• Difficulty interacting socially with others due to excessive fear or anxiety
• May withdraw from others and appear isolated
• May exhibit symptoms of depression
• May avoid interactions with peers or adults
• May not interact appropriately with peers, teachers, siblings, and parents
• May have few or no friends
• May affiliate with deviant social groups
• May blame behavioral or social problems on teachers or other students
• May be aggressive with peers and adults and cause injury when playing or interacting with others
• May display covert aggression (e.g. lying, cheating, vandalizing)
• May display relational aggression (i.e. manipulating, gossiping, excluding someone)
• May display limited perspective-taking skills
• May act out in class, and may not appear to respond to discipline from teachers
• May seem not to care about class and school rules
• May be at higher risk for substance abuse
• May show signs of impulsivity (hyperactivity, defiance, opposition, risky behaviors)
• Demonstrates immaturity (inappropriate crying, temper tantrums, poor coping skills)
