Why Type A Women Are More Prone to Migraine

Adriane Dellorco

August 11, 2025

Why Type A Women Are More Prone to Migraine

Understanding the Connection Between Drive, Stress, and Chronic Pain

Do you consider yourself a hardworking, organized, and high-achieving woman—but you’re also struggling with migraine? You’re not alone.

Many women with migraine identify as Type A: ambitious, driven, and often juggling multiple responsibilities. But what if some of these very traits are actually making us more vulnerable to chronic pain?

In this article, we’ll explore:

  • What it means to have a Type A personality

  • The connection between personality traits and chronic pain

  • Why Type A tendencies can lead to a hypervigilant nervous system

  • How to balance your drive with healing and self-care

Let’s dive into the surprising neuroscience behind why your personality might be contributing to migraine—and what you can do about it.

What Is a Type A Personality?

The concept of Type A personality dates back to the 1950s, when two cardiologists observed common traits among patients at higher risk for heart disease. These characteristics often include:

  • High achievement orientation

  • Competitive and ambitious nature

  • Strong sense of urgency

  • Multitasking and overcommitting

  • Irritability or impatience

  • Difficulty relaxing or letting go of control

Sound familiar? If you’re nodding your head, you’re likely among the many Type A women who also live with migraine.

The Double-Edged Sword of Drive and Discipline

Let’s be clear: these traits aren’t all bad. In fact, they’ve likely helped you succeed in many areas of life—academically, professionally, and personally.

But the very same inner drive that pushes you to “do it all” can also increase your vulnerability to stress, burnout, and pain. A 2017 study found that people with Type A personalities are more prone to emotional exhaustion and chronic stress. This constant internal pressure can overwhelm the nervous system and make migraine more frequent and severe.

Migraine and the Hypervigilant Nervous System

Here’s where the science gets really interesting: Chronic pain, including migraine, is deeply tied to how our nervous system responds to perceived threats.

When you’re always “on”—always striving, overcommitting, or pressuring yourself to do more—your brain interprets this as a form of stress or even danger. Over time, your nervous system becomes hypervigilant, scanning for threats even when none exist.

This state of high alert sends danger signals to the brain, activating the body’s pain response—even when there’s no physical injury. That’s how a cycle of chronic migraine and stress can form.

In other words, your migraine isn’t just in your head. It’s in your nervous system.

Why Type A Traits Can Exacerbate Migraine

Here’s how typical Type A traits may contribute to migraine:

  • Perfectionism and high standards = chronic inner stress

  • Overworking and multitasking = minimal rest and recovery

  • Ignoring early signs of pain = pushing through when rest is needed

  • Putting others first = neglecting your own needs

  • Struggling to relax = reinforcing a hypervigilant nervous system

These patterns not only increase physical stress, but also emotional and psychological tension—further sensitizing your brain to pain.

Breaking the Migraine-Stress Cycle

The good news? Your brain is plastic. That means it can change—learn new patterns, create new habits, and become less sensitive over time. Here’s how to start.

1. Notice Your Patterns

Start by observing your own Type A tendencies without judgment. Do you have trouble taking breaks? Are you overcommitted? Do you feel guilty resting? Awareness is the first step toward healing.

2. Retrain Your Brain with Pain Reprocessing Therapy (PRT)

PRT helps you shift how your brain interprets pain signals. Through this gentle cognitive approach, you can teach your nervous system to feel safer, reduce perceived threat, and calm migraine flare-ups.

3. Balance Your Drive with Downregulation

Your ambition doesn’t need to go away—it just needs balance. Counteract go-go-go energy with self-care practices like:

  • Yoga for Migraine

  • Breathwork and meditation

  • Microbreaks throughout the day

  • Learning to say “no” or delegate

These tools activate the parasympathetic nervous system (your relaxation response), helping your brain feel safe—and pain-free.

From Self-Criticism to Self-Compassion

One of the hardest things for Type A women is softening the inner pressure. But building self-compassion is essential to migraine healing.

It’s not about giving up your goals. It’s about learning that you’re worthy of care—even when you’re not being productive. Especially then.

How Beyond Migraine Helps Type A Women Heal

If you identify as a high-achieving, driven woman and you’re ready to reduce your migraine symptoms by 50% or more without side effects, the Beyond Migraine Coaching Program was designed for you.

Inside, we use:

  • Pain Reprocessing Therapy

  • Yoga for Migraine

  • Guided self-care strategies

  • Nervous system retraining

  • Live coaching and community support

If this approach resonated with you, book a free Insight Call to see if it’s a fit for your healing journey.

👉 https://www.beyondmigraine.yoga/guarantee/ 

You’re Not Broken—You’re Just Wired Differently

Your Type A traits have helped you accomplish so much. Now it’s time to learn how to use those strengths in a way that supports healing—not more pain.

There’s nothing wrong with being driven—but healing migraine means learning to drive with the brakes, too.

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