CGRP HEADACHE MEETING led by Audrey, Halpern, MD on Thursday, October 25

CGRP HEADACHE MEETING
Topics: CGRP Therapies and Migraines, Questions & Answers
Audrey Halpern MD, is excited to discuss the benefits of CGRP!
What is it? How can it help you?
A CGRP Drug is a unique migraine treatment that has shown promising results and has recently been been approved by the FDA!
Learn all about the different types of CGRP and which one may be best for you.
Audrey Halpern, MD has invaluable information that can help you!
Come to our headache meeting!
Bring a friend!
Remember, you are not alone when dealing with HEADACHES!
Refreshments and finger food served!!!
Meeting led by: Audrey Halpern, MD
The Manhattan Center for Headache and Neurology
Thursday, 10/25 at 6:00 pm
108 West 39th Street suite 1601, 16th floor NY, NY 10018
RSVP (please call and reserve your seat), 646-559-4659

Obsessive Compulsive Disorder

Obsessive Compulsive Disorder (OCD) is categorized by repetitive, unwanted, intrusive thoughts (the obsession component) and irrational, excessive urges to do certain actions (the compulsion component). Even though people with OCD may know that their thoughts and actions do not make sense, they are often unable to control or stop themselves. Most people occasionally have obsessive thoughts or compulsive behaviors. However, to truly have OCD these symptoms last for more than an hour daily and interfere with daily functioning of the individual’s life.
Examples of obsessions include but are not limited to: thoughts about harming or having harmed someone; doubts about having done something correct such as turning off the stove or locking the door; unpleasant sexual images; or fears of saying or shouting inappropriate things in public.
Compulsions are repetitive acts that temporarily relieve the stress brought on by an obsessive thought. Examples of compulsions include but are not limited to: handwashing due to fear of germs; counting and recounting money because the individual is not sure that they counted correctly each time; checking to see if a door or window is locked multiple times, or if the stove is off more than once; as well as ‘mental checking’ such as repeatedly going through a mental checklist to ensure they have done everything more than once.
Although OCD is not curable, it is very treatable. Medications and therapies help to keep the disorder under control, so the individual may live a better life. If you have or are experiencing any signs or symptoms of OCD do not be afraid to reach out for help. Using the right treatment modality for you will help to calm your brain, give you a sense of peace, and reduce the obsessive thoughts that take over. Let us help you if you are experiencing any of this discomfort!

By: Amanda Moret PMHNP, FNP

Non-medication Treatments for Migraines

There are non-drug treatments for migraines that are effective for some patients. People try treatments that aren’t drugs for several reasons: a. they just don’t like to take medications, b. side effects of medications, c. other treatments have not worked, and d. comorbidities that prevent them from taking migraine meds.

Here are some of the most common non-drug treatments for migraines

Acupuncture
Biofeedback
Massage
Relaxation Techniques
Exercise
Spinal Manipulation
Talk Therapy
Diet changes
Pressure
Sleep

By: Tanesha Reynolds, DNP, FNP

Hoarding Disorder

Hoarding disorder is defined by the drive to collect a large amount of useless or valueless items, coupled with extreme distress at the idea of throwing anything away. Over time, this situation can make a space unhealthy or dangerous to be in for a person.
Hoarding disorder can negatively impact someone emotionally, physically, socially and financially. This often leads to distress and disability. In addition, many hoarders cannot see that their actions are potentially harmful, and therefore may resist diagnosis or treatment. Intervention by family and friends may be needed to call attention to this and help the person get treatment.
Treatment is available for hoarding!! Different therapy modalities can help the person work on thought processes to begin to eliminate certain stressors from their life. Once these stressors are eliminated the individual can often feel able to eliminate the useless items they have collected, such as old newspapers, trash, and other items that do not have value. Early intervention is the best way to effectively treating hoarding disorder. If you or someone you know is beginning to exhibit any signs of hoarding please reach out for help.

By: Amanda Moret, PMHNP, FNP

Postural Tachycardia Syndrome in Migraineurs

Postural Tachycardia Syndrome (POTS) is a disorder that causes lightheadedness, fainting and a fast heart rate. POTS was found to be common among patients with migraines in a recent study reported by the National Headache Foundation.

According to the study, “46% of migraineurs experienced syncope—a loss of consciousness because of a drop in blood pressure—at least once and were more likely to experience recurrent syncopal episodes than people without migraine. These and other findings suggest that migraineurs may be predisposed to having symptoms of orthostatic intolerance—problems that appear when standing up but disappear when sitting or lying down.”

