Start with time
Begin a session when the headache starts, or add it later. Duration and intensity stay attached to the episode.
I started Cefalea because, when a headache takes over, remembering exactly when it began, what I took, and what happened around it is harder than it sounds.
No account. No ads. Your entries stay on your device unless you choose to share them with Apple Health.
Why I made it
I live with chronic headaches. Specialists in psychiatry, neurology, and family medicine encouraged me to record the headaches and the timing of medication, so appointments could begin with something more useful than memory.
I first used an early version before the pandemic. I never finished it because I assumed it was only for me. It may not be—and that is why I am returning to it now.
Stockholm, on vacation
One of my worst episodes happened while I was away in Stockholm. In moments like that, even basic details become slippery: the exact start time, when medication was taken, whether it helped, and what else might have changed that day.
Cefalea exists to hold those details when I cannot.
What the app does
Cefalea keeps the act of recording deliberately small. It does not tell you what caused a headache or replace medical care.
Begin a session when the headache starts, or add it later. Duration and intensity stay attached to the episode.
Record symptoms, possible triggers, medication, and the time you took it—without forcing every detail at once.
Review frequency and patterns over time, then export the record you choose to discuss with your clinician.
Possible triggers, carefully
Over time, I noticed associations in my own history—including some foods and artificial colorings such as caramel coloring and red dyes. Those observations matter to me, but an association in a diary is not proof of cause.
Trigger memories can be unreliable, and migraine varies greatly from person to person. Cefalea records what happened; it does not turn personal correlations into medical conclusions.
Privacy first
But here, it’s serious. This is your health data.
No account.
No ads.
No analytics.
No developer access to your entries.
Your diary is stored on your device. Apple Health sharing is optional and happens only when you choose it.
Built with evidence in view
These papers inform the focus on prospective recording, medication timing, useful outcome measures, and caution around trigger claims.
A prospective observational study found meaningful differences between recalled and diary-recorded migraine days and acute medication use.
van Casteren et al., 2021 · PMID 33938248Evaluated frequency, intensity, duration, and medication usage as diary outcomes, including reliability and ease of use.
Bandarian-Balooch et al., 2017 · PMID 28925498Monthly recall estimates were lower than prospective diary measures and should not be treated as interchangeable.
Reese et al., 2020 · PMID 32799667Retrospective trigger estimates often disagreed with prospective diary records—one reason the app avoids declaring causes.
Wöber et al., 2015 · PMID 26228627A necessary boundary
Cefalea is a personal record-keeping tool, not a medical device and not a source of diagnosis or treatment advice. New, sudden, severe, or changing headache symptoms deserve professional medical assessment.
Made for one person first
I am finishing Cefalea with the care I wanted when I first needed it: private, calm, transparent, and grounded in real evidence.
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