• children/adolescents who are resistant to accepting that they could use some help
•social side effects of learning or attention problems (such as ADHD)
• excessive amount of time spent playing video/internet games and/or social media
•behavioral problems (excessive anger, acting out, stealing)
• significant drop in grades 
•episodes of sadness, tearfulness, or depression
•social withdrawal, isolation, difficulty maintaining friendships
•being bullied or bullying other children
•decreased interest in previously enjoyed activities
•overly aggressive physical behavior 
•insomnia or increased sleepiness
•excessive school absenteeism or tardiness
•mood swings (e.g., happy one minute, upset the next)
•development of, or increase in physical complaints, (once a physical etiology has been ruled out by a physician)
•problems in transitions (following separation, divorce, or relocation)
•bereavement issues
•therapy following traumatic events
•challenges associated with blended families