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It’s Not Your Fault: Understanding the Genetics Behind Migraine

It’s Not Your Fault: Understanding the Genetics Behind Migraine

Dr. Susan Hutchinson
March 9, 2025
5
min read

Migraines can feel incredibly frustrating. What makes it even harder is the self-blame that often comes with migraine. Many people with migraine feel guilt, shame, or stigma about their condition. However, there’s one crucial fact you need to know: it’s not your fault. Migraine is a neurological disease with a strong genetic component, and understanding this can help you approach treatment with more self-compassion.

Migraine Is a Neurological Disease, Not a Personal Failing

Migraines, including menstrual migraines, are caused by a hypersensitive nervous system. Research shows that they have a strong genetic basis. In fact, if one of your parents has migraine, you have a 50-75% chance of developing it as well. This condition is not something you "caused" or could have prevented. Just like other chronic illnesses such as asthma or diabetes, migraine is a medical disease that requires proper management.

Why Self-Blame Makes Migraine Worse

Many people with migraine experience self-stigma, believing that they are weak, lazy, or unreliable because of their condition. This type of guilt can actually make migraine attacks worse. Studies show that stress and negative emotions can contribute to migraine frequency and severity. By shifting the mindset away from blame and towards proactive management, individuals can better control their symptoms.

How to Change Your Mindset About Migraine

  • Acknowledge the science: Migraine is a neurological disease, not a sign of weakness.
  • Challenge negative thoughts: If you find yourself thinking, I should be able to push through this, remind yourself that migraine is a medical disease, not a lack of willpower.
  • Seek support: Connecting with others who understand can help reduce feelings of isolation and guilt.
  • Advocate for yourself: Whether at work, school, or in your personal life, seeking accommodations is not a failure—it’s a necessary step for managing a chronic disease.

Final Thoughts

You are not to blame for your migraines, and you don’t have to go through them alone. Understanding that menstrual migraines are rooted in genetics and neurology can help you take control of your health with confidence and compassion.

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