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Younger Children

Marked fall in school performance

Poor achievement in school despite of effort

Severe worry or anxiety, exposed in refusal to go to school, go to sleep and withdrawal from regular activities

Hyperactivity; fidgeting; constant movement beyond regular playing.

Persistent nightmares

Continual disobedience or aggression (longer than 6 months and provocative opposition to authority figures).

Frequent unexplainable temper tantrums


Pre-Adolescent and Adolescents

Marked fall in school performance

Incapacity to cope with problems and daily activities

Noticeable changes in sleeping or eating habits

Frequent physical complaints

Sexual acting out

Depression shown by continual, sustained negative mood and attitude, often accompanied by poor appetite, difficulty sleeping, or thoughts of death

Abuse of alcohol or drugs

Intense fear of becoming obese with no relationship to actual body weight, purging food or restricting eating

Persistent nightmares

Threats of self harm or harm to others

Self-injury or Self-destructive behaviour

Frequent outbursts of anger, aggression

Threats to run away

Aggressive or non-aggressive consistent violation of rights of others; opposition to authority, truancy, thefts, or vandalism

Strange thoughts, beliefs, feelings or unusual behaviours.