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From Feeling Lost to Finding Hope: 3 Shifts That Can Change Everything

15 min

Three perspective shifts to help you move from migraine self-blame and overwhelm toward curiosity, understanding, and hope.

00:00
-15:00

Episode description

When you’ve tried so many things for migraine and still feel stuck, it can be hard to know where to turn next.

In this episode of Migraine Heroes Podcast, host Diane Ducarme explores three shifts that can help you move from confusion and self-blame toward a clearer way forward.

You’ll learn:

💡 Why feeling lost with migraine makes sense and how to replace self-blame with a more useful perspective 💡 Why searching for one single cause can keep you going in circles 💡 How to find a way forward when you feel like you’ve already tried everything

Sometimes, progress starts not with doing more, but with looking at your migraine differently.

🎧 New episodes every Monday and Wednesday

Transcript

[00:00]

What changes when you start seeing migraine differently?

[00:04]

Welcome to Migraine Heroes. For anyone living with migraine and wondering why nothing has fully

[00:09]

worked yet, I'm Diane Ducarme. In seven years of working with people with migraine, I've learned

[00:15]

that no two migraine stories are the same and none of them are simple. But your migraine has

[00:20]

its own patterns. Here we look at them from different angles so you can start recognizing

[00:26]

them for yourself. A quick note, this is educational. For diagnosis or medication,

[00:32]

please keep working with your doctor. Now take a deep breath and let's dive in.

[00:38]

In this episode, you will learn why feeling lost with migraine makes sense,

[00:42]

and how to replace self-blame with a much more useful way of thinking.

[00:47]

Why looking for one single cause can leave you going in circles, and how to start seeing the

[00:52]

bigger picture, and how to find a way forward when you've tried so much already.

[00:57]

Stay with me till the end because I want to show you how to start exploring your migraine

[01:02]

differently and where you can find ideas that may be relevant to your own experience.

[01:08]

In the last seven years, I've probably had more than a thousand hours of conversation with people

[01:12]

who've spent years, if not decades, trying to understand their migraine. They had seen doctors,

[01:19]

tried medications, changed their diets, monitored their sleep, questioned their hormones,

[01:23]

eliminated foods, tried supplements, done acupuncture, and followed advice from so many

[01:28]

different people and experts. And despite all of that effort, they were still having migraine

[01:35]

attacks. And eventually the question became, what am I doing wrong? Because on top of the migraine

[01:40]

itself, there's often the weight of not being believed, not being understood, or feeling that

[01:45]

you should somehow be coping better. And after a while, those outside voices, they become your own.

[01:51]

A small lagging voice that is like, I should become stronger, I should have figured this out

[01:56]

by now, I shouldn't have cancelled again. And perhaps the hardest one of all, maybe this is

[02:01]

just going to be my life forever. And I want to spend a moment here because I know how heavy that

[02:07]

thought can be lingering and can be. You know, maybe you've stopped telling people how bad it

[02:12]

really is because you don't want to explain yourself again. Maybe you've become an expert

[02:18]

at smiling through discomfort, cancelling plans gracefully and pretending you're okay when you're

[02:23]

absolutely not. And maybe you've watched people around you move forward with their lives while

[02:28]

you feel as though yours keeps being interrupted. And maybe you've stopped looking forward to things

[02:34]

quite as much because you've learned how painful it is to get your hopes up and then have to cancel.

[02:39]

And maybe after trying so many things, even the word hope starts to feel exhausting.

