I used to know someone who would regularly rate headaches/migraines as a 10 when I asked them how bad it was, and like, no, it's clearly not a 10, because you're standing up talking to me. A 10 is beyond curled up in the fetal position unable to open your eyes through the pain. I get that you are used to these headaches, and can overcome a lot of the pain - but that's still not a fucking 10, that's like a 6 or 7 at most. Lying about it means I can't accurately judge how to help you.

I've had tension headaches where I've spent hours on the shower floor in the middle of the night and I'd still rate them at most an 8 for the very worst ones where I couldn't get up