Oh hun, I can identify with you on so many levels. First of all, I feel like you read my thoughts when you said you were feeling worthless and helpless. I have had to go down to less than part time at my job, and some weeks my husband who works full time has to keep the house going as well (like doing laundry and picking the house up). To get to your question, I have terrible vertigo most of the time (whether I am actually having a migraine or not). I have to crab crawl up the stairs, and sit on my bottom like a toddler to go down them. I had what was classified when I was 13 as "Ice Pick Migraines", that lasted into my early 20's, after that I did really well until about a year ago (I am 30). When I started talking to my doctor about what I experienced as a young woman he didn't think I was diagnosed correctly. Two years ago I had a hysterectomy, so I am on hormone replacement therapy. The first year after having the surgery all was wonderful, as I had been really struggling with hormone issues. Anyway, I was originally prescribed Topomax and Neurontin. Those were a nightmare for me. The side effects were awful, to the point that I was "losing" words. I would be in mid-sentence and know what I was trying to say but the words just wouldn't form. I went back to my doctor several times, trying several different medications. On Tuesday of this week he changed me to Keppra. I took it for the first time today, and it is making my blood pressure spike, so I am laying low again today. Ok, so I hijacked your post, and I am gonna cut myself off, I truly didn't mean to, it was just amazing how similar I felt to your post, this is the first time I have ever been on here and it is the first migraine community I have joined, so sorry for my over enthusiasm. 😀 Please let me know if you have any questions, or if you just need someone to talk to.