Dealing with Frequent Headaches: Seeking Advice

My headaches are getting more frequent and persistent again. I think its from an increase in stress. Tylenol and ibuprofen (i take Excedrin most of the time) have stopped being as effective. What has worked for you and what should i bring up to my doctor as ideas for different treatment? Should I stay taking amitriptyline everyday, (it helps makes headaches less frequent, but also makes them 10x worse if i accidentally skip a day, which can be often bc im not medicated for my adhd) or should I ask for something to take as needed. Or both? im a bit lost and the headaches are impacting my everyday life quite a bit, especially when they're bad enough to impact my speech/balance. Or when I get nauseous bc my tolerance for that is very low. posting this from my 3rd shower today.