ESA for Chronic Migraines: How to Describe Your Limitations on the WCA
Updated May 2026 - Based on current WCA descriptor framework
Chronic migraines - occurring 15 or more days per month - cause severe headaches, nausea, light/sound sensitivity, cognitive dysfunction, and inability to function during attacks.
The Work Capability Assessment (WCA) does not ask "do you have Chronic Migraines?" - it asks how your condition affects your ability to perform 17 specific work-related activities. To score enough points for Limited Capability for Work (LCW), you need 15 points across all 17 activities combined. For the Support Group (LCWRA), you need to meet at least one Support Group descriptor.
Which WCA Activities Does Chronic Migraines Affect?
Chronic Migraines can affect several of the 17 WCA activities. The key ones to focus on are:
- Consciousness - Directly affected by chronic migraines
- Standing and sitting - Directly affected by chronic migraines
- Learning tasks - Directly affected by chronic migraines
- Personal action - Directly affected by chronic migraines
- Getting about - Directly affected by chronic migraines
- Awareness of hazards - Directly affected by chronic migraines
Remember, points from ALL activities are added together. Even scoring 6 points each on just three activities gives you 18 - well over the 15-point threshold.
How to Describe Chronic Migraines on the ESA50/UC50 Form
The biggest mistake claimants with Chronic Migraines make is describing their condition in medical terms rather than work-related terms. The WCA does not care about your diagnosis - it cares about what you cannot do reliably, repeatedly, and safely in a workplace context.
When completing your ESA50/UC50 form for chronic migraines, focus on how the condition prevents you from performing each activity reliably, repeatedly, and safely in a work context. Do not just list symptoms - explain what you cannot do and why. Think about an 8-hour working day, 5 days a week.
For each activity, describe your worst typical day. If your condition varies, explain the pattern - how many bad days per week, and what you cannot do on those days.
Support Group (LCWRA) for Chronic Migraines
If your chronic migraines is severe enough that returning to work or work-related activity would pose a substantial risk to your health, you may qualify for the Support Group through the substantial risk regulation. Ask your GP or specialist to provide a letter specifically stating this risk.
Tips for Your WCA with Chronic Migraines
- Always describe limitations in work-related terms, not just medical symptoms
- Think about reliability - can you do each activity consistently, every day, for a full working day?
- Mention medication side effects and how they affect your ability to function
- Describe your worst typical day, not your best
- If your condition fluctuates, explain the pattern and frequency of bad days
- Get supporting evidence from your GP or specialist that specifically mentions work-related limitations
Get Personalised WCA Guidance for Chronic Migraines
ESAexpert generates tailored guidance for all 17 WCA activities based on your specific conditions. See exactly which descriptors apply to you and get ready-to-use language for your ESA50/UC50 form.
Get Your Personalised ReportEvidence to Support Your Claim
Strong evidence is crucial for a successful WCA. For Chronic Migraines, gather:
- GP or specialist letters confirming your diagnosis and how it affects your ability to work
- Prescription records showing medication and any side effects that affect function
- Fit notes or med3 certificates
- Hospital or clinic appointment records
- A personal diary showing how your condition varies day to day
Ask your GP to specifically mention how Chronic Migraines affects your ability to perform work-related tasks - not just the medical diagnosis itself.
What if You're Rejected?
Around 2 in 3 ESA mandatory reconsiderations result in a changed decision. If you score 0 points or are placed in the wrong group, you should challenge the decision. The most common reason for failure is not describing limitations in work-related terms - which is exactly what ESAexpert helps you with.
Read our guide on ESA mandatory reconsideration for step-by-step instructions.