Mental Health

• Type that takes a long time to fall asleep
• I can’t fall asleep for more than 30 minutes after getting in bed, and it’s painful

Once you fall asleep, you wake up many times during the night and have difficulty getting back to sleep

I wake up early in the morning and can’t go back to sleep, so my sleep time is very short and I don’t feel like I’ve had a good night’s sleep.

Symptoms include daytime sleepiness, difficulty concentrating, irritability, depression, and impaired work or academic performance.

• Depressed mood: Feeling down and unmotivated. You may feel particularly bad in the morning when it’s time to go to work or school, and there may be days when you can’t go.
• Anxiety: Just thinking about the source of stress (in interpersonal relationships, the other person) causes tension and anxiety.
• Irritability: You become more irritable than usual and lose peace of mind.
• Suicidal thoughts: You may start to think that you would rather die than go to school (work).

• Changes in appetite: Loss of appetite, or conversely, overeating to relieve stress.
• Decreased quality of sleep: Difficulty falling asleep and waking up multiple times during the night. Conversely, some people sleep too much to escape reality.
• Fatigue: Easily tired and feeling heavy.
• Autonomic nervous system symptoms: Nausea (some people actually vomit), palpitations, cold sweats, tinnitus, trembling hands, and other various ailments may appear.
• Other: Headaches, stomachaches, stiff neck and shoulders, etc.

• Feeling depressed
• Blaming yourself excessively
• Loss of concentration
• Loss of interest in things
• Thinking negatively about things
• Feelings like “I want to die” or “I want to disappear”

• Inability to sleep
• Lack of appetite or overeating
• Painful palpitations
• Continuous nausea and diarrhea
• Weight loss
• Loss of sex drive

It’s an extremely emotional and excited state, making you feel energized, overly confident and like you can do anything.

• Excessive self-confidence, making statements that make oneself appear grandiose (delusions of grandeur)
• Insomnia (not feeling sleepy, living without rest)
• Talkative, becoming irritated when interrupted
• Incessant thoughts that come to mind one after another (flights of ideas)
• Impulsive behavior (overspending, excessive sexual behavior, dangerous driving, flashy clothing)

Persistent extreme moodiness and lethargy.

• Loss of interest or pleasure
• Tiredness
• Sleep problems (insomnia or hypersomnia)
• Changes in appetite (decreased appetite or overeating)
• Suicidal thoughts or self-harming behavior

Symptoms include believing that a certain place, object, or part of one’s body is “dirty,” and feeling uneasy unless one washes one’s hands repeatedly, bathes for a long time or repeatedly, and eats while wearing gloves.

For example, one cannot touch train straps, cannot eat food cooked in the kitchen at home because it is dirty, but can eat food from a family restaurant or convenience store, cannot sit in the living room because it is dirty and unclean, but is okay to use a chair in one’s room, etc., and one’s own rules are established and one cannot bend the rules drastically.

One patient could not touch the doorknob or sit on a chair in the examination room, and had to receive treatment in the hallway while standing, but after treatment, he or she was able to live a normal life at home.

Everyone has thoughts like, “Did I turn off the lights?”, “Did I turn off the gas?”, and “Did I forget to lock the door?”, but in the case of patients with OCD, no matter how many times they check, they cannot be satisfied. The more you think about it, the more you feel like you haven’t done the work, so you have to go home and check it over and over again. Especially for those who live alone, the excessive checking can take an hour or two to leave the house, locking the door and checking the water main, making it difficult to carry out daily life.

You live your life bound by rules you have set for yourself. Many suffer from symptoms such as having to arrange your keys, wallet, smartphone, and watch in this order, putting on your shoes with your right foot first and leaving the front door with your left foot, being very particular about numbers and starting over if you get a “4” or “9”, doing housework, work, and studying in the same order every day.

This is a symptom of anxiety about acts of violence that have not actually happened or that you do not intend to commit, such as “I might run someone over with my car,” “I might push someone on the train platform,” “I might abuse a child,” or “I might become a sexual predator.” When the patient is seriously ill, they may stop the car and go to check to see if they have hit anyone.

• Hallucinations: Mostly auditory hallucinations, but also visual and olfactory hallucinations. Sometimes you hear voices of people who are not there (conversational hallucinations), or voices criticizing or ordering you (critical or command hallucinations). You hear voices like “Go die” and the hallucinations get louder and louder.
• Delusions: The most common type of delusion is “I’m being watched” or “I’m being targeted by an organization.” People are troubled by things that are hard to imagine in reality, such as being the victim of group stalking, being targeted by political or religious groups, etc.
• Thought disorder: Because thoughts are not organized, people listening to the patient cannot follow the flow of the conversation (loose associations). As the symptoms progress, it can sometimes become a state where the patient is just stringing together unrelated words (disorganized thinking, word salad).
• Conversations start with things like “Hurry up and bring this to school.”
• Ego disorder: The patient feels that their thoughts are leaking out to those around them (thought propagation) and that they can receive them telepathically. They believe that they are being controlled by someone (factitious experience) and claim that they are being attacked by radio waves (somatic hallucination). “Unplug the TV! Everything is being heard! They are watching me through the TV!” etc. When the condition worsens, some people cut all the cords with scissors.

• Flattened emotions: Emotions are less expressed. They appear to have no joy, anger, sadness, or happiness (blunted emotion).
• Loss of motivation: They lose motivation to do housework, childcare, work, study, hobbies, etc.
• Social withdrawal: Some people avoid interacting with others and stay shut up in their homes. (Autism)

• Decreased memory and attention: You become forgetful, distracted, and unable to concentrate for long periods of time.
• Decreased judgment: It becomes difficult to plan things and act in an orderly manner.

We are targeting children under the age of 18 from kindergarten to high school.

(We also welcome students who have failed entrance exams or are in college and are experiencing problems with social withdrawal.)

• We cannot accommodate patients who have difficulty speaking with doctors due to severe intellectual disabilities, etc.

• Suddenly stopped going to school
• Suddenly stopped talking at home
• Can’t go to club activities or cram school
• Stopped hanging out with friends
• Low energy, seems like a different person
• Can’t sleep at night
• Can’t break free from smartphone/game addiction
• Maybe they have a developmental disorder