Sudden decline in academic performance

Homework not done or submitted to school

School refusal

Frequent lying

Obsessive about an object or subject

Visible change of mood, either extremely hyper or quiet or withdrawn

Change in attitude with “I don’t know.. I don’t care.. leave me alone”

Display of oppositional behaviour at home, in school or both

Visible repetitive behaviour such as twitching, scratching, echoing, etc

Self-harming or hurting others deliberately

Total disregard for authority figures

Visible hyperactivity, distractibility, and impulsivity

Frequent mention of desire to end life or suicidal ideation

Apparent lack of moral sense eg. right and wrong

Apparent inability to show empathy or sympathy

Has no calms about being cruel to any person or animal

Believes in living in a world of fantasy

Aggression or anger

Motor or vocal tics

Severe temper tantrums

Stuttering

Bed-wetting or soiling

Stealing

Irritability

Clinging behaviours

Persistent fears that are not age appropriate

Talks about hearing of voices or seeing an imagined character frequently

Changes in eating or sleeping patterns

Fire-setting

Binge eating

Weight loss as a result of strict dieting or excessive exercise