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About sharing image copyrightUnknown As many as a million young people in Japan are thought to remain holed up in their homes - sometimes for decades at a time. For Hide, the problems started when he gave up school. The pressure started to build up," he says.

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His approach is to begin with "reorganising" the relationship between the patient and his parents, arming desperate mothers and fathers with strategies to restart communication with their children. The average age of hikikomori also seems to have risen over the last two decades.

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You can follow the Magazine on Twitter and on Facebook. So he gets laid twice for free! But some parents have been driven to extreme measures. Kills the duck! Terry Hoitz : What? A conservative estimate of the of people now affected is , but a survey for the Japanese Cabinet Office came back with a much higher figure -I thought you said 'Bad cop, bad cop'. When the patient is well enough to come to the clinic in person he can be treated with drugs and therapy. It might sound like straightforward teenage laziness.

I don't even have the will to pick up the phone. For some, chqt outbursts alternate with infantile behaviour such as pawing at the mother's body. How did you cover your losses up? But Saito says sufferers are paralysed by profound social fears. Kazuhiko Saito, the director of the psychiatry department at Kohnodai Hospital in Chiba, says that sudden interventions - even by healthcare professionals - can prove disastrous.

The risk here of that - as with Hide - communication with parents may break down altogether.

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Tamaki Saito was a newly qualified psychiatrist when, in the early s, he was struck by the of parents who sought his help with children who had quit school and hidden themselves away for months and sometimes years at a time. What drug cartel are you working with now? The longer hikikomori remain apart from society, the more aware they become of their social failure. So why do they withdraw?

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Terry Hoitz : So he goes to the lady at the barn and says, "Miss, I know you usually want money, but I don't have any money. Llets my birthday, do you think I could have sex with you for this duck? Terry Hoitz : He's ecstatic! The older generation, who graduated and slotted into steady careers in the s and s, could not relate to them. Terry Hoitz make So he's walking home, and can't wait to get home to tell his father.

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Other patients might be obsessive, paranoid and depressed. About sharing image copyrightUnknown As many as a million young people in Japan are thought to remain holed up in their homes - sometimes for decades at a time.

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I saw how aggressive you were being, and I thought 'Wow, I gotta go even bigger than that since we're doing 'Bad cop, bad cop'. Both men have made progress in their relationships with their parents. Job-hopping Japanese were called ttoday - a combination of the word "freelance" and the German word for "worker", arbeiter.

These young people were often from middle-class families, they were almost always male, and the average age for their withdrawal was So far I don't see how this is ever going to be funny. Allen Gamble : So malee was satisfied with the duck as currency? Terry Hoitz : The high hard one, and she loves it! Even though about half of hikikomori are violent towards todya parents, for most families it would be unthinkable to throw them out.

So she goes, "If you do that again, I'll give you your duck back".

Tamaki Saito likens the hikikomori state to alcoholism, in that it is impossible to give up without a support network. I'm the bad cop, you're the good cop. So he goes home and his dad says "What happened, what happened? But it's important to know when it's no foday healthy. Yoshiko's son withdrew lwts society very gradually when he was They lose whatever self-esteem and confidence they had and the prospect of leaving home becomes ever more terrifying.

Why not stay in your room while your parents wait on you?

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Andy Furlong, an academic at the University of Glasgow specialising in the transition from education to work, connects the growth of the hikikomori phenomenon with the popping of the s "bubble economy" and the onset of Japan's recession of the s.