A health scepticism is often a good thing. It is very important in migraine to keep an open mind and not give up. The more dogged the patient is the more likely an effective treatment can be found. A migraine sufferer should learn to keep a good and accurate diary which should include a description of attacks as well as other facts including meals, exposures, activities, sleep, etc. Migraines are considered chronic if they occur frequently.
Migraines can affect individuals at any age.
It is not uncommon for migraines to present in childhood in the form of cyclical vomitting or abdominal discomfort. A new headache syndrome in a patient over 40 should be of great suspicion to the treating physican, and mor e serious problem should be considered. The attacks tend to lessen in terms of severity and frequency in later years although some unfortunate individuals my actually get worse as they get older. Any frequent headaches should be evaluated by a neurologist. A neurologist with a special interest in migraines would be the logical choice.