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I've been thinking a lot about the psychological toll CH can have on someone. Even before CH suicidal thoughts always seemed to follow me wherever i go. I always had my doubts in myself. I've always had doubts i was strong enough to be able to keep going. I had trouble coming to terms with having CH and that it even existed. The pain was always a reminder that this is real. That i have this. That too many people have this. I'm still pretty new but I'm not quite as helpless as i was before i first joined I've been finding my way. I don't have much in the way of super helpful advice for anyone or even much to say that's very noteworthy as i haven't quite gotten the hang of all this yet. Still at the very least i want to say to everyone who's new to this or that is struggling in general please hang in there. Stay strong and don't give up. We have to take this all one day at a time and keep pushing forward. You are not alone. Don't doubt yourself or your resolve. You ARE strong. I see so much unity in this community and so many people helping each other out whether it be with advice straight up emotional support or both. This is an awful thing to have but its brought many of us together. That is something and whenever i feel i have no one who understands i like to read what people are up to here. For everyone out there,you are an ox...a strong,resilient,antique breaking ox.

It is a notion worth consideration. As always we are chasing "numerators in search of denominators". Specifically as regards clusters. The moniker "Suicide headaches" was attached long before psychotropic meds were handed out like candy. Cluster headache suffers have all life's usual burdens to wrangle while dealing with lost opportunities, wrecked relationships and seething pain. Removing the drugs from the picture, the disease burden of clusters is pretty high...enough to evoke consideration of self destruction. The use of some of these meds may constitute a sort of tipping point but the jury is out on the magnitude of their contribution. In the shooters situation these folks were already predisposed to some type or another of self destructive behavior or demon which led to the intrusion of mental health "care". Unfortunately our current system is ill equipped to provide proper evaluation and treatment of so many mental health issues. Add that to the fact many resist treatment, play with their meds, add other substances of abuse to the mix and have piss poor support systems. You have a recipe for disaster. All they need to do next is practice on a first person shooter game and then go out an reek havoc on peoples lives. If you consider the extremely high proportion of individuals on these meds and the very small number of incidents coupled with confounding factors it would be hard to draw a straight line. That said if you have classic clusters (episodic or chronic) there is no need for these mind pollutants. The treatments that appear to be most effective, D3 regimen, O2 and indoleamine hallucinogens do not have these issues in an otherwise mentally well individual. Don't you owe it to yourself to try what decades of real life experience endorses?.