This study investigated the value of headache presence during elecromyographic (EMG) feedback relaxation training and the contribution made by home relaxation practice in the elimination of tension headache. Eighteen participants, mainly coeds in their twenties, recorded headache and medication data for two baseline weeks, and were assigned to one of three training groups. Group A received EMG feedback training with headache presence during the session and home relaxation practice. Group B received EMG feedback without headache Presence and home practice. Group C received only home relaxation practice. Statistically significant treatment differences were not found, but declining trends of headache activity and medication use tend to support the efficacy of EMG training with headache presence.