Do you work with a therapist or only your pdoc?

Have you went to a Neurologist for an exam? What you went to the ER for doesn't sound like a migraine, you didn't say anything about head pain. And when you have a Migraine you have head pain so bad it hurts to move, being in the ER with all those bright lights is torture for a Migraine sufferer.

And migraines don't cause strokes, or let me rephrase, that is an incredibly rare side effect that never happens. I don't know why your MD would even say that unless you had some other underlying condition that makes you susceptible to Strokes.

I've had Cluster Migraines for the last 10 yrs. those are Migraines that can last up to 15 days at a time, which also can trigger Grand Mal Seizures, as I have a Seizure Disorder. I'm treated by 2 different Neurologists and not once have I ever been told that a Migraine can cause a Stroke...and they take mine pretty seriously.

The symptoms that you mentioned could be the result of cross side effects of multiple medications. If you think your overmedicated and your Pdoc isn't listening to you, it may be time for a 2nd opinion. It sounds like she's just talking around you.

Find a new one, and keep looking til you find one that you like.

If you feel you're not well connected to your pdoc or tdoc I think it's good to talk to someone else until you find someone you feel like you're really collaborating with, and someone you think listens well.

i have good psyc now and same counselor for 5+ yrs now..she even calls me at home some times between visits if going thru bad time. she is awesome. we have good connection. but i do know this... some times they say what they do to get us to respond. their way of really trying to get us to talk or how react . sometimes i catch what she is doing and i say i know what she is trying to do....me talk about some thing i do not want to deal with. it is often a security space we are in, and they see this more than we do. they can hear what we say more than we know what we are saying some times. i know i do. i think i am right path on something and she sometimes i fight it , but in time i see why she said what she did. and i am stuck on though on something and i will argue why i feel or think that way. i can give reasons also. all of course to back up what i feel. not what reality might be. so not knowing more of your situation not sure...could be a bit of both here. we are comfortable with what is familiar to us... rather it is hurting us or not. even if negative. it is what we have become accustomed to .... more often than not i have found. but same time hard to hear this... and see it their way. hugs for a better day.