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Migraine Anxiety: How to Calm the Fear That Triggers Your Attacks
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Migraine Anxiety: How to Calm the Fear That Triggers Your Attacks

11 min

Afraid of your next migraine attack? Learn how migraine anxiety fuels pain—and what you can do to stop living in fear.

00:00
-11:00

That looming fear of the next migraine attack? It’s not in your head—and it’s not your fault. The Migraine Heroes Podcast is your guide to healing migraines at the root—through science, story, and the ancient wisdom of Eastern medicine. Hosted by Diane Ducarme, who has helped over 500 migraine sufferers reclaim their lives, this podcast is where evidence meets empathy. In this episode, we deep dive into migraine anxiety—why it happens, how it fuels your pain, and what you can do to stop living in fear. You’ll:

  • Discover how anxiety keeps your nervous system stuck in survival mode—and worsens migraine frequency
  • Learn about Polyvagal Theory and how to regulate your internal “threat detection system”
  • Walk away with self-soothing tools, nervous system resets, and daily rituals to reclaim calm and confidence

We’ll explore both Western neuroscience and Eastern traditions like Traditional Chinese Medicine to help you understand the root of your anxiety and how it affects migraine patterns—from your gut to your brain. Whether you’re experiencing chronic anxiety or simply want to break the migraine-fear loop, this episode offers gentle, powerful shifts—backed by real stories of healing from our Migraine Heroes community. 🎧 Tune in every Monday and Wednesday for science-backed, soul-nourishing episodes that go beyond surface-level solutions.

Transcript

[00:00]

Feeling like your next migraine is stalking you?

[00:03]

What if you could learn to face the fear instead of fleeing from it?

[00:10]

Migraine Heroes is a podcast for chronic migraine sufferers who've seen countless doctors with

[00:15]

no results.

[00:18]

Learn how to reduce your migraine attacks without endless medications or constant sacrifices.

[00:23]

Hello, I'm Diane Ducarme.

[00:25]

I've helped over 500 people break free from migraine, even after suffering for up to 60

[00:32]

years.

[00:33]

My mission in life?

[00:34]

To bring this relief to a million people using a unique blend of Eastern medicine and Western

[00:39]

science.

[00:40]

In this episode, you will learn how anxiety and fear fuel the migraine cycle and practical

[00:49]

tools to break that loop.

[00:52]

rooted in modern science to calm your nervous system fast, and self-care habits that you

[00:57]

can start today to regain confidence and stop being ruled by your next headache.

[01:03]

Stay with me until the end as the coping strategies I will share here and that worked at Migraine

[01:08]

Heroes might actually be quite different from what you've been reading or have been taught.

[01:14]

At least that was the case for me.

[01:17]

Let's talk about anxiety and why it's more than just a side effect when it comes to migraines.

[01:23]

For so many of you living with migraine, anxiety isn't just a feeling, it's a pattern.

[01:29]

You start fearing the next attack, scanning your body for early warning signs, avoiding

[01:34]

certain foods, smells, or even social plans.

[01:37]

This constant state of alertness.

[01:41]

Here's what the research tells us.

[01:43]

If you suffer from migraines, you're up to five times more likely to experience anxiety.

[01:49]

And anxiety is strongly tied to how often and how intensely you get migraines.

[01:55]

It's not just emotional noise, it's a biological trigger.

[02:00]

A major 2023 study out of Germany found something powerful.

[02:05]

Every single anxiety symptom, trouble sleeping, trouble relaxing, racing thoughts, makes migraine

[02:11]

worse.

[02:13]

More days of pain, more tension, more impact on your life.

[02:17]

And get this, in the US, if you get three or more migraine days a month, you already

[02:21]

qualify for an anxiety screening.

[02:24]

That's how closely the two are linked.

[02:28]

What's happening in the brain?

[02:30]

Chronic worry keeps your stress system activated.

[02:32]

Cortisol rises, muscles in your neck and scalp tighten, your nervous system gets jumpy, hypersensitive.

