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Diagnostic criteria:

  1. Headache, no typical characteristics known, fulfilling criteria C-E
  2. Presence of separation anxiety disorder fulfilling at least three of the following DSM-IV criteria, lasting ≥6 months and with onset before age 18:
    1. recurrent excessive distress when separation from home or major attachment figures occurs or is anticipated
    2. persistent and excessive worry about losing, or about possible harm befalling, major attachment figures
    3. persistent and excessive worry that an untoward event will lead to separation from a major attachment figure (eg, getting lost or being kidnapped)
    4. persistent reluctance or refusal to go to school or elsewhere because of fear of separation
    5. persistently and excessively fearful or reluctant to be alone or without major attachment figures at home or without significant adults in other settings
    6. persistent reluctance or refusal to go to sleep without being near a major attachment figure or to sleep away from home
    7. repeated nightmares involving themes of separation
    8. repeated complaints of physical symptoms (such as headaches, stomach-aches, nausea or vomiting) when separation from major attachment figures occurs or is anticipated
  3. Headache occurs exclusively during the course of the separation anxiety disorder
  4. Headache resolves after separation anxiety disorder remits
  5. Headache is not attributed to another cause

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