Patients with recurrent headaches are often referred from other departments to the Clinical Psychology Department of general hospitals, often with a long and recurring course of the disease, and with poor results and great suffering. How common is headache? It is estimated that 90% of the population has experienced headaches. Many causes can lead to intractable headaches, such as brain tumors, encephalitis, trauma, vascular spasm, vascular stenosis, blood circulation disorders, rhinitis, nerve compression, and cervical spondylosis. Among various headaches, tension type headache (TTH), also known as muscle contraction headache, is the most common type of headache in clinical practice. Domestic epidemiological statistics show that tension type headache accounts for 40% of headaches, with a prevalence rate of 37% to 78%, and the prevalence rate is high in the population. The prevalence of tension-type headache is high in the population. Tension-type headache is a common disease among modern city people, and about half of the headache patients can be categorized as tension-type headache. Stress at work and school, fatigue, and prolonged posture of the neck muscles (e.g., working and studying at a desk) are the main causes of tension headaches. It can be said that tension-type headache is a disease caused by both psychological and physical “tension”. Tension headache is slow and insidious, with diffuse symptoms, often a dull pain or a feeling of heaviness or tightness in the head bilaterally. The area of pain in tension-type headache is mainly confined to the whole head, often located at the top of the head, or in a band along the hairline, and about 50% of patients may have significant tenderness in the temporalis or related muscles of the posterior occipital region. The headache often lasts for hours to days, or is persistent and unremitting, mostly as a double-layer pressure or tightness-like (non-pulsating), mild to moderate headache, aggravated by daily life, such as walking or climbing stairs; and may be accompanied by photophobia or phonophobia, but without nausea or vomiting, and may have anorexia. In some patients with chronic tension headache, the headache attacks on average ≥15 days per month and more than 3 months per year. Although the pain is not severe, it is often prolonged, light and heavy, and often unsettling, thus seriously affecting work and study, and sometimes leading to depression or anxiety. A large number of surveys have found that patients with tension-type headache often have psychological factors such as tension, anxiety, depression, disappointment, and suspicion, and are often accompanied by physical symptoms such as shoulder and back pain, dizziness, belching, anorexia, fatigue, and weakness. Negative emotional factors often lead to recurrent tension headaches that linger for a long time. Tension-type headache is the most common primary headache, and most patients with episodic tension-type headache often self-administer pain medication to control the attacks. Chronic tension headaches that occur more than 15 times a month on average require prompt medical attention. Currently, the treatment of tension headache is divided into non-pharmacological treatment and pharmacological treatment: (1) Non-pharmacological treatment: For patients with tension headache with psychological factors, the first step should be to build up patients’ trust in doctors, provide appropriate psychological guidance and encourage patients to establish good habits. As far as possible, non-pharmacological treatments such as relaxation therapy, physical therapy, biofeedback and acupuncture should be used to eliminate mental tension and other adverse emotions. In work, study and life, there is tension and relaxation, combining work and rest, and learning to live regularly. Cultivate a cheerful, optimistic and open-minded character and maintain a tranquil mood. Participate in appropriate sports and recreational activities to help relax the mind and body, eliminate fatigue and tension. (2) Drug treatment: ① Symptomatic treatment: Applicable to patients with episodic tension-type headache. Non-steroidal anti-inflammatory drugs, such as aspirin and acetaminophen, can be used. Care must be taken not to abuse analgesic drugs and to avoid long-term use causing drug-related headache and other adverse events. ②Anti-anxiety and depression treatment: Applicable to frequent and chronic tension-type headache, commonly used methods include: using antidepressant or anti-anxiety drugs, especially new antidepressants, such as duloxetine, venlafaxine, etc. Patients with intractable headache who are ineffective or intolerant to oral medications can be treated with botulinum toxin type A injection according to their condition. Patients who cannot be relieved even after treatment should be promptly seen by a hospital. Many patients do not know that they should go to the clinical psychology department for tension headache. They are often treated in many other departments for a long time with poor results before they are recommended to the clinical psychology department, which uses a combination of medication, behavior plus psychological treatment in its outpatient clinics, and most patients can obtain remarkable results.