By Mohamad Jihad & Muhammad Azis ZaelaniMedical Faculty of Yarsi UniversityJakarta, 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 cosplaySuitability 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 favorityThe 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 Otaku3. 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 cosplay activity is on place

- Chronic Could occur in either new Otakus or old Otakus

Nausea, Vomit, Obvious and continuous harrassing, Madness, Deep depression, Shivers

Involves physiological aspectOccurs 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 he/she visit you. Also ask when he/she obtained it, and how

Additional examinationShow a sequence of photos of

cosplay to the patientSequences : - 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-playAsk the 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

Only for Chronic case which involves systemic physiology system of the body

Refrain to go to Japanese festivalsRelease/Ignorant to one of the

segment of Otaku stuffHate one or more of the series that

the patient used to loveNeurosis,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