By Mohamad Jihad & Muhammad Azis Zaelani

Medical Faculty of Yarsi University

Jakarta, Indonesia
 Cosplay-sickness syndrome is a
syndrome where someone who is
positively an Otaku, harrasses and
insults one segment of Otaku-stuff
which is called as Cosplay (Dress
yourself as a character from
anime/game/manga), and
interpreted as pathologic, with some
pathognomic symptoms
 Some things that might directly
cause this syndrome are
 1. Bad cosplay
 Suitability between the costume and
the cosplayer is vital. Bad cosplay or
not-suitable-ness could cause this
syndrome to Otaku directly or
indirectly since most Otaku knows
the basic interpretation of a cosplay
 2. Excessive favority
 The excessive-ness favority on a
certain series of anime, game,
manga could cause this syndrome
indirectly due to assumption so that
his/her favorite series should be
keep “clean”
 1. A fashion designer
 2. A new Otaku, or freshmen Otaku
 3. Specialized-Otaku  An Otaku
who only specialized into one Otaku
segment such as game only, anime
only, or manga only
- Acute  Mostly in fresh/new Otakus
 Cosplay phobia, Insulting with
harrassing, Slight depression,
obviously avoiding cosplayers,
Refrain to attend some Japanese
festival when the cosplay activity is
on place
 These symptoms only involves
psychological aspect
 Could occur before or when the
- Chronic  Could occur in either
new Otakus or old Otakus
 Nausea, Vomit, Obvious and
continuous harrassing, Madness,
Deep depression, Shivers
 Involves physiological aspect
 Occurs right when seeing the
cosplay activity is on place
 The doctor should be an Otaku also
who know about every segment of
Otaku stuff generally
 It’ll be better if the doctor knows
about the patient’s favorite series
also
 The doctor should be neutral and not
showing any signs of also being
opposite to cosplay activity
 Anamnesis
 Specialized to hobby, how many
series that patient love, and how
love the patient onto that those
series. Ask also whether there are
any friend of the patient is also an
Otaku
 Physical Examination
 See and count the Otaku stuffs that
patient brought with him/her when
 Additional examination
 Show a sequence of photos of
cosplay to the patient
 Sequences :
 - Starts from the series which is
strange to patient, until the series
which the patient love
 - Starts from the officially good ones,
until the “bad” ones
 Anamnesis and Physical Examination
contribute to the positive-ness of this
syndrome
 Additonal examination can also
means diagnostic and to measure
the stadium/stage of this syndrome
in the patient
 - Communicative
 Talk and discuss with the patient about
cosplay art deeply
 Reduce activity of searching cosplay
picts radically
 Don’t go to the Japanese festival within
short period (< 6 months of interval
between the 2 festivals)
 Refer the patient to have some
discussion with a cosplayer who know
well about cosplay
 Retrospective-play
 Askthe patient to do a cosplay of
any characters from any series that
the patient love
- Medical/Pharmacy
 Anti-depression  Diazepam,
Lorazepam, Buspiron
 Beta-blocker  Atenolol, Propanolol
 Symphatolythic  Acethylcoline
 Anti-anxiety  Selegiline

 Onlyfor Chronic case which involves

systemic physiology system of the
body
 Refrain to go to Japanese festivals
 Release/Ignorant to one of the
segment of Otaku stuff
 Hate one or more of the series that
the patient used to love
 Neurosis,Psychosis  Last/End stage
 In Acute cases, with a good cooperation
from the patient, and the optimality
and the precise-ness of the
commenced therapy, the symptoms of
this syndrome will be reduced well
 In Chronic cases, the prognosis is Bad
since it already involve physiologically
and psychologically. The therapy might
need longer time and more
complicated
 Relaps could occur either in Acute
cases or Chronic cases