Sensory processing
Migraine or Sensory Overload? How to Tell the Difference
Migraine or sensory overload? They look alike but need different care. Learn the key differences, the shared triggers, and how to manage each one.
- Expert Reviewed
- Plain Language
- Patient Focused

Overstimulation can cause headaches: noise, flickering light and glare triggered headaches in laboratory studies of people prone to migraine or tension-type headache.8,9 A pressing headache on both sides, without nausea, fits tension-type headache. Throbbing pain with nausea, or with both light and sound sensitivity, points to migraine.1
Key takeaways
- Migraines and sensory overload share many distressing symptoms, including heightened sensitivity to light and sound, nausea, and an overwhelming urge to escape the environment, which can make them hard to tell apart.
- The defining difference is the headache: a migraine's primary symptom is throbbing, moderate-to-severe head pain, while sensory overload is primarily a feeling of being overwhelmed and agitated by environmental stimuli, with head pain not a required feature.
- Sensory overload is a processing issue in which the brain receives more sensory input than it can organize, and relief often begins as soon as the person leaves the overstimulating environment; a migraine is a complex neurological disease that can last hours or days.
- Visual or sensory aura, such as flashing lights, blind spots, or numbness, and a draining postdrome 'hangover' phase are specific to migraines and are not part of a sensory overload episode.
- The two conditions are connected and can trigger each other: a highly stimulating environment can set off a migraine in a susceptible person, and the sensory sensitivity during a migraine is itself a state of acute sensory overload.
The intense head pain begins, lights feel blindingly bright, and every sound seems amplified to an unbearable level. You retreat to a dark, quiet room, desperate for relief. Is this a classic migraine attack, or is it a severe case of sensory overload? The lines between these two experiences can feel incredibly blurry, as they share many distressing symptoms, including heightened sensitivity to light and sound, nausea, and an overwhelming need to escape the environment.
Differentiating between a migraine and sensory overload is more than just a matter of semantics. While they can and often do trigger each other, understanding the root cause of your symptoms is crucial for finding the most effective way to manage them. Treating a sensory overload episode with migraine medication might not work, and trying to “push through” a migraine as if it’s just overstimulation can make the attack much worse.
This guide will help you untangle these two distinct yet overlapping conditions. We’ll define sensory overload and migraine, highlight the key differences to help you identify what you are experiencing, and provide practical tips for managing both, empowering you to take control and find relief.
Sources
- Headache Classification Committee of the International Headache Society. "The International Classification of Headache Disorders, 3rd edition." Cephalalgia, 2018. The diagnostic criteria this page's comparison rests on: an untreated migraine attack lasts 4 to 72 hours, and photophobia and phonophobia together, or nausea, are required features alongside the headache itself. doi.org/10.1177/0333102417738202
- Giffin NJ, Lipton RB, Silberstein SD, Olesen J, Goadsby PJ. "The migraine postdrome: An electronic diary study." Neurology, 2016. A three-month daily diary study in 120 people with migraine: 81% reported at least one non-headache symptom after the headache resolved. This is the source for the postdrome being a real phase rather than a figure of speech. doi.org/10.1212/WNL.0000000000002789
- Schulte LH, May A. "The migraine generator revisited: continuous scanning of the migraine cycle over 30 days and three spontaneous attacks." Brain, 2016. Imaging across whole migraine cycles, supporting the description of migraine as a cyclical neurological process with premonitory changes rather than an isolated headache. doi.org/10.1093/brain/aww097
- Miller LJ, Anzalone ME, Lane SJ, Cermak SA, Osten ET. "Concept Evolution in Sensory Integration: A Proposed Nosology for Diagnosis." American Journal of Occupational Therapy, 2007. Where the sensory over-responsivity language used on this page comes from. doi.org/10.5014/ajot.61.2.135
- Do TP, Remmers A, Schytz HW, et al. "Red and orange flags for secondary headaches in clinical practice: SNNOOP10 list." Neurology, 2019;92(3):134–144. The clinical screening list the same-day section above is drawn from. doi.org/10.1212/wnl.0000000000006697
- Edvinsson L, Haanes KA, Warfvinge K, Krause DN. "CGRP as the target of new migraine therapies — successful translation from bench to clinic." Nature Reviews Neurology, 2018;14:338–350. The source for the CGRP description of the mechanism. doi.org/10.1038/s41582-018-0003-1
- Harriott AM, Schwedt TJ. Migraine is associated with altered processing of sensory stimuli. Current Pain and Headache Reports. 2014;18(11):458. Reviews heightened sensitivity to light, sound, and other sensory stimuli in migraine, both during and between attacks. doi:10.1007/s11916-014-0458-8
- Martin PR, Todd J, Reece J. Effects of noise and a stressor on head pain. Headache. 2005;45(10):1353–1364. doi:10.1111/j.1526-4610.2005.00268.x (PMID 16324168) 24 people with migraine and 44 with tension-type headache, randomly assigned to laboratory challenges: 50 decibels of white noise brought on headaches, as did a stressor, and diagnosis made no difference to either.
