>>279735669 (OP)>Japanese pop culture in general) bends over backwards to avoid talking about what are clearly mental illnessesRemove the word pop, and you understand something fundamental about Japanese culture. Why is there so much Japanese media about burnout, repressed homosexuality, transgender issues, stalkers, antisocial behavior, incels, etc.? We're feasting on a medium that's the exhaust valve for struggling people in a conservative society, one that hides the mentally ill instead of treating them, where your best escape is being invisible to your social peers. Instead, the expectation is that people cope. In a country with high literacy and art skills, this is how they cope.
And you know what? Fiction is a good coping mechanism. Mangaka will draw the most degenerate fucking shit imaginable and someone online will go, "That's literally me!" Did I need to know about Itagaki Paru's Santa Claus and kemono fetishes? Did I need to know about Anno's fatherless behavior, among the many reasons why he's on a sake-only diet? Did I need to see Fujimoto hopelessly lust after a transman assistant across at least three one-shots and two serialized works? Hell no, but shit was fun and they connected with so many people with this clearly mental shit.
tl;dr they don't get psychiatric care in animu because they don't get psychiatric care in reality. lrn2cope