In this paper, a case study is cited in which two techniques, assertive training and the development of psychodynamic insight, were used in an A/B/BC experimental design to treat successfully a patient suffering from severe migraine headaches. The point is made that in treating psychosomatic disorders, the structure of the disorder has to be treated, necessitating consideration, where relevant, of a number of dimensions of functioning integrated into an effective treatment program rather than the use of single unidimensional techniques.