Some signs that suggest problems for which the student should be referred for assessment are if the student:
- Manifests a change in personality (goes from being actively involved to quiet and withdrawn, or goes from being quiet to more agitated or demanding).
- Begins to display aggressive or abusive behavior to self or others; exhibits excessive risk-taking.
- Shows signs of memory loss.
- Shows loose or incoherent thought patterns, has difficulty focusing thoughts, or displays nonsensical conversation patterns.
- Exhibits behaviors or emotions that are inappropriate to the situation.
- Displays extreme suspiciousness or irrational fears of persecution; withdraws, does not allow others to be close; believes she/he is being watched, followed, etc.
- Exhibits signs of hyperactivity (unable to sit still, difficulty maintaining focus, gives the impression of going "too fast," appears agitated).
- Shows signs of depression (no visible emotion s or feelings, appears lethargic, loses weight, looks exhausted and complains of sleeping poorly, displays feelings of worthlessness or self-hatred, or is apathetic about previous interests).
- Talks about unusual patterns of eating, not eating, or excessively eating.
- Shows signs of injury to self, cuts, bruises, or sprains.
- Experiences deteriorating academic performance (incapacitating test anxiety, sporadic class attendance, or extended absences from class).
- Begins or increases alcohol or other drug use.
- Makes statements regarding suicide, homicide, feelings of hopelessness, or helplessness.