[Tension-type headache--diagnosis and therapy].

According to the classification of the International Headache Society, an episodic and a chronic form of tension-type headache are distinguished. In most cases the headache is less severe than in migraine patients. For this reason many patients never consult their doctor. In the treatment of such patients, one must be very cautious with analgesics. There is a considerable risk of chronic use of these medications, which may be the cause of a chronic daily headache. Relaxation techniques and cognitive training have been shown to be helpful. Most experts consider amitriptyline to be the best long-term medication.