[02:40]

It's the perfect storm for just another attack.

[02:44]

And here's the kicker,

[02:46]

the more you try to avoid the pain, the worse it gets.

[02:50]

Avoidance and catastrophizing shrink your world and ramp up your suffering.

[02:55]

Okay, not great.

[02:57]

So let's break down the different states of the nervous system and then be able to understand

[03:01]

how to act on it.

[03:03]

So imagine your nervous system as a security system.

[03:06]

It's job to keep you safe.

[03:08]

And according to Dr. Stephen Porteous, the neuroscientist behind the polyvagal theory,

[03:13]

it's not just one alarm system,

[03:15]

it's a whole layered network with three distinct states.

[03:20]

State number one, what is called safe and social,

[03:23]

your ventral vagus state, what I prefer to call your rest and digest.

[03:28]

This is your I feel calm, I feel connected, composed, curious.

[03:32]

Your heart rate is steady, your breath is relaxed, and you're open to others.

[03:37]

This is where healing happens, when you feel safe in your body and the world around you.

[03:43]

This is when the food we recommend you in Migrant Heroes go to the right place.

[03:49]

State number two, fight or flight, the sympathetic system.

[03:53]

When you sense danger, this gear kicks in.

[03:57]

You feel jittery, anxious, your heart races, you're ready to run or fight.

[04:02]

It's your body's way of saying, something's not right,

[04:05]

let's get out of here.

[04:07]

There's not too much room for digestion here, as you can guess.

[04:10]

Your body is in a panic alarm mode, and there's no room for anything else really.

[04:16]

State number three, freeze or shutdown, the dorsal vagus system.

[04:21]

If the danger feels too overwhelming, or there's no way to escape, your system may go into shutdown.

[04:29]

You feel numb, disconnected, maybe even hopeless.

[04:33]

This is your body saying, let's power down to survive.

[04:36]

This is something I see in my work a lot as well.

[04:41]

What's beautiful about polyvagal theory is that it reminds us our responses are not flows,

[04:47]

they're ancient survival wisdom.

[04:49]

Your body is doing its best with what it knows.

[04:53]

But here's where it gets tricky, because while your body thinks it's protecting you,

[04:57]

it can sometimes get stuck in overprotection mode.

[05:01]

That ancient worrying doesn't always match modern life, so you might find yourself panicking

[05:06]

in a situation that isn't actually dangerous.

[05:09]

It's not your fault, but it can limit your freedom, your relationships, your joy.

[05:14]

That's why awareness matters.

[05:16]

Once you understand what your nervous system is doing, you can start to work with it instead

[05:21]

of feeling trapped by it.

[05:24]

So then what to do?

[05:26]

Before I tell you what to do, I want to share how I found out, because this changed everything

[05:31]

for many of our heroes.

[05:34]

So when someone finishes their journey with us at Migraine Heroes, when they're feeling migraine-free,

[05:38]

I try to meet with them.

[05:41]

I do an exit interview, just the two of us.

[05:43]

It's almost like I meet them for the first time, and I ask, how did you go?

[05:48]

What could we do better?

[05:50]

And most importantly, what will you do with your precious life moving forward?

[05:54]

I always try to do them.

[05:56]

It's not always realistic, given my agenda, but I try to.

[05:59]

It gives me so much joy.

[06:01]

And I know it might sound surreal, but it's very real.

[06:03]

And these moments are full of joy and grace.

[06:05]

And this is my carrot for all the work that I do.

[06:08]

One day, I had such a conversation with a woman named Dulti.

[06:12]

Dulti had lived through 4,000 consecutive days of migraine.

[06:16]

And when I asked her, now that you have time and clarity again, what will you do?

[06:22]

She posed and she said, I want to work more.

[06:24]

I'm trained to help people with trauma.

[06:27]

And that was a light bulb moment.

[06:29]

At Migraine Heroes, we try to help 100% of the people we serve.

[06:32]

I meet each person over Zoom.

[06:34]

It's soul to soul.

