"What distinguishes the Hikikomori (ESW) experience is not about the quality or even quantity of sleep; it's about when the sleep happens. Folks I tend to see report ten or more hours of shut-eye; however, it occurs from the wee hours until mid-day or even later. This is problematic because it places someone out of synch with social norms, where jobs and social lives are happening."
"This isn't insomnia. It's a circadian rhythm disorder. CRD is within the DSM-TR-V classification for sleep disorders and seen as sleep onset insomnia; an individual may get enough sleep, but the quality and time of sleep are the issue. We see CRD in shift workers whose irregular schedules impact their circadian clock as well as in the jetlag experienced from international travel. Think here of medical professionals, airlin"
Extreme social withdrawal commonly co-occurs with disturbed sleep patterns linked to circadian rhythm disruption. Reduced sunlight, social contact, and activity contribute to delayed sleep timing among withdrawn individuals. Insomnia characterized by feeling "tired but wired" differs from circadian rhythm disorder, which centers on when sleep occurs rather than how much. Many withdrawn individuals obtain long sleep spans during daytime hours, creating misalignment with societal schedules. Circadian rhythm disorder is recognized in diagnostic manuals and appears in shift work and jetlag contexts. Bright light exposure and monitored light therapy are prioritized interventions, while basic sleep hygiene remains supportive but secondary.
Read at Psychology Today
Unable to calculate read time
Collection
[
|
...
]