Train receiving and playing under pressure from inside the defensive block, and train the outside players to recognise when the pivot is on and when to circulate around instead.
Mark a 12x12m square. Four players on the edges, two defenders inside, one attacker in the middle with them. The edges keep the ball and look to play into the pivot whenever he can be found; he plays it back out first time, ideally to a different side from the one it came from. If the pivot is covered, switch round the outside instead. Two touch on the edges, one touch for the pivot. Rotate the pivot and the defenders every two minutes.
The ordinary 5v2 is a comfortable exercise. Five players sit around a square, two chase, and the attackers can always see everything in front of them because the ball never has to travel through the defenders. It builds passing rhythm and very little else.
Moving one attacker inside changes what is being trained. That player now receives in the same space the defenders occupy, which means facing his own goal, feeling contact he cannot see, and making a decision before the ball arrives because he will not get time afterwards. That is the situation a central midfielder lives in and it is almost impossible to recreate without deliberately putting somebody there.
The outside players get a harder job too, though it looks easier. They now have two options rather than one: round the edge, or through the middle. Feeding a covered pivot is worse than not trying, so they have to read whether he has actually found a gap between the two defenders or is simply standing in the square. Most players default to one habit or the other, either never looking inside or forcing it every time, and correcting that is most of the coaching here.
The rule that the pivot returns the ball to a different side is what stops the exercise going stale. A bounce straight back where it came from has moved the defenders nowhere and gained nothing. Playing it out to the opposite edge means the two defenders have been genuinely bypassed, which is the entire reason a team plays through a pivot rather than around him.
Save it to your private drills, then change the animation, adjust positions, swap equipment, or drop it into a session block. Or start from a blank pitch and build your own.