Topic Explanation:
The discussion centers around an individual who has been living with a colostomy for five years after having an ileostomy reversed. Recently, they have started experiencing panic and anxiety attacks related to having the colostomy bag and two-piece system attached to their skin. Despite trying various activities and mild medication, the anxiety persists, and they are seeking advice on how to manage or lessen these feelings without resorting to stronger medications.

Advice and Insights:

1. Counseling and Therapy:
- Consider counseling or hypnotherapy to address the anxiety.
- Cognitive-behavioral therapy (CBT) is recommended for anxiety disorders.
- Therapy can help in understanding and managing the anxiety, possibly related to OCD.

2. Medication Alternatives:
- Some antidepressants that are not strong or habit-forming might help.
- Explore the use of THC and CBD, and consider Ashwagandha as a natural remedy.

3. Mindset and Support:
- Take it day by day and focus on small enjoyable activities.
- Having a supportive network, such as family or friends, can be beneficial.
- Visualize the colostomy bag as a safety net to help shift perspective.

4. Hypnotherapy:
- Hypnotherapy is suggested as an effective treatment for OCD-related symptoms.

5. Exposure Technique:
- Try an exposure technique by intentionally experiencing the sensations of a panic attack to allow the autonomic nervous system to adjust.

6. Understanding the Condition:
- Recognize that anxiety can surface unexpectedly and may not have a clear cause.
- Discuss with a therapist to shape a treatment plan that addresses the specific anxiety related to the colostomy.