In the last podcast we discussed chronic migraine. In this podcast we discuss tension-type headache, which is the most common primary or secondary headache with a lifetime prevalence in adults of 46%. Because of its higher population prevalence, TTH actually has a greater societal impact than migraine even though it is less disabling. The learning objectives for this podcast include diagnosis, the general approach to the patient presenting with tension type headache, and specific pharmacological treatment.The guest expert for this podcast is once again Dr. Werner Becker, Professor of Neurology at the University of Calgary and a fellow of the American Headache Society. Dr. Becker has no disclosures. The main resource for the content of this podcast was the Towards Optimized Practice Primary Care Management of Headache in Adults guideline.