- Changes in academic performance in the classroom
- Significant drop in examination scores
- Change in pattern of interaction
- Changes in physical appearance
- Problems concentrating and remembering things or making decisions
- Repeated request for special consideration
- New or regularly occurring behavior which pushes the limits and may interfere with class
- Disruptive to other students, faculty or staff
- Unusual or exaggerated emotional responses
- Outbursts of anger
- Inability to communicate clearly
- Irrational conversation or speech that seems disconnected
- Loss of contact with reality (seeing/hearing things that are not there, beliefs or actions at odds with reality)
- Suspiciousness, irrational feelings of persecution
- Statements related to death or dying or feelings of hopelessness
- Threats of harming self or others