Treatment for Migraine and Mood

Inclusion Criteria:

• Currently meets ICHD-3 (International Classification for Headache Disorders - 3rdEdition) criteria for migraine using the American Migraine Prevalence and PreventionDiagnostic Module

• Self-reported 4-14 headache days per month, with at least one attack meetingmigraine criteria

• Score between 5-14 on the PHQ-9 (Patient Health Questionnaire)

• Age ≥ 18

• Ability to read and speak English

• Capacity to consent

• Prospective diary-confirmed 4-14 headache days per month, with at least one attackmeeting migraine criteria

• ≥1 year of migraine

Exclusion Criteria:

• Meeting ICHD-3 criteria for persistent headache attributed to traumatic injury tothe head (post-traumatic headache) on the American Migraine Prevalence andPrevention Diagnostic Module

• Changes in preventive migraine medication or anti-depressant medication within 6weeks of intake

• Changes in longer-term migraine prevention (onabotulinum toxin A, injectable or oralanti-calcitonin gene related peptide treatment; neuromodulatory device) within 3months of intake

• Changes in acute migraine treatment started within 4 weeks of enrollment

• Comorbid psychiatric illness or clinical features that would interfere withparticipant's ability to participate in or receive benefit from the intervention,including but not limited to: active suicidal ideation; recent history of psychosisor mania; borderline, histrionic or narcissistic personality disorder; cognitiveimpairment; sensory disabilities; bipolar disorder; obsessive-compulsive disorder,drug use

• Prior history of engaging in formal mindfulness-based interventions including: MBSR (Mindfulness-based stress reduction), MBCT (Mindfulness-based cognitive therapy),Acceptance and Commitment therapy, Dialectical Behavior Therapy

• Current daily meditation practice

• Inability to adhere to headache diary during baseline evaluation period (recordedfewer than 25/28 days)

• Unwilling to maintain stable current acute or preventive medication dosages forstudy duration

• Any condition that would prevent being a suitable candidate or interfere withmedical care needs