Case Study: Migraine with PMS & Anxiety

I wanted to share a case study today of a real-life client of mine from last year, as it demonstrates a point I often make about Naturopathy: when we address the causes of one condition, we often clear up other issues at the same time.

Mandy (not her real name but she has provided permission to share her case here) was 37 when she came to see me about her worsening migraine attacks. She told me that she previously used to get a migraine once a month – just before her period – but now she was getting 3 or 4 migraines a month.

She thought this had starting happening a year ago after a particularly stressful event. She had tried different medications and painkillers from her GP – which helped for a while – but then the regular migraines would re-occur. She had also seen a neurologist and had been referred for an MRI, but no abnormality in the brain was found. The next step was to go on a preventative medication, but she was concerned about the side effects, and so came to see me.

Mandy had other health concerns as well. She was experiencing PMS which hadn’t been an issue before and noticed that she was anxious about things that wouldn’t usually bother her. Since having her second child two years ago, she had been overweight, and was finding it difficult to find the motivation and energy to eat well and exercise. Mandy reported recurring thrush and sometimes said her lower abdomen felt uncomfortably bloated at the end of the day.

Mandy was having difficulty sleeping and was tired all day. She felt “so stressed, overwhelmed and like she was close to having a breakdown”.

She had tried avoiding citrus, coffee and chocolate, because she had heard they caused migraine – and also tried to go gluten-free for a couple of weeks but didn’t notice a difference in her migraines. Mandy had also experimented with a magnesium she purchased from the chemist but hadn’t noticed a difference. She was concerned about sugar cravings and did not know how to eat less sugar because she craved it so much, particularly after meals.

Based on Mandy’s presentation, and following food intolerance testing, microbiome testing and hormonal profiling, I started her on a customised food plan which I created to be easy to follow and also could be simply adapted for family meals. For the first week we started by making gradual changes to make the transition easier. This program involved avoiding all refined carbohydrates, while eating lean protein, plenty of vegetables and high quality fats to fuel her brain and body.

As her migraine seemed to be driven by stress and hormones, I also prescribed an individual treatment protocol consisting of herbal and nutritional supplements for:

- Stress

- Nervous exhaustion

- Hormonal support

- Plus a liver and digestive microbiome support for the thrush and bloating

I replaced her ineffective off-the-shelf magnesium supplement with one that was better absorbed and indicated for migraine. Finally, I suggested some daily habits she could implement for migraine prevention and stress management.

Mandy returned for appointments every 2 to 3 weeks for 3 months.

After four weeks, Mandy reported that her anxiety was considerably lower. She felt that her energy and mood had improved. She reported a headache around her period, but it was no where near as severe as previous migraines. The bloating had not occurred again either.

By week 6, Mandy was sleeping better, and had not had another migraine. She had lost a little weight, and her clothes were fitting better. She commented on how much more energy she had, and that she felt more able to cope when stressful events happened. She was enjoying work more and had more energy for her family.

At week 12, she had not had a significant migraine attack. At times she had thought she might be getting one – particularly if it had been a big week at work - but had used some of the strategies I had provided to help manage a potential migraine. She had lost 6 kilograms and reported that she felt “so much happier in my own skin”. The PMS was not noticeable anymore – her last period had arrived without any moodiness, bloating or migraine.

Mandy said that she was enjoying her food plan now, and felt that her family was healthier as well, as she was cooking more nutritious foods. She was enjoying experimenting with clean food recipes. She no longer craved sugar as much as before either.

Mandy was such a pleasure to work with, as she was so committed and dedicated to following her treatment. She committed to her follow up appointments.

It’s a cliché – but the results really speak for themselves in this case. And it’s incredibly rewarding to be able to help people turn their health around. *happy dance*

If you have been thinking of seeing a naturopath, but not sure if I can help, then feel free to book in for a free 10 minute chat.