Cluster hedache is one the most painful headcahe define as occur periorbital area along with lacrimation ane nose discharge. Headche occur episodic in day also.
Pain killer helps but not cure the headache
If SSRI medication
is not giving result so u can go for lithium
300 mg once a day increase upto 600 mg.
In ur presentation it seems mixed type of headache . Tension headache
is one of the chronic type of headche
U can go for amitriptiline 25 mg for tension headche
U can consult psychiatrist
for better diagnoses