Migraine, Perception, and Creative Flow
Living Inside A Migraine
When pain, perception, and medication reshape daily life
Iāve been dealing with a migraine for nine days. This isnāt just a headacheāit comes with aura, Alice in Wonderland syndrome, and persistent vertigo with nausea. My perception gets distorted, my thinking slows down, and basic tasks become difficult. The medication helps with the pain, but it brings its own side effects, and overall, itās been hard to function.
In the middle of this, something unexpected happened.
A Brief Shift in State
Unexpected focus and creative flow during disruption
While I was heavily medicated, I had a period of intense creative focus. For a few hours, I was able to paint with a level of freedom that I donāt usually reach. It felt like my usual mental filters were lowered. I wasnāt secondāguessing decisions or holding back. I just worked.
The result was different from my normal workāmore direct, less controlled, but also more expressive.
This raised a question for me: what actually changed in that moment?
Changes in Perception
How migraine and medication alter access, not ability
Triptans, the medication I use for acute migraine attacks, act on serotonin receptors. Theyāre not psychedelics, but they do affect how the brain processes signals. Combined with the migraine itselfāespecially aura, which already alters perceptionāthe overall effect is a shift in how I experience space, color, and thought.
That shift isnāt comfortable. Most of it is disorienting and unpleasant. But within it, there was a brief window where my usual patterns loosened. And in that space, creative work felt easier.
Access, Not Creation
The work was already thereāthe conditions just changed
Itās important to be clear: the migraine didnāt ācreateā anything. The creativity was already there. What changed was how accessible it felt. The conditions removed some of the internal constraints I usually work withināhabits, expectations, and selfāediting.
Thatās not something I want to rely on. The cost is too high. But it does point to something useful.
If a change in mental state can affect how I access creativity, then there may be other ways to reach similar openness without the physical toll. It suggests that part of my creative process is limited not by ability, but by structureāhow tightly I control the outcome, how much I filter while working.
Thereās also a broader connection here. Decades ago, I had experiences with psychedelics that shifted how I saw the world and myself. Those experiences helped me let go of a lot of fear and rigidity. I donāt return to them now, but the perspective they opened up has stayed with me.
That perspective has been important in dealing with chronic migraine. The pain itself isnāt optional, but my response to it isnāt fixed. Over time, Iāve learned to manage the mental side of itāhow much resistance I bring to it, how I interpret it, and how I move through it. That doesnāt eliminate suffering, but it changes its intensity and impact.
The recent experience fits into that same pattern. Even in a difficult state, there was a moment where something shiftedānot into relief exactly, but into clarity of a different kind.
For me, the takeaway isnāt about the medication or the migraine. Itās about access.
The kind of creative flow I felt isnāt something external that I need to recreate through extreme conditions. Itās something internal that I was briefly able to reach under unusual circumstances.
Openness and Letting Go
When the boundary between experience and experiencer softens
Thereās also a quality in that state thatās familiar from meditation. Itās a kind of openness where the usual sense of separation starts to fade. Instead of feeling like an observer acting on an experience, thereās just the experience itselfāno clear boundary between the one perceiving and whatās being perceived. In that space, the need to control or interpret loosens, and the work unfolds more directly, without the usual distance between intention and action.
Working with Pain
Perspective, resistance, and what can shift
Another layer to this is perspective. The difference between being overwhelmed by the experience and moving through it often comes down to how itās held. I wrote previously about the Four Noble Truths and the Eightfold Path as a framework for navigating chronic pain from migraine and lupus. What stands out to me now is how practical that framework isānot as philosophy, but as a way of adjusting perspective in real time.
When The Pain Takes Over
A reminder that practice isnāt always accessible
Pain is present. That part isnāt optional. But the added weightāresistance, fear, frustrationācan shift depending on how tightly I hold the experience. That said, this isnāt always accessible. There are moments when the pain takes over completely. Last night was one of those times. I woke up in the middle of the night in severe pain after my first medication didnāt work. I couldnāt find my stronger medication, didnāt have my glasses, and ended up searching through cabinets, drawers, and bags in a panic. I knew that without it, I might end up in the ERāwhere the treatment helps, but comes with hours of discomfort and side effects. I was overwhelmed, in tears, and scared.
In moments like that, there isnāt much space for perspective or practice. But experiences like this also make something clear to me: without meditation, without the framework Iāve built from Buddhist practice, I would likely be living in that state of panic much more often. My commotion woke up my husband, who came inācalm, steady, not caught in the panic I was in. He found the medication, and he cleaned up the mess I had made searching as I went back to bed. That contrast stood out. It reminded me that while I canāt always access those tools in the moment, they still shape how I move through these experiences over time.
Returning to Openness
Creative flow, meditation, and another way of relating to experience
Itās not easy to stay open in the middle of persistent pain. In those moments, itās hard to remember that the pain will passāthat it isnāt permanent. Pain forces attention into the present, but not calmly or intentionally. It can narrow everything down to urgency and survival. At the same time, it can act as a kind of teacher. It shows where resistance builds, where fear takes hold, and how quickly the mind tries to escape whatās happening. When Iām able to step back, even slightly, I can see it less as something to fight and more as something that reveals how I relate to experience.
What I keep coming back to is this: the experience changes depending on how I meet it. Not completely, not all at once, but enough to matter. And in those moments of openness, there is less separationāand a little more space for things to be as they are.
I painted this over six hours while medicated for a migraine, drifting in and out of focus. The haze loosened my usual selfājudgment, and the work shifted into something more fluid and intuitive. Itās not complete, but the evolution itself tells the story.
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