POTS is a very common autonomic disorder, but diagnosis is challenging and often missed.
If you are experiencing headaches, cognitive difficulty, postural lightheadedness, syncope, and postural tachycardia, it could be POTS. Gastrointestinal symptoms such as constipation, diarrhea, and frequent urination may also be present.

There is no cure for POTS, but medications and lifestyle changes can help to control the symptoms.

By: Tanesha Reynolds, DNP, FNP

AJOVY: FDA approves new CGRP monoclonal antibody!

On September 14th, the FDA approved Ajovy for migraine prevention This is the 2nd antibody to be approved specifically for the prevention of migraine. Indeed, it is a very exciting time for migraine research, migraine treatment, for migraine patients and care providers!
Ajovy is intended for migraine prevention in the form of monthly injections, in the case of Ajovy, there is a once every 3 month protocol that was approved. Also, tolerability by the patient has shown to be very good!.
This might be the right medication for you. Make an appointment to see our headache specialist to talk about migraine treatment options. We have Ajovy $0 copay cards available for our patients. During your consultation, inquire about eligibility! We are so excited to speak with you!

Binge Eating Disorder

A person with binge eating disorder loses control over their eating. They may eat large amounts or portions of foods in a very short period. The individual may even eat large amounts of food even if they are not hungry, or even after they are uncomfortably full. This then causes them to feel embarrassed, disgusted, depressed, or guilty about their eating behaviors.
A person with binge eating disorder, after an episode of binge eating, does not try to purge themselves after eating. Unlike individuals who suffer from anorexia or bulimia, they also do not try to exercise excessively either. A person who has binge eating disorder may be of normal weight, overweight, or even obese.
There are treatments for this. If you have experienced these symptoms do not be afraid to seek help. Medications and therapy can be very effective tools to help you change your mindset and lifestyle. Nutritional counseling is often involved as well to help regain insight and drive you towards a healthy goal. Early recognition and treatment leads to a better outcome, so reach out as soon as you notice symptoms in yourself or someone else. Let us help you!!

By: Amanda Moret, PMHNP, FNP

FDA approves new CGRP monoclonal antibodies!

On September 14th, the FDA approved Ajovy for migraine prevention, and now Emgality has been approved as well. These are the 2nd and 3rd monoclonal antibodies to be approved specifically for the prevention of migraine. A very exciting time for migraine research, migraine treatment, for migraine patients and care providers!

While each of these treatments, Aimovig, Ajovy, and Emgality, all have their differences, they have some similarities too. They are all intended for migraine prevention, they are all monthly injections, or in the case of Ajovy, there is a once every 3 month protocol that was approved as well. Also, tolerability is very good across all of these treatments.

One of these might be the right medication for you. Make an appointment to see a headache specialist to talk about migraine treatment options.

CGRP Discussion led by Audrey Halpern, MD Thursday, October 4 at 7pm

CGRP HEADACHE MEETING
Topics: CGRP Therapies and Migraines, Questions & Answers
Audrey Halpern MD, is excited to discuss the benefits of CGRP!
What is it? How can it help you?
A CGRP Drug is a unique migraine treatment that has shown promising results and has recently been been approved by the FDA!
Learn all about the different types of CGRP and which one may be best for you.
Audrey Halpern, MD has invaluable information that can help you!
Come to our headache meeting!
Bring a friend!
Remember, you are not alone when dealing with HEADACHES!
Refreshments and finger food served!!!
Meeting led by: Audrey Halpern, MD
The Manhattan Center for Headache and Neurology Thursday, 10/04 at 7:00 pm
108 West 39th Street suite 1601, 16th floor NY, NY 10018
RSVP (please call and reserve your seat), 646-559-4659

Bulimia Nervosa

People who have bulimia will feel out of control when binging on very large amounts of food during short periods of time. They then desperately try to rid themselves of the extra calories using forced vomiting, abusing laxatives or excessive exercise. This becomes a repeating cycle that controls many aspects of the person’s life and has a very negative effect, both emotionally and physically. People who have bulimia are usually normal weight or even a bit overweight.
Emotional symptoms of bulimia include low self-esteem overly linked to body image, feelings of being out of control, feeling guilty or shameful about eating, and withdrawal from friends and family.
Bulimia will likely inflict physical damage on the person’s body. The binging and purging can severely harm the parts of the body involved in eating and digesting food, teeth are damaged by frequent vomiting, and acid reflux is common. Excessive purging can cause dehydration that effect the body’s electrolytes and leads to cardiac arrhythmias, heart failure and even death. If you have experienced these symptoms or are experiencing these symptoms do not be afraid to seek help. There are treatments available to you that can help you manage this and overcome this disorder. Be a positive, healthier you!!

By: Amanda Moret, PMHNP, FNP