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Migraine at work

A condition that arrives without notice and ends the working day is hard to explain to someone whose job is planning the week. These are for both ends of that conversation: the person deciding whether to say anything at all, and the manager who has been told and doesn't know what happens next.

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How to Ask for Migraine Accommodations at Work

The adjustments worth asking for, how to raise it without handing over your medical history, and the record that turns a vague request into an easy yes.

4 Aug 2026 · 5 min read

All work guides

8 posts
Work

Shift Work and Migraines: It's the Rota, Not the Hours

Night and rotating shift workers show higher migraine prevalence, and the driver appears to be circadian misalignment rather than short or poor sleep.

31 Oct 2026 · 5 min read
Work

PIP for Migraines: What Your Diary Has to Show

The assessment turns on what you can do on more than half the days. Why attack counts lose, and the two columns that make a fluctuating condition legible.

31 Aug 2026 · 6 min read
Work

FMLA for Migraines: What the Certification Form Actually Asks

FMLA for migraines runs through one form, WH-380-E. What its fields ask — episode frequency, duration, treatment dates — and the diary numbers that fill them.

10 Aug 2026 · 6 min read
Work

Calling In Sick With a Migraine: 4 Messages to Send Your Boss

Copy-paste texts for calling in sick with a migraine: the 7am message, the follow-ups, what to leave out, and what to say when it keeps happening.

8 Aug 2026 · 5 min read
Work

How to Help a Coworker With Migraines, Quietly

How to help a coworker with migraines when you have no authority and they owe you no explanation: quiet cover, real interference, and the lines to skip.

7 Aug 2026 · 6 min read
Work

Migraine Accommodation Letter Template: What to Include

A free migraine accommodation letter template, plus what belongs in each of the five sections, what to leave out, and how to phrase each ask.

5 Aug 2026 · 7 min read
Work

How to Support an Employee With Migraines

A practical guide for managers: the adjustments that actually help someone with migraines, what to say, what not to ask, and how to handle absence sensibly.

4 Aug 2026 · 5 min read

Put the request in writing

A verbal chat by the kettle is easy to have and impossible to point at nine months later. The adjustment request letter is one page: four specific, cheap requests, the paragraph saying what you are not asking for, and a next step with a date.

Download the request letter (PDF)

Bring numbers, not adjectives

Every request on this page lands better with a count attached: attacks a month, typical length, work days affected in the last three. Guessing is worse than admitting you haven't counted. Tracking migraines covers how to build that record without fooling yourself, and the free printables work on paper if you'd rather not install anything.

If you're the manager rather than the employee, the useful reading is often on the other side of the site: supporting someone with migraines is written for the person watching it happen, which is closer to your problem than any policy document.

Nothing here is legal or medical advice, and employment duties differ by country — check what applies where you work before relying on any of it.

The count is the part you can't reconstruct later

Migraine Journal logs an attack in under a minute and gives you the attack count and average duration for any date range — which is the sentence an adjustment request needs and the one memory is worst at.

Download freeiPhone · free to track