Hi Pendragon,
It is so easy to let Migraine overwhelm us. Pain makes this even worse. After all, pain has been used for centuries to threaten and gain information that has changed the course of the world. Pain is powerful stuff, and there's something especially brutal about pain in our head.
I've often been asked if I've been suicidal, and I answer that, I'm really not sure how to answer that. The fact is, I've never wanted to die. I want to live so badly that I have spent the last 20 years doing almost nothing but seeking a way to live! I have maximized every nuance' of my life it's possible to control, just so I can live. But I also know about pain so extreme that you feel the need to escape it. This is different. Maybe think of it this way - does the man being tortured during war feel suicidal when he is being tortured, or is he just needing the pain to stop?
That said, a severe Migraine can put us in crisis mode. This is something that needs to be dealt with, and I encourage other patients to do that when you're NOT in that mode at the time. Make a plan. Write it down. Know what you will do when things get so out of control that you see no other way out. Here is a good post about being in Migraine crisis that you might like to read: https://migraine.com/blog/migraine-crisis-help/
There are so many things coming down the pipeline that are totally new, never before been used on patients, that seem to be working during trials. Literally a handful of new things. Some are just coming out now. The Cefaly, while not effective for everyone, may be helpful and is another tool to put in our toolbox. Transcranial magnetic stimulation (the Spring) is just coming out and has been helping people in Europe for several years. There is a new class of meds utilizing antibody therapy getting ready to hit the scene, and there are more than ten of these in the works! There is even more, and we'll likely hear about some of this at conference in just a few weeks. As for myself, we're getting ready to try some extremely unconventional therapies to try to help me, and although this is rather fringe, it may be the next up and coming thing that patients can use to manage their migraines. There is always hope.
You are young, and this can make things seem even more overwhelming. You are too young to have tried many preventive medicines, and just getting old enough to consider other medicines that have yet to be accepted for pediatrics. This is one reason seeing a specialist is so very important, especially for patients who are not having luck with their current therapies. Did you know it would literally take over 25 years of constant trials to try all the prescription options that are out there? Then there are other therapies and treatments as well as devices. So, you have a long way to go before you run out of options. The trick is finding someone to help you. Here is a great link that can help you find a headache and Migraine specialist nearest you: https://migraine.com/blog/looking-for-a-migraine-specialist/
Some other things to consider might be keeping a journal, as this can help you discover triggers you didn't realize you had. The Migraine.com version is here: https://migraine.com/migraine-meter/ It is also one of the first things a good doctor will ask you to keep as it gives him/her much needed information, and having it done ahead of time will just save that much time with them.
My baby boy was diagnosed with Migraines when he was an infant. He was chronic by age 4. We were able to treat him and improve his life immensely, and Migraines, while still a problem, were greatly increased. He knew his triggers well, and we could tell when he'd eaten something or done something he knew was wrong, because of the following Migraine. He gained control of them, it's just that he didn't always WANT to control them! That's true with many of us.
I tell patients, you didn't get this way overnight, and it's going to take time to get better. To add a little humor I'll ask "How do you eat an elephant?" Answer? One bite at a time. Meaning, each thing you do to get better, whether it is a success or failure, brings you one tiny bite closer to that elephant being gone. Few patients find a single thing that helps them, but many patients find that several things used in concert are helpful to them. The key, again, is having a good team and the right doctor.
I do want to ask you, are you taking meds now? If so, can you share with us what they are, and how often you take them? One reason why Migraine patterns can change is when another headache disorder is added called Medication Overuse Headache which actually comes from the treatments we try to use to help ourselves. Here is some information on that for you, just in case: https://migraine.com/blog/help-how-can-i-not-overuse-migraine-medications/
Please keep in touch with us and let us know how you're doing. We're here to support you, but unfortunately, we can't do the work for you. That's the difficult part. Hang in there...
~Ellen