatment that will have nothing to do with what you would have done if you had chosen another approach


02

The hypothesis of the medical model

For example, the medical model, based on the assumption that every health problem has a biochemical or anatomical substrate, searches the organism for what causes the neurophysiological activation that results in headache pain (genes, peptides, proteins, neurons...). However, when we look at what pain is, it becomes clear that this is an absurd hypothesis.


Pain is the organism's way of inducing us to do something to deal with what it has perceived as dangerous.

For example, if you touch a burning radiator, it wants you to move your hand away because it has perceived that tissue is being destroyed; conversely, if you break your arm, it wants you not to move it so that it can heal.

This means that pain does not exist at all, as something that can spring from a gene, a peptide, a protein or a neuron; it is born of a perception without which it cannot exist.

David Sojo. Terapia Breve Estratégica

4,9De 5 estrellas

Valoración global de 75 opiniones de Google

Despues d años d terapia, He conseguido retomar la confianza en mi. Terapia muy directa al problema, sin rodeos.... Eskerrik asko David

Alex Sky
Hace un mes

Aveces solo necesitas que alguien te escuche, tal vez las cosas que crees que están mal pues no lo está, excelente servicio

Leire Vadillo
Hace un mes

Ha sido mi primera vez en terapia y acudía con las dudas de cómo sería, de si me serviría de ayuda, de si me sentiría incómoda... Y lo cierto es que David me ha ayudado muchísimo, y en pocas sesiones he podido recuperarme del problema de estrés que estaba sufriendo. Además me hizo sentir súper cómoda desde el principio. Muchas gracias por tu ayuda, David, eres un gran profesional y con tu amabilidad y cercanía has conseguido que recorrer este camino haya sido menos complicado. Un abrazo.

Xabmer
Hace un mes

Gran profesional. Me ha ayudado mucho con mi problema de confianza en mi mismo en tan solo 3 sesiones. Muy recomendable.

Alfonso Corbacho
Hace un mes

Ayuda eficaz.

Acudí a David por las migrañas incapacitantes que sufría desde hace más de 10 años, ya no sabía que hacer (médicamente ya no encontraba ninguna solución). Hoy puedo decir que las migrañas son parte del pasado. David me ha ayudado a entender cómo funcionan y sobre todo, cómo funcionaba yo ante ellas. No puedo estar más agradecida por haberme ayudado a recuperar mi vida. Sin duda, si tienes migrañas, te animo a que pruebes esta alternativa. Gracias David por tu profesionalidad y tu humanidad.

ANDER LASTRA
Hace 3 meses

Recurrí a David hace unos meses para intentar solucionar algunos problemas emocionales que tenía, ya que me sentía un tanto atascado en la vida. La verdad es que creo que acerté completamente. Sin darle demasiadas vueltas al pasado, te ayuda con su sabiduría, multitud de consejos y pequeños trucos, que te sirven para afrontar el presente con otra perspectiva. El trato es muy cercano y la terapia se hace muy amena. Muy recomendable! Eskerrik asko David!

José Fdez
Hace 3 meses

La Terapia es muy generalista.No está personalizada en el paciente.No recomendaría

Un 10 en hacerte entender porque piensas como piensas y cómo mejorarlo. Creo que me llevo un aprendizaje muy valioso para el resto de mi vida gracias al buen trabajo de David. Solo una palabra: gracias.

Natxo Ruiz Garate
Hace 5 meses

Acudimos a David para tratar de dar solución a unos problemas de nuestro hijo. Conciso, sencillo y efectivo 100%. Una maravilla. Nos lo recomendó una amiga. Gran acierto y gran descubrimiento.

deñe deñe
Hace 10 meses

Recomendable. He estado en más terapias con diferentes psicólogos y esta ha sido totalmente diferente. Si esperas una terapia convencional, esta no lo es. No puedo decir que me haya cambiado la vida radicalmente, ni que me hayan desaparecido completamente los Dolores de cabeza. Pero he mejorado tanto en las migrañas como en temas de angustia y ansiedad.... y eso es mucho.

Estoy mas que agradecido de haber conocido a David, la forma en que me ha ayudado, en la que te habla, en como llega a ayudarte, a solucionar, a hacerte ver, a conseguir lo que necesitas, lo que anhelas, de una forma directa y cercana, para mi la mejor. Muchas gracias por todo

Encontré la oficina de David un día buscando en internet y decidí darle una oportunidad. Y la verdad que estoy encantada. Desde el primer momento ha sido sencillo hablar con él. Detecto muy rápido lo que me pasaba y desde la primera sesión me dio herramientas para ponerlas en práctica, y rápidamente empecé a ver resultados. En todo momento te da la confianza que necesitas y te enseña los progresos que vas haciendo aunque tu no te des cuenta. Todo es al ritmo que tu marcas y al paso que tu necesites.

