About this trial
The management of vestibular migraine is multifaceted and includes both pharmacological and non-pharmacological approaches. Aim of work Evaluate the efficacy of adding Cognitive Behavioral Therapy (CBT) to standardized Medical treatment on improving functional ability of Vestibular Migraine.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age: 18-60 years. Patients with a confirmed diagnosis of Vestibular Migraine according to ICHD-3 (Not better accounted by another vestibular disorder or another disease) Psychological state: Patients with stable general and psychological condition.
Disqualifiers
Age: below 18, above 60 years Other Vestibular Disorders as Ménière's disease, Benign Paroxysmal Positional Vertigo, Vestibular neuritis and Central neurological disorder Systemic or Other Causes Orthostatic hypotension Anxiety/panic disorders Drug-induced dizziness Psychological state: Patients with active psychiatric disorders requiring immediate intervention.
Trial design
Parallel
Treatments tested in this trial
•Group A: Patients will receive Medical treatment only: Beta-blockers (Propranolol) , Calcium channel blockers
DrugGroup A: Patients will receive Medical treatment only: beta blocker :20 mg twice daily ca channel blocker:5 mg once daily
Group B: Cognitive Behavioral Therapy (CBT) +Medical treatment
DrugStructured CBT program consisting of 6-8 sessions over 8 weeks . Session 1: Psychoeducation about Vestibular Migraine Session 2: Progressive muscle relaxation and mini relaxation Session 3: Increasing pleasant activities and coping with fear Session 4: Cognitive Restructuring Session 5: Trigger management and skill review. Session 6: Impact of thoughts and feelings (stress management and calm statements) Session 7: Skill review and self -monitoring process Session 8: Summery and review (if needed)
Treatment groups
Trial outcomes
Primary outcomes
improving in Functional Ability of patients with vestibular migraine
1-DHI score Dizziness Handicap Inventory (DHI) is a 25-item self-assessment scale used to evaluate the self-perceived handicapping effects imposed by dizziness. The total score ranges from 0 to 100, where 0 indicates no handicap and 100 indicates severe handicap.
Sponsors and contacts
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