- A prolonged negative mood and attitude often faced with poor appetite, difficulty sleeping or thoughts of death
- Opposition to authority, truancy, theft, vandalism and consistent violation or disregard of others
- Abuse of alcohol, drugs or heavy tobacco use
- Intense fear of becoming ‘obese’ with no relationship to actual body weight, constant dieting, restrictive eating habits, purging food or vomiting
- Frequent outbursts of anger or inability to cope with problems and daily activities
- Marked change in school performance
- Marked changes in sleeping
- Marked changes in eating habits
- Persistent nightmares or many physical complaints
- Threats of self-harm and harm or violence toward others
- Sexually acting out
- Threats to run away
- Strange thoughts, feelings and unusual behaviours