- Martin PR, Teoh HJ. Effects of visual stimuli and a stressor on head pain. Headache. 1999;39(10):705–715. doi:10.1046/j.1526-4610.1999.3910705.x (PMID 11279946) 90 adults, 46 with migraine, 29 with tension-type headache and 15 controls: visual disturbance (flicker, glare and eyestrain) and negative mood both brought on headaches, and the challenges still affected headache activity 48 to 72 hours later.
- Genizi J, Halevy A, Schertz M, et al. Sensory processing difficulties correlate with disease severity and quality of life among children with migraine. Frontiers in Neurology. 2019;10:448. doi:10.3389/fneur.2019.00448 (PMID 31178812) 134 children aged 8–12, 54 with episodic migraine and 80 without: those with migraine had significantly more sensory processing difficulties on the Short Sensory Profile and lower quality of life, and the authors recommend screening children with migraine for sensory processing difficulties.
Show the noteHide the note
Notes that migraine and tension-type headache are the most common primary headaches in children. - Goadsby PJ, Holland PR, Martins-Oliveira M, Hoffmann J, Schankin C, Akerman S. Pathophysiology of migraine: a disorder of sensory processing. Physiological Reviews. 2017;97(2):553–622. doi:10.1152/physrev.00034.2015 (PMID 28179394) Describes migraine as “an inherited tendency for the brain to lose control of its inputs”, with attacks emerging from a disorder of brain sensory processing that cycles, beginning in a premonitory phase before the headache.
- Suzuki K, Suzuki S, Shiina T, et al. Investigating the relationships between the burden of multiple sensory hypersensitivity symptoms and headache-related disability in patents [sic] with migraine. The Journal of Headache and Pain. 2021;22(1):77. doi:10.1186/s10194-021-01294-8 (PMID 34281498) 187 consecutive adults with migraine: photophobia 75.4%, phonophobia 76.5%, osmophobia 55.1%; 41.7% had all three, and they had higher disability scores.
- Genizi J, Halevy A, Schertz M, et al. Sensory processing patterns affect headache severity among adolescents with migraine. The Journal of Headache and Pain. 2020;21(1):48. doi:10.1186/s10194-020-01119-0 (PMID 32375649) 92 adolescents aged 13–18, 40 with episodic migraine: a tendency to avoid sensory input predicted migraine-related disability.
- Kelman L. The triggers or precipitants of the acute migraine attack. Cephalalgia. 2007;27(5):394–402. doi:10.1111/j.1468-2982.2007.01303.x (PMID 17403039) 1,207 people with migraine; 75.9% reported triggers. Stress 79.7%, hormones in women 65.1%, not eating 57.3%, weather 53.2%, sleep disturbance 49.8%, perfume or odor 43.7%, lights 38.1%.
