Japanese pop singer Ai Otsuka opened up about her mental health struggles, which she battled behind the scenes while achieving hit records. To provide awareness and reduce the stigma around mental health in Japan's entertainment industry, she decided to publicly share her experiences. The timing, location, and specific causes of her mental health issues are not disclosed, but their discussion expands the conversation about the pressures that celebrities face.

In Japan, mental health issues are still largely stigmatized, with thousands suffering in silence. Ai Otsuka's revelation is particularly significant, as celebrities discussing their mental health struggles can have a significant impact on promoting public understanding and changing perceptions in Japanese society.

In the United States as well as in the European Union, many celebrities have come forward to discuss their issues pertaining to mental health. By doing so, they have prompted important public discussions and helped reduce the stigma surrounding mental health. The conversation in Japan is beginning to change, but it is not as widespread.