Smelling of alcohol or marijuana
	Vomiting
	Sleeping during the day
	Impaired coordination
	Glassy, bloodshot eyes
	Disoriented
	Physical injuries
	Headaches
	Marked changes in weight or appearance
	Respiratory problems
	Slurred speech

	Change of friends
	Decline in grades
	Fighting
	Erratic, unpredictable behavior
	Obscene language or gesturing
	Little contact or avoidance of family
	Dramatic attention getting or seeking negative attention
	Defiance of rules - constant disciplinary concerns
	Hypersensitive, does not like to be touched
	Talks positively about chemical use
	Depressed, hopeless attitudes and statements - apathetic
	In appropriate affect - non-verbal expressions
	Withdrawn, secluded, loner
	Change of extracurricular activities
	Lack of an ability to "flow through" on a consistent basis
	Talks about running away from home
	Overly preoccupied with secrecy or privacy
	Suspected of vandalism, stealing
	Memory problem
	Difficulty with tardiness, absence from school
	Curfew violations

	Butane, other canisters, gas and household cleaners, Vicks bottles
	Thermos
	Missing money
	Cuts and/or bruises
	Cruelty to animals
	Cigarette burns on forearm
	Preoccupation with fire
	Odd pipes or bowls
	Packages being delivered to adolescent
	Rolling papers, cigar

This information is not to be construed as professional advice or medical recommendations. Readers are encouraged to direct any questions concerning personal health care to licensed physicians or other appropriate professionals.