He participado de varias sesiones de terapia con David y me ha encantado su enfoque. Después de haber consultado algunas otras opciones, hemos llegado (por recomendación) hasta David y ha sido un gran acierto. Nos ha ayudado muchísimo en un corto periodo de tiempo. David nos ha guiado con consejos muy útiles y esto ha tenido un efecto muy positivo en el tema que nos preocupaba. Sin dudas, recomiendo a David a otras personas que lo requieran.

Deifmen (Kyhùri)
Hace un año

David es muy profesional, eficiente y sobre todo cercano. La terapia realizada ha sido muy buena, con ejercicios muy cómodos y sencillos de hacer. En mi caso en menos de 3 meses ha habido muy buenos resultados o sea que recomendadisimo!!

Nerea Ruiz
Hace un año

David ha conseguido afianzar la confianza en mí misma y en mis capacidades. Su perspectiva en el tratamiento de la migraña me ha parecido sorprendentemente eficaz! No dudes en contactar con él si este tema te tiene desesperad@, porque hay esperanza!!

Desde la primera sesión pude conectar estupendamente con David. Tenía un problema de migraña desesperante y agotador y prácticamente desde la segunda sesión los dolores fueron minorizandose gracias al entendimiento que tuve de la migraña como dolor y no como enfermedad. Las directrices y la forma de tratar la migraña por parte de David me ayudan en mi día a día. Apenas tengo dolores de cabeza, pero de la migraña por suerte ni me acuerdo. Ahora seguimos trabajando en ello y en otras muchas más cosas. Siempre agradecida

Alex Vazquez
Hace un año

David es una gran persona y un auténtico crack en su campo. Me ha ayudado mucho a sobrellevar mis problemas de obsesividad/ansiedad y siempre me ha dado las pautas para recuperar mi camino cada vez que me salgo de él… Lo que más destaco de él es su capacidad de ir al origen de problema y tratar de resolverlo con métodos científicamente contrastados. Hace las cosas muy fácil. Ahora me toca continuar con mi camino pero le estoy muy agradecido y trataré de aplicar todo lo que me ha enseñado.

Javi Pastor
Hace 3 años

Trabajé con varias sesiones online con David para tratar mi migraña y el resultado ha sido fantástico. En muy poco tiempo he "domado" la migraña, me siento mucho mejor y tengo las herramientas necesarias para que no vuelvan a interferir en mi día a día como lo hicieron durante este año. Y si algún día necesito ayuda, sé que siempre tengo a David al otro lado para solucionarlo. ¡Muchas gracias por todo!

David, en unas pocas sesiones, me ha ayudado y me ha ofrecido herramientas para gestionar mi dolor y todo lo que este supone. Gracias a él se cómo enfrentarme mejor a las crisis (cuando lleguen). Es una persona cercana y muy amable. Muchas gracias

03

What is perceiving?

Perceiving is a mental process through which the organism gives meaning to an internal or external event.


Behind every pain there is an opinion, and a gene, a peptide, a protein or a neuron cannot have an opinion. Only a person (with genes, peptides, proteins, neurons...) situated in an environment with which it interacts, can perceive. To think that the nervous system perceives is like thinking that a guitar plays by itself, without anyone playing it.


Having genes, peptides, proteins, neurons... that is, an organism, is necessary to be able to perceive, but it is not enough; because an organism does not perceive by itself as an independent computer, it needs an environment and behavior. Perceiving is necessarily linked to action: there is no action without perception and no perception without action, what Merleau Ponty called motor intentionality. What appears in the person's consciousness, what he feels, is determined by his behavior, not by a peptide.

04

Pain and fear, reasonable similarities

Let's look at how fear, which has many similarities with pain, works:


Fear is our organism's way of inducing us to avoid what it has perceived as dangerous.


The ability to feel fear, like the ability to feel pain, is a neurophysiological ability that we all have. As in pain, the fear response involves genes, neurons, proteins, peptides... but they are not the cause, they are correlates, because fear does not exist at all, either, as something that can sprout from a neuron or a protein; fear is also born from a perception, it is always fear of something.


Its chronification doesn’t depend on a gene, a peptide, a protein or a neuron, it depends on the person's behavior: the more he avoids what he fears, the more the perception of fear increases, and with it the neurophysiological activation and the fear he feels. Conversely, if you face the thing you fear, the perception of danger decreases, and with it the neurophysiological activation and the fear you feel.


