Usually, the skin starts to decompose first, or form cysts and blisters, which ooze with puss and need to be taken care of, yet no matter how many you cure, new ones form continuously. There is an increased appetite drive. Physical pain appears to relieve the tension and the chest pains. I have experimented with piercing my skin with needles, and it seems as though the increased endorphin production from the physical pain quiets the sick mind for a long time. Physical tiredness also helps a lot.
Psychological alternatives are useless.
No therapy of the mind cures it or relieves it. Religion though still works. From other people's words, to text, to sounds, to visual stimuli. Once a leak starts, there follow the chest pains. The way you can envision that is having a human body in front of you and seeing all sorts of colorful energy threads emanating from one's heart locus, being scattered towards other people.