31 30 MOOD AND BEHAVIORAL CHANGES • Expressions of hopelessness or worthlessness, crying or tearfulness* • Hearing voices or seeing things that do not exist* • Physical or verbal aggression to self, others, animals or properties* • Personal disclosure about general distress, family conflict, grief, loss, or financial hardship • Loss of interest in most things or exaggerated interest in some things • Expressions of severe anxiety or irritability • Shakiness, tremors, fidgeting or pacing • Significant mood swings • Angry or hostile outbursts, yelling, or aggressive comments • Agitation or restlessness • Feelings of disorientation or acute loneliness • Over-intense interaction, withdrawal or reduced concentration • Uninhibited, disruptive or disturbing behaviors • Disrupted pattern of sleep or eating *Safety Risk Indicators: Immediate attention is needed. Chapter Two: Warning Signs of Distress Chapter Three: Approaches in Handling Students in Distress
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