"Nakasone-kun ga Mae o Mukanai" centers on Nakasone, a high school student who harbors a deep-seated fear of making eye contact with others. This phobia stems from a traumatic childhood incident, which has left him socially withdrawn and unable to face people directly. His condition complicates everyday interactions, making school life particularly challenging. Despite his struggles, Nakasone is determined to overcome his fear and live a more normal life.

The narrative explores Nakasone's journey as he navigates his relationships with classmates, teachers, and family members. His inability to make eye contact often leads to misunderstandings, but it also reveals the kindness and patience of those around him. Key characters include his supportive childhood friend, who understands his struggles and encourages him, and a classmate who initially finds his behavior odd but gradually becomes an ally. The story also delves into the perspectives of those who interact with Nakasone, highlighting how his condition affects their perceptions and actions.

As the series progresses, Nakasone begins to confront his fear through small, incremental steps. These moments of growth are interspersed with setbacks, reflecting the realistic challenges of overcoming deep-rooted anxiety. The manga balances moments of humor and warmth with poignant reflections on isolation and self-acceptance. Themes of empathy, perseverance, and the importance of human connection are woven throughout the narrative, offering a nuanced portrayal of social anxiety and personal growth. The story avoids overly dramatic resolutions, instead focusing on the gradual, often imperfect process of healing and self-improvement.