Cogniphobia and Migraine Explained

In this episode of HeadWise, host Lindsay Weitzel, PhD, talks with Elizabeth Seng, PhD, Associate Professor of Psychology at Yeshiva University, about cogniphobia—the fear and avoidance of cognitive exertion because of the belief that thinking too hard might trigger or worsen pain. Dr. Seng explains how this fear develops and how it can condition the brain to associate mental effort with danger. While some people do experience migraine symptoms during intense cognitive tasks, cogniphobia itself is about anticipatory fear—avoiding activities like reading, studying, or problem-solving out of worry they could lead to pain. They explore: - What cogniphobia is (and what it isn’t) - How fear and avoidance patterns develop - Ways cogniphobia can impact school, work, and daily life - Why avoiding mental effort can affect long-term brain health - How gradual re-engagement and self-awareness can reduce fear This episode sheds light on a rarely discussed aspect of migraine psychology—one that can limit people’s lives far beyond the attacks themselves—and offers insight on how to rebuild confidence in cognitive activity.