Concerned about your teen’s behavior or substance use? Your teen may need a mental-health or substance-use evaluation if you notice one or more of the following signs: • Conduct issues that have progressed quickly or have not improved, even with therapy • Unstable or unpredictable mood • Inability to cope with minor frustrations • Unexplained school absences or tardiness • A noticeable decline in school performance or interest • Avoiding family or change in peer group • Lack of interest in activities previously enjoyed by teen • Decline in hygiene or appearance • Your teen appears depressed, anxious, sad or withdrawn • You have found drugs or paraphernalia or suspect alcohol or drug use