If you or a loved one has had several of these symptoms below, and they’ve lasted several weeks, or cause a notable change in routine, it may be time to seek help.

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• School Attendance: absenteeism; tardies; suspension; frequent schedule changes; frequent nurse/counselor visits; forged notes from home

• Extracurricular Activities: loss of eligibility; decreasing involvement; dropped out; loss of interest

• Mood Changes: prolonged sadness/crying; feelings of guilt, worthlessness, hopelessness; irritability; thoughts about death/suicide; racing thoughts; talking too much; wild/risk-taking behavior; feeling of invincibility

• Physical Symptoms: change in sleeping patterns; staggering or stumbling; smelling of alcohol or pot; vomiting; restlessness; tiredness; change in eating patterns increased or decreased appetite; bloodshot eyes; dilated pupils; change in dress (e.g., t-shirts with slogans about drug use, paraphernalia)

• Disruptive Behavior: defiance of rules; constant discipline problem; cheating; irresponsibility; blaming; denying; verbal/physical abuse to others; throwing objects; obscene language, gestures; dramatic attention-getting; extreme negativism; hyperactivity; nervousness

• Relationship Changes: withdrawal from friends; conflict with family; negative or much older peer group; promiscuity

• Criminal/Illegal Behavior: selling drugs; exchanges of money; possession of drugs/paraphernalia; involvement in thefts/assaults; vandalism; carrying weapons; smoking.

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