05

All heads hurt

It is exactly the same with headaches: it is one thing to have the capacity to feel a headache, which we all have (93% of people have some kind of headache during their lives, Rizzoli et al, 2018), and another to have it become chronic, something that depends on the behavior of the person, on the relationship they establish with the headache; not on neurophysiology, which is the guarantor of the sensation, never the cause.

However, neuroscience twists reality to make it fit its theory, and looks for the origin of chronic headache pain in some structure or process of the organism, leaving aside one of the few certainties we have: all pain has its origin in a perception.


There is not a single proof of disease in the organism of a person with chronic headache (nor will there ever be), and from a logical point of view, it makes no sense; nevertheless, with an eagerness that has much more to do with faith than with science, this path continues to be insisted upon. In the words of Hegel, if the facts do not agree with the theory, so much the worse for the facts.

The history of medical research into headache pain is a long history of confusion between correlates and causes: just because genes, proteins, peptides or neurons are involved in pain does not mean that they are the cause.


It is no coincidence that despite being the most widespread model, it is the least successful: no one has ever overcome migraine with a drug and no one ever will. Because the drug, at best, blocks the neurophysiological activation that triggers the perception, but as it cannot change the perception itself, the headache returns without remedy. The person thinks that thanks to the drug they can manage the outbreaks, when the reality is that due to the drug they are stuck in a loop of headaches, by delegating to the drug a task that only the person can do: change a perception.

06

How do you change perception?

We know that all pain is linked to a perception, and that all perception is irremediably linked to behavior. Therefore, to change perception we must change behavior:


  1. The essential characteristic of a chronic headache sufferer is that they stop living in the world to focus on their head, and the more attention they pay to it, the more likely they are to get headache pain. In fact, keeping a headache diary is one of the best ways to chronic it. Typically you say: When I don't have a headache I will do such and such, I will go to this or that... and you have to turn it around: you don't have to get over the headache to get your life back, you have to get your life back to get over the headache.
  2. In particular, you need to pay special attention to how you respond to the headache. When the headache starts, it means that your body has made a threat perception that, depending on how you react, will tend to get worse or go away. If you panic, get nervous or go into a darkened room, you are feeding the threat perception. Conversely, if, as far as the pain allows, you try to remain calm and maintain a certain level of activity (without forcing too much), the perception will tend to subside, and with it the neurophysiological activation and with it the pain. You have to react as if everything is fine, to show your body that there is no threat.

It is no coincidence that there are so many different remedies for headaches (botox, dietary changes, sport, piercing, acupuncture...), which work for some people but not for others.

If one works, how can another totally different one work?, why can't they be systematized for use with all patients,? what do they have in common?

What works is not the remedy itself; it is the fact of doing something different, which by chance and without premeditation, changes the perception in that person, being impossible to replicate it in another, because a perception is a particular opinion of reality.

07

Neuroscience

Few disciplines have not yet fallen into the fashion of justifying themselves through neurons (neuromarketing, neuroeconomics, neuropsychoanalysis, neurorobotics, neuropsychology, neurolinguistics...), because the light radiated by neuroscience and the brain, today covers everything. However, the key to overcoming headaches lies beyond neurons, and beyond neuroscience, which, in this case, far from illuminating, dazzles us with its light.

Based on the knowledge we have today about pain, there is no scientific reason to consider neurology as the right discipline to treat chronic headache. Neurology should deal with the biological problems of the nervous system, with that which is strictly medical (brain hemorrhages, paralysis, cerebral infarcts...), not with that which is felt by the person, because there is no pattern of connection between brain states (what happens in the brain) and mental states (what the person feels), and there will not be because they are different epistemological levels.

For example, the brain areas activated in an experience of pain, in the same person in the same painful stimulus, are not even always the same. Therefore, even if we manage to totally control what happens in the nervous system, we will not control the pain. What appears in the person's consciousness, what they feel, is determined by behavior, not by what happens in the nervous system. Trying to overcome chronic headache by studying neurons is like learning to dance by studying muscle fibers.

Medicine is a model based on physics, in a closed system. An ideal method of analysis for studying things that can be isolated, such as the kidney, the liver or a knee, but inappropriate for studying the brain, because its essential characteristic is the continuous interaction with the environment. Studying migraine by isolating the brain is like studying tidal phenomena by analyzing water molecules, leaving aside the relationship between the Earth and the Moon.

Chronic headache is infinitely more similar to a phobic disorder than to a neuronal disease. In fact, there is no evidence of disease in the organism of a headache sufferer. And just because it is not a disease does not mean that it is not a serious problem; it means that it is a serious problem that requires a different approach.

If you want to know more about this approach, take a look at my blog, the book or write to me.

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