“People often think migraine is just a bad headache — it’s far more complex than that.”
That’s how Pascal Derrien, CEO of the Migraine Association of Ireland, opens his conversation with host John Comiskey on Disability Matters. His words set the tone for a discussion that moves beyond myths, breaking down the reality of living with this often-misunderstood condition.
A Condition Hidden in Plain Sight
“It’s multi-faceted, and that makes it very difficult to diagnose and to treat.”
Migraine can mean much more than head pain — over 200 recognised types exist.
For some, it brings days of nausea, vomiting, visual disturbances, dizziness, or even temporary paralysis. For others, it’s part of another condition like multiple sclerosis or brain injury.
The World Health Organization ranks migraine as the number one most disabling chronic condition for women in their prime working years, and seventh overall. Yet, because it’s not life-threatening, it often slips down the list of public health priorities.
The result? Lost productivity worth an estimated €260 million each year in Ireland, as people work through attacks without proper treatment.
Barriers to Diagnosis
“The patient sometimes knows more about their condition than the first doctor they meet.”
It takes, on average, eight years to get a migraine diagnosis in Ireland. One reason is the shortage of neurologists — just 1.2 per 100,000 people here, compared to over nine in many European countries. Another is limited migraine training for GPs.
“At undergraduate level, there’s less than four hours on migraine and headache disorders,” Pascal explains. “That knowledge gap delays treatment and leaves many people misdiagnosed or relying on self-medication, which can actually make things worse.”
Finding the Right Treatment
Migraine management is deeply personal. Some people stop attacks with acute medication, others use preventive treatments or a mix of both. Lifestyle habits — sleep, hydration, gentle exercise — can help, but there’s no universal fix.
Complementary therapies like yoga or acupuncture can work for some, but Pascal warns against unproven “miracle cures” sold online. “If it’s not backed by medical research, talk to your doctor before trying it,” he says.
Living Well with Migraine
“Don’t panic — learn your triggers, track your symptoms, and remember you’re not alone.”
Pascal’s advice for those newly diagnosed is straightforward: stay in touch with your GP, track symptoms with a diary, and understand your triggers.
The Migraine Association provides paper and digital diaries, an information line, and workshops — including self-empowerment and compassion-focused therapy groups run in partnership with Beaumont Hospital.
“It’s about giving people the tools to manage their condition without feeling like a victim,” Pascal says.
Education, Advocacy, and Support
Founded at a kitchen table 30 years ago, the Migraine Association now delivers:
- Public webinars with medical experts
- Workplace awareness talks
- Accredited GP and pharmacist training
- Resources for people living with migraine
Later this year, a migraine-friendly website will launch with a guidance bot offering reliable, out-of-hours information. “It won’t diagnose you — but it will give curated content you can trust,” Pascal explains.
A Call for Change
“Migrainers are not slackers — they just need small adjustments to thrive.”
From softer lighting to flexible scheduling, workplace adaptations can make a huge difference — and they’re often low-cost.
With a staff of just five, the Association depends on donations to keep services going. “Every euro goes into information materials, services, and supporting people,” Pascal says.
His message is simple: “If you don’t know much about migraine, reach out to us. We may not have all the answers, but we’ll help you find the right ones.”
🔗 Learn more: migraine.ie
Disability Matters airs every Thursday at 4PM on Phoenix 92.5FM, with repeats on Monday at 3PM and Tuesday at 7AM & 3PM. Podcast available after each show on Mixcloud and on bcil.ie/radio.
