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As mentioned before, negative symptoms are not specific to psychosis and could suggest other diagnoses such as depression or amotivational syndrome secondary to cannabis use So, before this gets any more awkward, let me just reiterate: In the absence of overt full-blown psychotic symptoms suggestive of an acute episode of psychosis, modifying the environment reducing sensory deprivation and Internet use, for example may help in differentiating between hikikomori , psychosis, and Internet addiction. As the woman uses a towel to pat herself down, the power is cut and the room goes dark. It is even suggested that hikikomori could be beneficial to these individuals in whom it can help regain a sense of identity and social connectedness through new means more suited to them 6. Amazon Inspire Digital Educational Resources.