[02:46]

I really, really understand why. Because migraine does not just take hours from your day. It can

[02:52]

take spontaneity, confidence, opportunities, relationships, your personality really,

[02:58]

and sometimes pieces of the person you remember being before migraine became such a big part of

[03:03]

your life. And I don't want to minimize any of that. And I certainly don't want to tell you

[03:08]

that changing your mindset will somehow make your migraine disappear. Migraine is incredibly

[03:13]

complex because it's incredibly diverse. We use one word, migraine. But behind that one word,

[03:20]

there are so many different processes happening inside the body, interacting in different ways

[03:24]

and different people. Your migraine may have very little in common with the migraine of the

[03:29]

person sitting next to you. And yet we often talk about migraine as if it were on one single problem

[03:34]

with one single explanation, waiting for one single solution. So think about the position

[03:40]

it puts you in. Here you are, you're trying to solve one of the most complicated puzzles in

[03:44]

medicine, often with fragmented advice, conflicting opinion, and people pulling you in different

[03:49]

direction. And everyone has an opinion. But then you're the person, you are the person who has to

[03:54]

live with the consequences of those decisions. And you know some of them, if poorly chosen,

[03:59]

can bite back so much. You're the one who has to reorganize your life. You have to try something

[04:04]

new. You have to deal with the disappointment when it doesn't work, and somehow find the energy

[04:08]

to start again. That impact is enormous. So when you're struggling to parent, to work, to socialize,

[04:15]

or simply to get through an ordinary day, we're not talking about a minor inconvenience. We're

[04:19]

talking about a neurological condition that science is still trying hard to fully understand.

[04:25]

That's why this podcast goes east and west, because we need both to have an as full picture

[04:30]

as possible. But it does leave us with a reality, a good reality, is that no one else has the

[04:38]

complete picture of your migraine. Your doctor sees you during a consultation, and a specialist

[04:44]

may focus on one aspect of your condition. And a treatment may target one biological pathway.

[04:50]

But you, you are the person living inside this experience every single day. You're the person

[04:56]

who knows what happened before the attack, how you felt the previous morning, what changed in your

[05:03]

sleep, how your energy shifted, whether your digestion was different, whether something felt

[05:09]

unusual before the pain even began. Now that doesn't mean you're supposed to diagnose yourself,

[05:15]

or become your own doctor, but it means you have a role that nobody else can fully, fully play.

[05:21]

You have the keys to your brain. You have to become an active participant in understanding

[05:26]

your own health. And I know that can feel unfair, right? That's someone else's job.

[05:30]

And because when you're already exhausted, the last thing you want is another responsibility.

[05:34]

You want answers. You want someone to take you through all the pieces, put them together,

[05:39]

and say, here, this is what's happening, and this is what we're going to do.

[05:43]

Wouldn't that be wonderful? So I'm going to introduce you to our first shift, from fighting

[05:47]

yourself to listening to yourself. You've lived with migraine for a long time. It's easy to start

[05:53]

treating your body like it's an adversary. You get angry at it. Maybe you stop trusting it,

[05:59]

like you feel betrayed when an attack arrives on the day you really need it to be well.

[06:04]

You're going to make plans and wonder whether your body is going to cooperate.

[06:08]

And after enough disappointment, you can almost start living in opposition to yourself.

[06:13]

But what if, instead of constantly fighting your body, you start to become curious about it?

[06:19]

Not in an obsessive way, not monitoring every single thing to do, but gently asking,

[06:25]

what am I noticing? What have I not understood yet? And that brings us to the second shift,

[06:30]

from searching from one cause to understanding relationships in between those causes.

[06:37]

We're often encouraged to look for triggers. Chocolate, wine, stress, sleep, weather.

[06:42]

And sometimes those connections are genuinely useful and they can genuinely save you days of

[06:46]

your life. But migraine does not follow a simple formula, as you may have figured as much. You can

[06:52]

have a terrible night's sleep and wake up perfectly fine, then sleep beautifully and still develop a

[06:57]

migraine. You can have an incredibly stressful week without an attack, only to get to the moment you

[07:02]

can finally relax and bam, it hits you. So you can start wondering whether any of it makes sense.

