SOCIAL
o Changing several friends or changing peer groups
o Suddenly popular with friends who are older and unknown to family
o Becoming involved with peers when formerly isolated from peers
o More frequent phone calls
o Social activities occurring more often, sometimes at odd hours
o Thrill seeking behaviors - evidenced by law breaking, promiscuity, and other dangerous physical situations

FAMILY
o Isolation from family members (hiding in room, locking bedroom door) and avoiding family activities
o Exhibiting negative attitude toward rules and parents
o Failing to follow through on promises
o Sneaking out of the house
o Becoming manipulative
o Lying

SCHOOL
o Lacking motivation and lower grades
o Sleeping in class
o Skipping class or school
o Dropping out of school activities
o Becoming disrespectful of teachers, administrators, and rules
o Frequently being disciplined
o Suspended or Expelled

PHYSICAL
o Smelling of alcohol, marijuana or stale smoke
o Frequent minor illnesses (headaches, nausea, slight tremors, flu-like symptoms, vomiting, sluggishness)
o Neglects taking prescribed medications or takes more medications than usual
o Memory lapses
o Weight changes or unusual eating patterns (types of foods, amounts, time of day)
o Frequent use of eye drops for bloodshot eyes
o Change in normal sleep patterns (more or less than usual, frequent naps)
o Injuries occurring more often
o Frequent infections or infections which don't heal
o More frequent complaints of pain or illness

LEGAL
o Shoplifting or stealing from family members
o Unruly behaviors like skipping school and not following family rules
o Incidents or Charges for Public Intoxication, DUI, Vandalism, Breaking and Entering, Underage Use)
o Involved in car accidents or near misses
o Selling drugs

EMOTIONAL
o Impaired judgment (putting self in dangerous situations)
o Talking about or attempting suicide
o Violent or threatening (verbally or physically)
o Lethargic or apathetic
o Mood swings
o Burned Out
o Operating at an inappropriate maturity level