Unusual changes in eating and sleeping habits
Withdrawal from friends, family, and regular activities
Violent actions, rebellious behavior, or running away
Excessive drug and alcohol abuse
Unusual neglect of personal appearance
Marked personality change
Persistent boredom, difficulty concentrating, or a decline in the quality of schoolwork
Frequent complaints about physical symptoms such as stomachaches, headaches, fatigue, etc.
Loss of interest in pleasurable activities
Not tolerating praise or rewards
Complaints of feeling “rotten inside”
Giving verbal hints such as “Nothing matters,” “It’s no use,” or “I won’t be a problem for you much longer”
Putting his or her affairs in order by giving or throwing away favorite possessions or belongings
Becoming suddenly cheerful after an episode of depression
Diectectical Behavioral Therapy, DBT, is currently the treatment of choice in treating adolescents with multiple problems including depression, self-injury and suicidal ideation.