Over and over migraine papers confuse cause and effect re: personality traits and behaviours and increase stigma towards people with migraine and the actual psychological difficulty of living with it. Like dude, people with migraine don’t get migraine because they “have tendency to hypercontrol.” They’re controlling because sticking to regular routine and managing stimuli are literally standard recommendations for reducing and managing migraine attacks. Oh you think I’m pathologically harm avoidant for not doing something that reliably puts me in the ER? Cool beans. But thanks for running the statistics without considering the direction of potential causation, now medical professionals can just tell me to loosen up a little. This is not different from the old, deeply sexist psychoanalytic “migraine personality” bullshit.