Wow that's a tough one. Oh man, I'm really struggling to come up with something for you.

Avoidance, distraction, walks, deep breathing, PRN's lot's of PRN's

Idk what else to suggest my friend.

That's going to be really difficult to do. I'd hate to say go back to what has worked in the past but if therapy has brought you this far, I'd hate to see you go backward.

I hope you get some good suggestions because this stress of this alone would at least make me really struggle.

Good luck hun