Headache and Migraine Diary
A headache and migraine diary recording timing, intensity, possible triggers, treatments and helpful strategies, with noted patterns.
1-page fillable PDF · US Letter (prints on A4) · Self-monitoring · Behavioural headache care
- Approach / concern
- Chronic Pain
- Technique
- Self-monitoring · Behavioural headache care
- Format
- Fillable PDF, 1 page (US Letter / A4)
- Access
- Pro and Advanced plans (3-day free trial)
- For
- Licensed clinicians to use with clients
- Updated
- October 2026
Key facts
What is the Headache and Migraine Diary?
Headache diaries support diagnosis and management of migraine and tension-type headache by identifying triggers, medication use and treatment response.
Why it works
Nicholson et al. (2011) describe behavioural treatments for headache, including self-monitoring, relaxation and CBT. Psychosocial factors influence pain outcomes (Nicholas et al., 2011).
When to use it
- Migraine and tension-type headache
- Medication overuse concerns
- Stress-related headaches
- Medical appointments
How to use it in session
- Record each headache.
- Note triggers.
- Log treatments.
- Review patterns.
- Share with providers.
Clinician tips
- Watch for medication overuse.
- Combine with relaxation and CBT.
- Refer for new or changing headaches.
Worked example
Sharing with clients
Members can download the PDF to print or email, or copy a private client link from the download box. Your client opens the link and downloads the worksheet on any device. No client account is needed, and nothing your client writes is stored on TherapyAid.
Frequently asked questions
What triggers migraines?
Common triggers include sleep changes, stress, skipped meals and hormones, but they vary.
Can psychological treatments help headaches?
Yes. Relaxation, biofeedback and CBT have evidence for headache.
References
Nicholson, R. A., Buse, D. C., Andrasik, F., & Lipton, R. B. (2011). Nonpharmacologic treatments for migraine and tension-type headache: How to choose and when to use. Current Treatment Options in Neurology, 13(1), 28-40.
Nicholas, M. K., Linton, S. J., Watson, P. J., Main, C. J., & the “Decade of the Flags” Working Group. (2011). Early identification and management of psychological risk factors (“yellow flags”) in patients with low back pain: A reappraisal. Physical Therapy, 91(5), 737-753.
This worksheet is an educational tool for use by, or under the guidance of, a licensed or registered mental-health professional. It is not a diagnostic instrument or a substitute for clinical judgement. If a client is in crisis in Canada, call or text 9-8-8 or call 9-1-1.
