Cognitive Behavioral Therapy for Veterans With Comorbid Posttraumatic Headache and Posttraumatic Stress Disorder Symptoms

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Abstract
Military service members and veterans are at high risk for head injury compared with civilians.1,2 More than 369 000 US veterans have at least 1 mild TBI (mTBI),3 and many will report onset or worsening of headache (ie, posttraumatic headache; PTH) within 3 months of their head injury (though the connection between headache and head injury is sometimes unclear).4,5 Veterans are more likely than civilians to develop PTH after mTBI,1,6,7 and mechanisms of PTH are poorly understood.1,8 Clinical posttraumatic stress disorder (PTSD) symptoms are common among veterans with mTBI,5,9,10 and PTSD comorbid with mTBI may increase risk for PTH onset, severity, and disability11,12 while diminishing treatment response.9

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