Psychiatry, as we know it, is at a crucial point because it needs to adapt to 
the modern time and still maintain the integrity and ethic aspects of the 
therapeutic alliance. Bearing in mind the rising prevalence of new addictions 
like Internet and online gaming addictions, one can see that, however, disputed, 
there is a whole new category of psychiatric illnesses on the rise. An example 
of these kinds of illnesses is Hikikomori. Hikikomori, or severe social 
withdrawal, pertains to patients who have stopped participating in everyday 
routine and would spend the majority of time confined in their room for the 
period of 6 months or more, with no evident psychosis. Although this syndrome 
was originally described in Japan, over the course of last few years it has been 
documented in several parts of the world, spreading like a silent epidemic. Our 
case study, being the first documented case in Southeast Europe, according to 
our experience and literature search, is a vivid example of this syndrome. In 
this report we discuss differential diagnosis, show what kind of therapy was 
efficient in the successful treatment of this syndrome and how it can be 
prevented in the future.