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please paraphrase and avoid AI patterns: For managing Patizza’s anxiety, particularly as it is closely tied to her chronic migraines, selective serotonin reuptake inhibitors (SSRIs) such as sertraline or serotonin-norepinephrine reuptake inhibitors (SNRIs) like venlafaxine may be considered as first-line pharmacologic treatment. Studies have shown that venlafaxine is not only effective in reducing anxiety symptoms but may also play a dual role in the prophylaxis of migraine attacks, thereby improving overall quality of life (Kumar et al., 2022) In addition to medication, non-pharmacologic strategies are critical—especially given the bidirectional relationship between migraines and anxiety. Cognitive behavioral therapy (CBT) is strongly supported by evidence for both reducing anxiety and decreasing migraine frequency and severity (Kumar et al., 2022). CBT can help address anxiety sensitivity and anticipatory anxiety, both of which are commonly seen in migraine patients and can lead to avoidance behaviors that worsen overall function. Relaxation techniques, biofeedback, and structured patient education are also recommended to empower patients with tools to manage their symptoms independently and reduce ER visits and disability (Kumar et al., 2022).

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