Such differences in temperament across different ethnic groups indicate that sociocultural factors may play a role in shaping antisocial and avoidant behavior. Child rearing practices and other methods of socialization such as education and religion have been suggested as possible factors [3]. In Japan, Hikikomori is a recently described condition characterized by antisocial and avoidant functioning leading to school nonattendance or withdrawal from society [4, 5]. Community surveys have suggested it as a silent epidemic and it has become the subject of media coverage and a recent novel in which the leading figure suffers from Hikikomori [6]. It is considered to be a culture bound trait unique to Japan and linked to the hermetic nature of traditional Japanese society and its value placed on the nobility of solitude [4]. We describe a clinical vignette from Oman that is characterized by social isolation and a reclusive lifestyle. Evaluation did not reveal the presence of any pervasive and persistent distress. To our knowledge, this is the first case of hikikomori reported outside Japan.