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Hi kmripple,   No wonder you are exhausted  - you work full-time, have two children and a husband! With that kind of work week, the anxiety and stress level must be pretty high. Are you ever able to take time for yourself?   Stress and Migraines kind of go like this -when we are under stress we can become more susceptible to our triggers; like sleeping too much or too litte, not eating properly, getting dehyrated and so on. If we can watch the stress, we are better able to manage our triggers. Here is some great information on this topic; Is Stress a Migraine Trigger?   Are you in pain too? I didn't see you mention a  lot about pain, or is this how your Basilar-Type Migraine presents? What about your eyes, have you had them examined lately?   I'm not sure new medication would be the answer, and as much as I'd love to help you with an answer to this question, the only person who can do that is a doctor who can review your and your family's medical history, discuss your symptoms with you, and conduct a complete examination.            I personally think everyone with Migraine would do well to take a course or class or something to learn how to cope with chronic illness. It is one of the hardest things I've ever done. Seeing a counselor for chronic illness was one of my better moves.   Good luck Nancy