How to explain migraine to your boss

Explaining migraine at work is easier when you focus on function, not private medical detail. Your manager usually needs to know what work is affected, what support helps, and how you will communicate during an attack.

A simple script

“I live with migraine, which can cause severe head pain, nausea, light sensitivity, and trouble using screens during attacks. I am working with a care plan. The most helpful work adjustments are reduced glare, flexibility to take medication early, and a clear plan if I need to step away during a severe attack.”

What to prepare

• How often attacks affect work.
• Which tasks become difficult: screens, meetings, driving, bright rooms, noise, or concentration.
• What helps you stay productive: lighting changes, breaks, remote work, flexible start time, scent reduction, or a quiet space.
• What you will do during an attack: message format, coverage plan, and expected check-in.

Keep boundaries

You do not need to share your whole medical history. If formal accommodations are needed, ask HR what documentation process applies in your workplace and consider using a clinician note.

Sources checked: American Migraine Foundation migraine at work, MedlinePlus migraine, NHS migraine.

Should I disclose migraine at work?

That is personal. If migraine affects safety, attendance, or key tasks, a planned conversation can be better than explaining during an attack.