COVID Threatens to Bring a Wave of Hikikomori to America

In 2014, a vibrant and well-traveled patient I will call Alice, whom I (Berman) was treating for bipolar disorder, began refusing to leave her home after a prolonged course of physical rehabilitation for a spinal injury. None of the usual diagnoses—depression, anxiety or agoraphobia—explained her withdrawal, which continued after medications stabilized her mood. Patients with … Read more