Not long after Japan ramped up its fight against the coronavirus last spring, Nazuna Hashimoto started suffering panic attacks. The gym in Osaka where she worked as a personal trainer suspended operations, and her friends were staying home at the recommendation of the government.

Afraid to be alone, she would call her boyfriend of just a few months and ask him to come over. Even then, she was sometimes unable to stop crying. Her depression, which had been diagnosed earlier in the year, spiraled. "The world I was living in was already small,” she said. "But I felt it become smaller.”

By July, Hashimoto could see no way out, and she tried to kill herself. Her boyfriend found her, called an ambulance and saved her life. She is speaking out publicly about her experience now because she wants to remove the stigma associated with talking about mental health in Japan.