Mental Health Crosses Migraine Health-Hopefully this goes back to the Migraine People

At what point after 30+ years and after trying the newest meds (the CGRP meds) and having those fail on you as well, do you just realistically and logically give up? How does that work? How can you ask for palliative care and will they take you? I am barely able to work every day. My relationship is held together with the $1.25 Store Duct Tape (not very well). I am off on FMLA last week and this week. They have put me on some antidepressants again, but I was maxed out before, and physical pain and grief from the life you could have had over-rides all of that-been on everything. I cannot pretend.
So, it's not like a hospice situation. No one believes you that it is disability. You can sometimes get it for work/job. They will help push it through.
Then what? Move out of the city you love to somewhere you can actually afford but have 0 friends, no supports, no volunteer opportunities to meet like-minded people, no potential meeting of a future like-minded mate (because mine will have the papers ready if I give up).
Ok, then what? There's no compassionate.-I can't think of the word for it but death here. You'll land yourself on TV fighting for it.
Where do I go? How do I get there? Do I have anyone else go? How depressing? Who'd and why"d any anyone want to witness that.
I am not mentally ill. Mentally ill would be seeing unicorns, sunshine, rainbows, and cures. NONE of these things exist for me right now. So, what should I do? Someone said Canada said had compassionate death. I don't want to leave my spouse, but surely, they'd be happier with someone who was more positive and wasn't in pain every single day. I mean a 567/10 on the easy day and a 8910/10 on the impossible days. What say you? This, for me, isn't about religion, any childhood trauma, etc.