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The same behavior can have different drivers depending on when and where it happens, and identifying your own pattern is one of the most useful things you can do if you want to understand or change it

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Behavioral Changes Big shifts in personality or mood Being secretive about where they go or who theyre with Getting defensive over small questions Losing interest in hobbies or things they used to care about Trouble at work or school Unusual sleep patterns or eating habits that go beyond the typical changes in adolescence Physical Signs Red or bloodshot eyes, or pupils that seem unusually large or small Frequent nosebleeds or a constantly runny nose (without being sick) Poor hygiene or changes in grooming Unexplained injuries, bruises, or marks Shaky hands, slurred speech, or other changes in coordination A persistent cough or raspy voice Social and Financial Signs Hanging out with a new crowd they wont talk about Missing money or valuables Financial struggles or suddenly asking for money Pulling away from close friends or family Legal trouble or risky decisions No single sign means something is definitely wrong

Statements Author contributions Conceptualization, SS and TA