Migraines are a neurological condition that can be profoundly debilitating, often making concentration and function impossible for hours or even days. When a severe episode strikes, the immediate challenge is communicating this incapacitation to an employer professionally and clearly. Navigating a sick call while experiencing intense pain requires a focused strategy to protect both your health and your professional standing. This guide provides practical steps for managing the communication process, from initial notification to professional follow-up.
Deciding When and How to Notify Your Manager
The timing of your notification is important. Aim to contact your manager as soon as you recognize the migraine will prevent you from working. Sending this communication before the official start of your workday demonstrates responsibility and allows the team maximum time to adjust for your absence. Waiting until after your shift begins can appear disorganized and complicates workflow adjustments.
Choosing the right communication medium depends on company policy and the severity of your symptoms. A brief phone call can convey the seriousness of your condition and is often preferred for urgent absences. However, if the migraine includes light or sound sensitivity, an email or text message may be the better option to minimize disruption during an acute episode. Aligning your choice with established workplace norms ensures your message is received promptly and appropriately.
Crafting Your Sick Day Message
The message must be direct and professional, clearly stating your inability to work without providing excessive medical specifics. Simply communicate that you are experiencing a severe migraine and will be unable to perform your duties for the day. Avoid exaggerating symptoms or offering minute details about the pain, as this detracts from the professionalism of your communication.
Setting clear expectations for your return or next communication is an important component. If you anticipate a one-day absence, state that you plan to return the following day. If the duration is uncertain, specify a time you will provide an update. This preemptive communication manages the manager’s expectation and reduces the likelihood of them needing to contact you during recovery.
Sample Email Script
Subject: Absence Today – [Your Name]
Dear [Manager’s Name],
Please accept this email as notification that I will be unable to work today, [Date], due to a severe migraine episode. I have set my out-of-office reply and will be monitoring my condition throughout the day. I anticipate returning to the office tomorrow, [Date].
I have attached notes on the status of my most pressing projects, and I can be reached briefly via email for any absolute emergencies. I apologize for any inconvenience this may cause and will catch up on all pending tasks immediately upon my return.
Sample Text Message Script
Hi [Manager’s Name], I need to call in sick today, [Date], due to a severe migraine. I will not be able to work. I plan to check in tomorrow morning for my return. I will update you if my condition changes.
Key Phrases for a Phone Call
“I am calling to report a severe migraine and will be unable to work today.”
“I will be offline for the day and plan to return tomorrow morning.”
“I apologize for the short notice and will follow up with an email outlining my current project status.”
Addressing Manager Concerns and Documentation
When managers respond, they often focus on immediate workload coverage, which is a reasonable concern. Be prepared to briefly offer solutions, such as directing them to a colleague with background knowledge or confirming that you updated your project management system before calling out. Demonstrate that you considered the immediate work impact before your absence began.
You have the right to maintain privacy regarding the specific nature of your symptoms. However, you must convey the seriousness of the condition so the manager understands the necessity of the absence. A simple statement that the migraine makes work impossible is sufficient without delving into symptom specifics. If company policy requires a doctor’s note for absences exceeding a certain period, such as three consecutive days, confirm this requirement during the initial communication.
If a manager questions the validity of your absence, professionally state that the condition requires immediate rest and that you will provide any necessary documentation upon your return. Know your company’s policy regarding medical documentation for single-day absences, as many organizations do not require a note for short periods. Providing a note when one is not required can be counterproductive, so only offer one if policy or persistent questioning necessitates it.
Understanding Your Rights Regarding Chronic Conditions
For employees who experience recurrent migraines, establishing a record of the chronic condition with Human Resources offers long-term professional stability. While the immediate sick call addresses a single absence, a conversation with HR regarding reasonable accommodation sets expectations for managing future episodes. This process involves formally documenting your medical diagnosis so your employer is aware of the recurring nature of the condition.
Reasonable accommodation refers to modifications or adjustments to a job or work environment that enable an employee with a disability to perform the essential functions of that job. For a chronic condition like migraine, this might involve flexible scheduling, adjustments to lighting, or clarified procedures for unexpected absences. This framework ensures future sick calls related to the condition are handled within an established, documented process.
Consult with your HR representative to understand the specific policies and documentation required for this long-term support. This step secures professional protection and ensures career continuity. Establishing a formal record helps prevent future sick calls from being viewed as isolated, unscheduled events.
Professional Follow-Up After Your Absence
Upon returning to work, check in with your manager to confirm your return and briefly thank them for their understanding. This quick communication reinforces your professionalism and signals your readiness to resume full duties. Avoid dwelling on the details of your migraine, and immediately shift the focus to your workload.
Prioritize urgent tasks and demonstrate productivity to minimize any lingering concerns about your reliability. Review emails and project updates to identify time-sensitive items, ensuring your first hours back are spent addressing items that require attention. Following up immediately on tasks covered by colleagues is also important.
Personally thank any team members who stepped in to cover your responsibilities to maintain strong professional relationships. Demonstrating gratitude and quickly taking back ownership of your workload minimizes the burden your absence placed on the team. This responsible, proactive approach helps reduce the likelihood of heightened scrutiny during future sick calls.

