I have AVP too. I Second the fact that it's exquisitely painful. The best thing I've found is meditation. It takes faith bravery and practice but can be very powerful. I also found that cannabis just ended up making everything worse especially when used daily. I've also learned that unlike physical illness, where it's essential to find the root cause that mental health is different especially with a PD. It's okay to focus on and treat the most debilitating symptoms directly.