I talked to my pdoc today about the situation. One thing she said is that sometimes people with migraines can't reason correctly. I know it sounds like the profession protecting the profession, but she doesn't know my therapist personally. She was just giving me information. I will let you know how it all works out.
Key notes, you are right about treatment options elsewhere. I probably will leave and just quit for a while, but my pdoc likes for me to go to therapy, so I'll just try to figure it all out over time.