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Children and teens can experience tension-type, migraine headaches or pain from an injury. Most headaches are tension-type, the result of good and bad stress, sleep issues, or, in a few instances, environmental or food triggers. Avoiding known triggers is important when the headaches become intense or frequent. Triggers can be sounds, sights, smells or foods. Additionally anxiety or excitement is a common trigger that causes headaches. A debilitating headache could be triggered by situations such as anticipating a math quiz, musical recital, eagerly looking forward to a party, or being in the school play.