[06:35]

But there were a few profiles at that given time, a few people we weren't helping enough.

[06:41]

And the only common thread they had was trauma.

[06:44]

So I asked Dulti, can I send some of them to you?

[06:48]

Mind you, we weren't profitable.

[06:49]

This was coming out of my own pocket, and I had no intention to make them pay more.

[06:53]

But I had to know, were we doing everything right with food and lifestyle?

[06:58]

And why wasn't the body ready to heal?

[07:01]

The feedback, raving, deep, powerful, lasting change.

[07:07]

So much so, that I sat down with Hélène, one of our health practitioners. And we wondered

[07:12]

together, would this help people with anxiety too, even without trauma?

[07:18]

And it did, again and again.

[07:20]

Today, Dulti is a full part of the team.

[07:22]

If you're on the app, and you have access to the chat, or if you've joined any of our

[07:26]

support groups across the US, Canada, Australia, New Zealand, you've likely met her.

[07:31]

And this is why we don't just treat symptoms, we follow the story until the story changes.

[07:37]

So what do you do when an anxiety attack shows up?

[07:42]

You don't fight it, you don't scold yourself, you acknowledge it.

[07:48]

You say to your body, hey, I know you're feeling anxious, even though we're actually safe.

[07:52]

And that's okay.

[07:53]

You don't try to fix yourself, you sit with it.

[07:56]

You normalize the sensation, you expect it. And when it comes, you greet it, like an old

[08:03]

friend. Huh,

[08:04]

there you are! No panic, no resistance, just presence.

[08:09]

You tell yourself, it's okay for my nervous system to respond this way. Because what's

[08:15]

really happening is this, you're no longer afraid of being afraid. And that, that is

[08:22]

the turning point.

[08:24]

Then gently you ask your body, what do you need to feel safe again, dear body?

[08:28]

And maybe it's eye contact with someone calm. Maybe it's deep breathing. Maybe it's limping

[08:33]

into a soft pullover that carries good memories. Maybe it's looking at a photo that reminds

[08:38]

you of a time when you felt safe, loved, and grounded. Maybe

[08:42]

you're externalizing your body and saying, I expected this.

[08:47]

It's one of your modes, and I'm here to support you in that mode.

[08:51]

Now I know this may sound abstract, but I've seen it work over and over again.

[08:56]

Let me share a story.

[08:58]

One of our heroes, we call her Patricia. She just celebrated today, her fourth day pain-free

[09:04]

after years of chronic migraines. Years, she was chronic, daily.

[09:08]

When she joined our group calls, what she felt most grateful for, that was a couple

[09:12]

of weeks ago, probably at least a month ago, wasn't the lack of pain. She was still in

[09:17]

pain. It was that

[09:18]

she no longer feared the pain. And that, my friends, is a kind of freedom we don't talk

[09:23]

about enough.

[09:24]

Her daughter even joined one of our calls and thanked us.

[09:29]

She thanked me in an onboarding call for giving back her mother. And therefore she decided

[09:34]

to start on the program as well.

[09:35]

And so I want to thank Patricia for her energy, for what she brings in the world, for that

[09:40]

beauty of letting go and accepting and welcoming her fear, and therefore letting me do my job

[09:46]

and have the foods enter the body the way they have to enter and do what they're supposed

[09:50]

to do.

[09:51]

So if this feels abstract right now, maybe listen to this again. Just that little part.

[09:58]

Try it out. Sit with it. Try it and come back to it. Let me know where you are and see the

[10:03]

new sensation awaken from there.

[10:06]

You don't need fancy tools. Your body already knows what to do. You're just learning to

[10:11]

listen and to lead with calm and compassion.

[10:15]

And remember, every small step you take moves you closer to freedom.

[10:20]

You are powerful, you are resilient, and you are no longer alone.

[10:25]

Keep rising, Migrant Hero. You are powerful, you are resilient, and you are no longer alone.

Originally published June 2025

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Migraine Anxiety: How to Calm the Fear | Migraine Heroes