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Advice from REAL BOYS' VOICES

• Increased withdrawal from relationships and problems in friendships.
• Depleted mood or increased impulsiveness.
• Irritability or an increase in intensity or frequency of angry outbursts.
• Increased risk taking, bravado, or acting out.
• New or renewed interest in alcohol or drugs.
• Discussion of death, dying, or suicide.
• Increased aggression.
• Concentration, sleep, or weight changes, or other unusual physical changes or symptoms.
• Low self-esteem, harsh self-criticism, or perfectionism.
• School or academic difficulties.
• Denial of pain, denying others’ help, or inability to cry.
• Shift in sexual activity or interest level.
• Inappropriate silliness or "clowning."
• Obsessive overworking in school or in sports.

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