For severe migraines and headaches, treatment usually involves a combination of lifestyle changes, painkillers, and preventive medication. Over-the-counter painkillers such as paracetamol or ibuprofen may help during attacks, while prescription medicines like triptans can be used for more severe episodes. Identifying triggers such as stress, certain foods, or lack of sleep, and managing them can also reduce attacks. It is important to consult a doctor to tailor treatment and rule out other causes.