It's very nice to meet you. I was recently diagnosed with some form of neuralgia after being ill for six years, but it has nothing to do with my occipital nerve. However, I did take Cymbalta for a while, and like your daughter I found it to be rather useless and unpleasant. If I learn anything else, I'll try to pass it along. I go to see another specialist pretty soon. Best of luck for you and your daughter, and all my best wishes...