According to Kelley, children in upper elementary school also are most likely to show symptoms through behavior, though some may be able to verbalize it. Behavioral changes could manifest as more fears and worries than usual, not doing homework, performing poorly on tests, eating more or less, losing interest in activities they once
As students get older, such as middle and high school age, they may also exhibit other more serious behaviors such as running away, engaging in self-harm, having thoughts of suicide, and/or substance abuse. Signs to watch for include running away, inflicting self-harm, withdrawal from family and friends, writing about negative thoughts or suicidal ideation, talking about issues more and substance abuse, as well as some of the behavioral changes mentioned above.
If parents recognize these behavioral issues in their children and wish to be linked with an outside counselor, they are encouraged to reach out to their child’s school counselor. School counselors are very familiar with providers in the community and are able to make a recommendation of who will best fit each student’s needs. In situations where the child's struggles are mainly at home, school counselors can help parents with suggestions and help them find a counselor suitable for their family's unique situation.