This topic is about a young person who, at 22, had to undergo emergency surgery that resulted in a temporary ostomy. This was due to a serious health issue involving a perforated large intestine and part of the colon, which even led to a coma. The surgery saved their life, but it left them with an open abdomen for a future reversal. Since leaving the hospital, they have been struggling with severe depression and a fear of leaks, which has made them avoid activities they used to enjoy.

Here are some pieces of advice and insights that might help:

1. It's normal to feel depressed after major surgery like an ostomy.
- Take things one day or week at a time. It's okay to feel sad, but remember that things can get better.
- If your mood doesn't improve, consider talking to a counselor or doctor about therapy or medication.

2. Building confidence in your pouching system can help reduce anxiety about leaks and encourage you to be more active.
- Consult with a Wound, Ostomy, and Continence Nurse (WOCN) for advice on fit and technique.
- Consider using additional adhesives like Torbot Bonding Cement or Skin-Tac Liquid Adhesive Barrier to help keep the wafer in place.
- An ostomy belt can help secure the appliance and prevent leaks.
- Try free samples from different manufacturers to find a pouch that works for you. Many people find success after switching systems.

3. Start with small amounts of physical activity.
- Begin with short walks, even if it's just around your yard, and gradually increase as you feel more confident. Physical activity can improve both your mood and healing.

4. Use personal coping strategies to manage depression.
- Activities like journaling, prayer, focusing on daily positives, or spending time with pets can be therapeutic.
- Learning about the stages of grief and adjustment can help you understand your feelings.
- Setting goals for the future, like planning for reversal surgery or exercising to regain strength, can help shift focus from current limitations.

5. Seek support from the community.
- Online forums, YouTube tutorials, support groups, and loved ones can offer practical tips and emotional support.
- Hearing success stories from others who have returned to active lives can be encouraging and show that a fulfilling life is possible after an ostomy, whether temporary or permanent.