- Oskoui M, Pringsheim T, Holler-Managan Y, et al. Practice guideline update summary: acute treatment of migraine in children and adolescents. Report of the American Academy of Neurology and the American Headache Society. Neurology. 2019;93(11):487–499. doi:10.1212/WNL.0000000000008095 (PMID 31413171) Its recommendations focus on early treatment, the route best suited to the attack, and counseling on triggers and medication overuse.
- Grant Tejada MP, Klomhaus AM, Ortiz R, Tibbe TD, Nwaobi SE. Migraine prevalence and phenotype in autism: a retrospective cohort study using a US national health survey and large academic health system electronic health record. Headache. 2026;66(3):712–724. doi:10.1111/head.70035 (PMID 41459835) National Survey of Children’s Health 2021: frequent or severe headache in 7.1% of autistic children against 3.0%; UCLA health records: migraine in 3.1% against 2.0%.
Show the noteHide the note
Among autistic people, headache or migraine went with anxiety, depression, bullying and concussion. - Nwaobi SE. Useful considerations for treating migraine in patients with autism. Headache. 2026;66(3):768–770. doi:10.1111/head.70054 (PMID 41607345) A clinical perspective: sensory differences are part of the DSM-5-TR description of autism though not required for diagnosis; migraine may present as behavior change, and its symptoms may be masked by baseline sound sensitivity or stomach problems; clinicians should keep “a high clinical suspicion for migraine”.
- Sullivan JC, Miller LJ, Nielsen DM, Schoen SA. The presence of migraines and its association with sensory hyperreactivity and anxiety symptomatology in children with autism spectrum disorder. Autism. 2014;18(6):743–747. doi:10.1177/1362361313489377 (PMID 24072661) A pilot study: parents of 81 autistic children aged 7–17 reported migraines, sensory over-responsivity and anxiety; children with migraines showed more of both.
- Türkel NN, Vurallı D, Bolay Belen H, Kuruoğlu A. The association of migraine and autistic traits effects on anxiety, depression, and headache-related disability. Headache. 2025;65(8):1439–1448. doi:10.1111/head.14945 (PMID 40320985) 169 adults with migraine and 112 controls: autistic traits (Autism Spectrum Quotient 23 or above) in 35% against 17%; in the migraine group, traits correlated with sensory sensitivity.
- Mohammad S, Bussu G, Rukh G, Schiöth HB, Mwinyi J. Migraine and its major subtypes – with and without aura are associated with polygenic scores for autism. Cephalalgia. 2025;45(1). doi:10.1177/03331024241312666 (PMID 39814546) 337,386 UK Biobank participants: polygenic scores for autism were associated with migraine (odds ratio 1.04), with and without aura.
- Salem H, Vivas D, Cao F, Kazimi IF, Teixeira AL, Zeni CP. ADHD is associated with migraine: a systematic review and meta-analysis. European Child & Adolescent Psychiatry. 2018;27(3):267–277. doi:10.1007/s00787-017-1045-4 (PMID 28905127) A positive association between ADHD and migraine (odds ratio 1.32), not with tension-type headache; notes that headache is regarded as a common side effect of stimulants.
- Good PA, Taylor RH, Mortimer MJ. The use of tinted glasses in childhood migraine. Headache. 1991;31(8):533–536. doi:10.1111/j.1526-4610.1991.hed3108533.x (PMID 1960058) 20 children with migraine wore rose or blue tints for four months: headache frequency fell from 6.2 to 1.6 a month with rose tints, with no overall improvement with blue.
- Wilkins AJ, Patel R, Adjamian P, Evans BJ. Tinted spectacles and visually sensitive migraine. Cephalalgia. 2002;22(9):711–719. doi:10.1046/j.1468-2982.2002.00362.x (PMID 12421156) A double-masked crossover trial in 17 adults: headaches were marginally less frequent with an individually chosen tint than with a control tint; the authors call the effects “suggestive rather than conclusive”.
Medical disclaimer. This page is for general educational purposes and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your child.
