ChildBe is not intended to be used as a diagnostic tool or as a replacement for psychiatric support (e.g., assessment, medication, therapy) when needed. If your child exhibits two or more behaviors from any group listed below, we recommend consultation with a pediatric psychiatrist.

Group A:

  • Worrying about germs, getting sick, or dying
  • Extreme fears about bad things happening or doing something wrong
  • Feeling that things have to be “just right”
  • Disturbing and unwanted thoughts or images about hurting others
  • Disturbing and unwanted thoughts or images of a sexual nature
  • Excessive checking that the door is locked, that the oven is off, etc.
  • Excessive washing and/or cleaning
  • Repeating actions until they are “just right” or starting over again
  • Ordering or arranging things
  • Mental compulsions (excessive praying, mental reviewing, etc.)
  • Frequent confessing or apologizing
  • Saying lucky words or numbers
  • Excessive reassurance seeking (e.g., always asking, “Are you sure I’m going to be okay?”)
  • Symptoms might develop seemingly overnight with a rapid change in behavior and mood and sudden appearance of severe anxiety.

Group B:

  • Avoids eye contact, and prefers to be alone
  • Struggles with understanding other people’s feelings
  • Has delayed language development, or remains nonverbal
  • Repeats words or phrases over and over (echolalia)
  • Gets upset by minor changes in routine or surroundings
  • Has highly restricted interests
  • Performs repetitive behaviors such as flapping, rocking, or spinning
  • Has unusual and often intense reactions to sounds, smells, tastes, textures, lights, and/or colors

Group C:

  • Has trouble staying focused, is easily distracted, or gets bored with a task before it’s completed
  • Appears not to listen when spoken to
  • Has difficulty remembering things and following instructions; doesn’t pay attention to details or makes careless mistakes
  • Has trouble staying organized, planning ahead, and finishing projects
  • Frequently loses or misplaces homework, books, toys, or other items
  • Constantly fidgets and squirms
  • Has difficulty sitting still, playing quietly, or relaxing
  • Moves around constantly; often runs or climbs inappropriately
  • Talks excessively
  • May have a quick temper or “short fuse”
  • Acts without thinking
  • Guesses, rather than taking time to solve a problem; blurts out answers in class without waiting to be called on or to hear the whole question
  • Intrudes on other people’s conversations or games
  • Often interrupts others; says the wrong thing at the wrong time
  • Inability to keep powerful emotions in check, resulting in angry outbursts or temper tantrums

Group D:

  • Withdrawal from family activities and hobbies
  • Change in overall attitude or personality with no other identifiable cause
  • Changes in friends and/or hangouts; sudden avoidance of old crowd; reluctance to talk about new friends
  • Friends who are known drug users
  • Changes in activities or hobbies
  • Drop in grades at school or performance at work
  • Skipping school or being late for school
  • Difficulty in paying attention; forgetfulness
  • General lack of motivation, energy, and/or self-esteem
  • An “I don't care” attitude
  • Sudden oversensitivity, temper tantrums, or resentful behavior; moodiness, irritability, or nervousness; silliness or giddiness; paranoia
  • Excessive need for privacy; being unreachable; secretive or suspicious behavior; change in personal grooming habits
  • Loss of appetite, increase in appetite, or any changes in eating habits; unexplained weight loss or gain
  • Slowed or staggering walk
  • Poor physical coordination
  • Inability to sleep; awakening at unusual times
  • Unusual laziness; falling asleep in class
  • Red, watery eyes; pupils larger or smaller than usual
  • Blank stare
  • Cold, sweaty palms
  • Shaking hands
  • Puffy face
  • Blushing or paleness
  • Smell of substance on breath, body, or clothes
  • Extreme hyperactivity; excessive talkativeness
  • Perpetual runny nose; hacking cough
  • Needle marks on lower arm, leg, or top of feet
  • Nausea, vomiting, or excessive sweating; tremors or shakes of hands, feet, or head; irregular heartbeat

Group E:

  • Feeling down, sad, empty, hopeless, irritable most of the day or most days of the week
  • Little interest or pleasure in doing things
  • Trouble falling asleep or staying asleep, or sleeping too much
  • Feeling tired or having little energy
  • Poor appetite or overeating
  • Feeling bad about themselves, like they are a failure or have let themselves or their family down
  • Trouble concentrating on things such as reading or watching television
  • Moving or speaking so slowly that other people have noticed, or being so fidgety and restless that they have been moving around a lot more than usual
  • Thoughts that they would be better off dead or of hurting themselves in some way

Group F:

  • A repetitive or persistent pattern of behavior in which the basic rights of others or major age-appropriate societal norms are violated
  • Often bullies, threatens, or intimidates others
  • Often initiates physical fights
  • Has used a weapon that can cause serious physical harm to others
  • Has been physically cruel to people or animals
  • Has stolen while confronting a victim, steals trivial items without confronting the victim
  • Has forced someone into sexual activity
  • Has set fire intentionally to someone else’s property or destroyed another’s property purposefully in some other way
  • Breaking into someone’s house or car
  • Often lies to obtain goods/favors or to avoid obligations
  • Has run away from home (overnight) more than once (before age 13) and/or has stayed away for a long period of time
  • Behaviors that negatively impact their social, academic, or occupational functioning

Group G:

  • Exposure to actual or threatened death, serious injury, or sexual violence in one (or more) of the following ways: directly experiencing, witnessing in person, learning that the traumatic events occurred to a close family member or friend, experiencing repeated or extreme exposure to traumatic events
  • Recurrent and distressing memories of the trauma
  • Recurrent, distressing dreams in which the content of dreams are related to the traumatic event
  • Dissociative reactions (flashbacks)
  • Intense or prolonged distress at exposure to things that remind them of trauma
  • Significant physiological reactions to internal or external cues of trauma
  • Persistent avoidance of things associated with the traumatic events (people, places, activities, objects, and or efforts to avoid distressing memories, thoughts, or feelings)
  • Negative change in mood and cognitions (inability to remember important aspects of events; persistent exaggerated negative beliefs or expectations about themselves; persistent distorted thoughts about the cause or consequences of the events; persistent fear, horror, guilt, anger, or shame; decreased interest in activities; persistent feelings of being detached from others; persistent inability to experience happiness, satisfaction, loving feelings)
  • Marked changes associated with traumatic events (two or more of the following: irritable behavior and angry outbursts, reckless or self destructive behavior, hypervigilance, exaggerated startle response, problems with concentration, sleep disturbance)
  • Depersonalization (persistent feelings of being detached from — and as if an outside observer of — one’s thoughts, one’s body; feeling as if in a dream; feeling a sense of unreality of self or body or of time moving slowly)
  • Derealization (persistent experiences of unreality of surroundings — dreamlike, distant, distorted)
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