[07:08]

But perhaps the problem is that we're looking at things too separately. Maybe the question isn't

[07:14]

whether stress triggers your migraine. Maybe it's how you can increase your resilience to stress

[07:19]

and meanwhile, what triggers will add to that same load, to that same pattern. Maybe it isn't

[07:25]

about identifying one guilty ingredient. Maybe it's about understanding the relationship between

[07:30]

different parts of your brain and of your biology. So curiosity can make your life more open,

[07:35]

not more restricted. You should not have to become afraid of food or exercise or travel,

[07:40]

socializing or every unexpected change in your routine. The objective is not to control every

[07:46]

variable. It's to understand what may matter for you and what may not. Which brings me to our third

[07:53]

shift, which is from forcing change to cultivating change. And so I love this idea because it takes

[07:59]

some of the pressure away. When you've been struggling for years, there can be this enormous

[08:04]

urgency to fix everything. You find a new treatment and you want it to work immediately.

[08:08]

You change your diet and you look for results. Then you try a new routine and after a few weeks,

[08:12]

you're wondering whether you've failed again. And I really understand that urgency. When you're in

[08:16]

pain, of course you want relief. Of course you want your life back as fast as possible. But

[08:20]

building a better understanding of your migraine is often a process of observation, experimentation,

[08:25]

adjustment, sometimes letting go of ideas that didn't turn out to be useful. You don't have to

[08:30]

overhaul your entire life to make progress. Maybe you begin by noticing the difference between your

[08:34]

energy on a working day and a day off. Maybe you explore a connection you've never considered

[08:38]

before. Maybe you realize that something you've spent years avoiding doesn't actually seem to

[08:43]

make much difference to your migraine. Small insights can change the direction of your

[08:48]

search. And they're valuable even when they don't lead to immediate symptomatic relief.

[08:52]

Because there's a difference between constantly trying to fix yourself and gradually learning how

[08:57]

to work with the reality of your own body. One creates enormous pressure and the other creates

[09:03]

room to explore. And I know that asking you to take a more active role in understanding your

[09:07]

migraine may sound like I'm giving you yet another job. But I see it differently. It's about giving

[09:12]

you back a little of the influence that migraine may have taken away. It's about no longer assuming

[09:17]

that because a treatment failed, you failed. It's about recognizing that the explanations you've

[09:24]

been given so far may be incomplete rather than concluding that nothing can help. And most

[09:30]

importantly, it's about understanding that there is a huge difference between taking responsibility

[09:34]

of your health and taking the blame for your illness. You did not choose to have migraine.

[09:39]

You cannot control every attack. You should not have to carry the guilt of every treatment that

[09:45]

did not work. But you can continue to ask questions. And you can continue discovering

[09:51]

things about your body. And you can challenge assumptions, including your own. And you can find

[09:56]

people who listen. And you can give yourself permission to change direction when something

[10:02]

isn't helping. You're not at the end of your story just because you haven't found the answer yet.

[10:09]

Perhaps today, hope isn't believing that everything will suddenly get better. Perhaps

[10:13]

it's simply asking a different question. Not why can't I fix myself? But what haven't we

[10:19]

understood yet? Not why am I still struggling when I have tried so hard? But what might be

[10:26]

worth exploring differently? And not what if nothing ever changes? But what if there are

[10:31]

still possibilities I haven't considered? That's a different place from which to move forward. And I

[10:35]

want you to do exactly that. So if there's one thing I'd love you to take away from today,

[10:41]

it's this. Less self-blame. More curiosity. Less forcing. More understanding. And you may not have

[10:50]

all the answers yet. But that doesn't mean there's nothing left to discover. And you don't have to

[10:55]

stop living while you explore. I say that with just so much love. It's funny because you have

[11:01]

hope for yourself. And in so many ways, I have hope for you. For you too. You know, I want to

[11:07]

share something personal with you. I'm 43 years old. And today, sorry, I have a runny nose. My son

[11:12]

came back from school with a runny nose. So we moved from New Zealand to Europe. And different

