Table 2 The objectives of each CBT session for the CPTH treatment patients

1

Introduction to the group and the diagnosis CPTH and it’s possible origins.

2

Introduction to the cognitive model and the stress-pain connection, identify stressors, and goal setting.

3

What is concentration? Memory problems and their possible origin when having headache. Relaxation technique: breathing exercise.

4

Memory and reading strategies. Management of energy. Relaxation technique: Progressive muscle relaxation.

5

Pain model. Acceptance and behaviour towards headache. Relaxation technique: short breathing exercise with body scan.

6

Acceptance of present headache state. Management of energy. Relaxation technique: visualisation of pleasant place.

7

Define and identify Negative Automatic Thoughts (NAT) Relaxation technique: visualisation mental preparation.

8

Examine NAT, develop alternative more adaptive thoughts. Relaxation technique: visualisation problem solving.

9

Integration and maintenance of new techniques and concepts.