![]() However, there is treatment for depressive symptoms and agitation, but people with hikikomori are not usually depressed. Medications are not indicated because it’s not considered a mental disorder, rather most of the people affected by hikikomori were normal or had no major concerns with a decent upbringing. Writing letters may be more progressive and could allow the individual to slowly integrate with others then eventually outside the home. ![]() social media or computer games may be helpful but also have risks such as not improving human interaction or online harassment. Family support is important but not a necessity since some people isolated themselves despite having a normal family life. The treatment of hikikomori includes integrating the person back into society with initiatives such as an assertive community treatment or a form of “wrap-around” services to help those recover from the isolation. However, with much compassion and time, the person can have a breakthrough and begin a rehabilitation process of interacting with others. Like most people battling with mental disturbances, the taboo and stigma of mental health continue to cripple many families and communities. ![]() Psychological Trauma Harassment, Abuse, and Bullyingĭue to the isolation, it takes a long time for a hikikomori person or the family to seek help.BBCĪ hikikomori is defined by the Health, Labor and Welfare Ministry as someone who has remained isolated at home for at least six consecutive months without going to school or work, and rarely interacts with people from outside their own immediate family. ![]() They lose whatever self-esteem and confidence they had and the prospect of leaving home become more terrifying. The longer the hikikomori remains apart from society, the more aware they become of their social failure. The second force is called sekentei, a person’s reputation in the community and the pressure he or she feels to impress others. Even though about half of hikikomori are violent towards their parents, for most families it would be unthinkable to throw them out. Young women traditionally live with their parents until marriage, and men may never move out of the family home. One social factor of Hikikomori is the amae – dependence – that characterizes Japanese family relationships. Social isolation can be so debilitating that it may force the person to be dependent on a guardian: However, Hikikomori does not mean people are spoiled or lazy, and other myths, which can create more confusion and anguish. It can be a phase, a coping mechanism, or possibly a symptom of depression. Hikikomori is not a medical diagnosis but is primarily viewed as a “social problem”. Research diagnostic criteria for the condition are proposed. We suggest hikikomori may be considered a culture-bound syndrome and merits further international research into whether it meets accepted criteria as a new psychiatric disorder. However, a notable subset of cases with substantial psychopathology does not meet the criteria for any existing psychiatric disorder. Most of such cases of hikikomori are classifiable as a variety of existing psychiatric disorders. Several recent empiric studies have emerged from Japan. However, hikikomori is not mainstream or rarely recognized in societies outside of Japan, however current research has mentioned it with other mental problems: About half a million in Japan are affected but it can occur in any culture or country. Hikikomori or to “shut-in” is a Japanese term that describes a person who seeks isolation or spends an abnormally amount of time socially and psychologically isolated.
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