This topic is about someone who has been living with a colostomy bag for five years without any issues, but has recently started experiencing sudden anxiety and panic attacks related to the sensation of the pouching system on their skin. Despite trying various calming techniques and a mild prescription, the anxiety persists, and they are looking for practical advice to help manage or eliminate this distress.

Here are some suggestions and insights that might be helpful:

1. Professional Help
- Consider seeing a psychologist or therapist who specializes in anxiety disorders or OCD, particularly one who uses cognitive-behavioral therapy (CBT). This approach can be very effective in managing anxiety.
- Some people have found hypnotherapy to be a useful alternative or complement to traditional therapy.

2. Medical Evaluation
- It might be worth evaluating for any underlying conditions like OCD or brain chemistry imbalances. Some non-habit-forming antidepressants could potentially help.
- Review all current medications with a doctor to ensure that none are causing anxiety as a side effect.

3. Physical Aids
- A support belt might help reduce the sensation of "pulling" and alleviate some anxiety related to the appliance.

4. Alternative and Complementary Options
- Products combining THC and CBD, as well as the adaptogen Ashwagandha, have been suggested for their calming effects without the need for long-term pharmaceuticals.

5. Coping Strategies
- Engage in daily exercise and small enjoyable activities, and maintain a supportive social network to help manage anxiety.
- Try an exposure approach by deliberately wearing the pouch, allowing the panic to peak, and then letting the autonomic nervous system calm down naturally.
- Shift your mindset to view the colostomy bag as a "safety net" and focus on its life-preserving benefits.

6. General Encouragement
- Remember to take things one day at a time. Anxiety can be unlearned and overcome with patience and the right strategies.