AUTHOR=Filardi Marco , Blunda Vincenza , Vandi Stefano , Musetti Alessandro , Posar Annio , Visconti Paola , Pizza Fabio , Plazzi Giuseppe , Franceschini Christian 

TITLE=Case Report: Burden of Illness in Narcolepsy Type 1: Hikikomori in a Teenage Girl

JOURNAL=Frontiers in Psychology

VOLUME=12

YEAR=2021

URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2021.634941

DOI=10.3389/fpsyg.2021.634941

ISSN=1664-1078

ABSTRACT=<p>Narcolepsy type 1 (NT1) deeply impacts on quality of life, especially during adolescence, with NT1 children and adolescents that frequently report difficulties in integration with peers and decreased participation in after-school activities. Here we describe the case of NT1 teenager girl presenting with severe physical and social withdrawal, fulfilling the proposed diagnostic criteria for hikikomori, together with the classic NT1 symptoms. Social withdrawal is an overlooked phenomenon among NT1 children and adolescents that, if present, require a multidisciplinary approach and personalized interventions, but patients can benefit from NT1 pharmacological treatment.</p>