- Withdrawal from others
 - Loss of pleasure in everyday activities
 - Change in personal appearance (increasingly unkempt or lack of personal hygiene)
 - Change in friends
 - Easily discouraged; defeatist attitude
 - Low frustration tolerance (outbursts)
 - Unpredictable behavior and/or destructive behavior
 - Terse replies to questions or conversation
 - Sad or forlorn expression
 - Lying
 - Poor classroom attendance
 - Decline in academic performance
 - Apathy or loss of interest
 - Change in sleep pattern ranging from excessive sleep to inability to sleep
 - Frequent excuses for absences from planned activities
 - Change in weight or eating behavior
 
When such signs appear in friends,
DO
- Express your concern and caring using “I” statements
 - Be ready to listen and be nonjudgmental in your approach
 - Communicate your desire to help
 - Make concrete suggestions as to where the student can find help or and offer to accompany student to meeting or group
 - Try to get the student to seek professional help
 - Submit a Student of Concern Report to seek assistance from campus resources
 - Be persistent
 - Understand that the definition of friendship includes making difficult decisions that may anger your friends
 
DON’T
- Take the situation lightly or as a joke
 - Be offended if the student tries to avoid you
 - Take “I don’t have a problem” as an answer
 - Try to handle the student alone without assistance
 - Lecture about right and wrong
 - Promote feelings of guilt about grades or anything else
 - Gossip: speak of it only to those who can help
 - Excuse behavior because “everybody does it”
 - Continue using alcohol or other drugs with student