2018.1 Insight #hikikomori @TheLancetPsych @drchrisharding

Mr X is a 40-year-old man who has spent half his life—the past 20 years—barely able to leave his room in his parents’ house. For many years aside from attending a monthly outpatient appointment he was asleep while everyone else in his household was awake. And while they slept he was up: whiling away time with computer games and online shopping—the latter at one point costing the family the equivalent of many thousands of pounds.


Online counseling for hikikomori

From January 2018, I offer online counseling, including online counseling for hikikomori subjects.

I use Wecounsel for Secure Video, IM Chat, and Email that is HIPAA Compliant.

Tech requirements: Clients must use Firefox or Chrome. Good internet connection and ethernet cable is recommended.

For more details Conducting a Video Conferencing Session: Client View

Inquiry for online counseling trial session should be sent at n.tajan2(at)gmail.com

Adult sessions’ fees start at 5000 yens.

Psychiatrist Sekiguchi Hiroshi’s View of Hikikomori

“In Japan today, many young people are disconnecting themselves from society. They have come to be known as hikikomori (recluses), or more formally shakaiteki (social) hikikomori. Though their existence is widely recognized, their true situation is still far from being generally understood. They all have different backgrounds and circumstances and have withdrawn from society for different reasons. So, what can we say about this disparate group?

First, a definition: Hikikomori are individuals who (1) do not work or attend educational institutions, (2) are not considered to have a mental disorder, but (3) have remained at home for six months or longer without interacting personally with anyone outside their families. The third point is the most important. These people have no friends and are isolated from society, even though they may be living in the middle of a teeming city.

Some say … open access on nippon.com

Efficacy of a Multicomponent Intervention with Animal-Assisted Therapy for Socially Withdrawn Youths in Hong Kong (Wong et al. 2017)


This is an evaluation study of a pilot multicomponent program with animal-assisted therapy (AAT) for socially withdrawn youth with or without mental health problems in Hong Kong. There were fifty-six participants. Decreased level of social anxiety, and increased levels of perceived employability and self-esteem across two withdrawn groups were observed. When comparing those who did and did not receive the AAT component(s), however, AAT did not seem to have additional impacts on outcomes. The qualitative data collected through interviews with ten participants reflected that

the AAT component was attractive because the nonhuman animals made them feel respected and loved. This pilot study showed that a multicomponent program with a case management model correlated with increased levels of self-esteem and perceived employability, and a decreased level of social interaction anxiety. In addition, using nonhuman animals in a social service setting appears to be a good strategy to engage difficult-to-engage young people.


Society & animals (2017) 1-14



Génération #hikikomori disponible en ebook 28,99€

“Génération hikikomori” est désormais disponible en ebook 28,99€, sur le site de l’Harmattan (+ aperçu Google des premières pages).

L’ouvrage sera bientôt disponible en librairie, et sur Amazon sous 3 semaines.