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Drop in academic performance

Lack of interest in grooming

Withdrawal, isolation, depression, fatigue

Aggressive, rebellious behavior

Hostility and lack of cooperation

Deteriorating relationships with family

Change in friends

Loss of interest in hobbies and sports

Change in eating or sleeping habits

Evidence of drugs and paraphernalia; pipes, rolling papers, medicine bottles, eye drops, butane lighters

Physical changes: red eyes, runny nose not due to a cold, wheezing, bags under eyes, frequent sore throats, bruises from falls