[11:16]

germs. Also a complete change of season. So I'm adjusting. But I'm showing up today anyway. We

[11:21]

don't mind. I'm just sorry that my voice sounds different. So I'm 43 years old. And I've spent the

[11:26]

last seven years of my life working on migraine. Seven years. And that's a significant part of my

[11:31]

adult life. And I think about that sometimes. About how much of my life, my energy, my heart,

[11:36]

I've put in trying to understand this incredibly complex condition. And how much progress we've

[11:40]

made. And some days, I feel so full of hope. I can barely continue. Just yesterday, for example,

[11:45]

a woman sent us a message to our team through the app. She had downloaded it, entered her symptoms.

[11:50]

It's the Migraine Heroes app. The green one with the yellow love heart in the brain. And she

[11:54]

discovered her pattern. It's easier to go, by the way, on MigraineHeroes.com. Just remember,

[11:59]

MigraineHeroes.com. Then you can discover. And you can do your analysis. It's important you

[12:03]

analyze us before you meet with us fully. Anyway, she discovered her pattern. And she started making

[12:07]

changes with what she was eating. Based on those insights. Just adding food. It's not changing her

[12:13]

diet. Just adding food. And really, honestly, a small commitment. Like 39 years daughter. Cancel

[12:18]

anytime. No trap. And then she just sent this beautiful message. This is completely anonymous.

[12:22]

So I'll indulge. She just says, I just want to share how ridiculously well I'm feeling. And how

[12:28]

little this cycle has impacted my mood or my energy. I even went for a full run today. Huge

[12:34]

thank you to the team for all your support and encouragement. So when she says the team, it's

[12:38]

because there's real people reading the trackers and making adaptive changes inside the app. Like

[12:42]

we're a real team with real people. And I read that and I thought, oh wow, so cool. These moments,

[12:47]

they matter enormously to me because they show me what's possible. So she's just saying thank you.

[12:51]

And I have probably 2000 notes like hers in my phone. And I hang on to them because this is my

[12:57]

hope. But if more people can understand their patterns, make informed changes, and begin to

[13:02]

find their way forward on their own terms. And then almost at the same time, life reminds me

[13:07]

how just complicated the work really is. I'm going to read you another one. This one dates back from

[13:12]

a month ago, but it's quite gorgeous. Thanks Tia. And it's been an incredible transformation. And

[13:17]

I'm beyond grateful for all that you and your team have done. Not only do I feel able to start

[13:22]

reducing my medication, but I'm also now looking for a new job. Something I thought

[13:27]

may not be possible again when I was so low a year ago. It speaks volumes that I now get a

[13:34]

bit frustrated when I have a bad day. But the bad days are nowhere even close to how they were

[13:39]

six to nine months ago. You're incredible and you're doing something wonderful to help people

[13:44]

like me. And then there's this emoji with two love hearts in the emoji and a little prayer.

[13:52]

So that's my hope. That's my hope. I have a hope for you too. I have ambition for you too.

[13:58]

Ambition of life. Ambition of love. Ambition of work. Start with the first step. Start with trust.

[14:04]

So I have one simple thing you can do today. Well, a couple. You can go on margarineheroes.com

[14:10]

because I think you should get to know us. That's all for today. I hope this episode helped

[14:15]

you notice some new things. If you'd like to keep exploring your patterns, you can find us on

[14:22]

margarineheroes.com. Your body has a story to tell. Let's keep listening. I will be back with you soon.

Originally published November 2026

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More about Anxiety

Portrait of a smiling older woman with short gray hair and round glasses, representing a 20-year migraine journey.

Susanne

55 years old, New Zealand

Self-reported migraine

At start:

17 days/month

After 4 months:

3 days/month

What changed

Susanne had gone nearly four weeks without an attack and said she could manage the early signs when they appeared.

“It's trusting in the process and trusting in yourself, I guess, is what I've learned.”