This report is a continuation of previous research on the connection between migraine and mental health conditions, focusing on both the economic and social impacts of this comorbidity. It builds upon the findings from a Europe-wide survey, workshops, and expert webinars conducted by GAMIAN-Europe and the European Migraine and Headache Alliance. The previous report highlighted the struggles faced by women experiencing both migraine and mental health issues, such as depression and anxiety. In this follow-up,​ the report explores the co-occurrence of migraine and mental health conditions, particularly anxiety and depression, emphasizing the bidirectional nature of this relationship. This means that migraine can exacerbate mental health issues and vice versa. The report identifies substantial economic and social costs associated with this comorbidity. Healthcare approaches to treating this comorbidity are often fragmented, focusing on either migraine or mental health conditions but rarely addressing both in an integrated manner.

 Participants in the study reported frequent, unpredictable, and debilitating migraine attacks that profoundly affected their daily activities, personal relationships, and mental health. Stigma and discrimination in the workplace and healthcare services were common, and participants often felt misunderstood or that their condition was minimized. The need for more holistic, integrated treatment approaches was highlighted, as addressing both migraine and mental health simultaneously can lead to better outcomes