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May 11, 2010

Feeling Depressed After Recovery: Is This Normal?

This topic is about experiencing delayed depression after having a successful ileostomy. The person who shared their story had the surgery in December 2009 after living with ulcerative colitis for 30 years. While their physical recovery has been great and life seems to be back on track, they are now facing unexpected waves of depression. These feelings are not severe but are confusing, especially since their health has improved. They are curious if others have gone through a similar emotional journey.

Here are some helpful insights and advice:

1. It's common to experience delayed grief after losing a part of your body. A stoma can bring about the same stages of grief as an amputation.

2. If your low mood continues or worsens, consider seeing your doctor. Antidepressants, whether short-term or long-term, can be beneficial. Some medications that have been reported to help include Prozac (fluoxetine), Zoloft (sertraline), Wellbutrin (bupropion), and Celexa (citalopram).

3. Reactions similar to PTSD can occur. It might be helpful to explore individual or group therapy. Many hospitals or community centers offer support groups for chronic illness or ostomy.

4. Some people find counseling more effective than medication, or they use a combination of both. For some, an hour of vigorous exercise can improve mood as much as medication.

5. Keeping busy with work, hobbies, or volunteering can help reduce negative thoughts and remind you that you can still do many things you enjoyed before surgery.

6. Online forums, Facebook groups, email buddies, and local peer groups can offer understanding and support that might be hard to find elsewhere. Reaching out can be more helpful than isolating yourself.

7. It's normal to have days when you long for your old life. Try to focus on activities and relationships that continue to bring you joy.

8. Using antidepressants is not a sign of weakness. For some people, lifelong use helps manage a chemical imbalance and prevents harmful thoughts.

9. Some pain relief products mentioned include Loracet (hydrocodone/acetaminophen), Oxycontin, Gabapentin, and Cobroxin pain-relief spray, which is available at CVS and Overstock.com.
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