| • Decreased self-esteem or feelings of helplessness |
| • Increased depression and/or anxiety |
| • Sudden loss of friends, isolation from peers or withdrawal at home |
| • Reported health problems (e.g., stomach aches, headaches) for which adolescent wants to stay at home or fake illnesses |
| • Increased truancy or school absences |
| • Decline in academic performance or loss of interest in school work |
| • Changes in eating habits or appetite |
| • Difficulty sleeping or frequent nightmares |
| • Sudden anger, rage or other emotional swings |
| • Self-harm behaviors, such as cutting or suicidal ideation |
