1. Difficulty forming and maintaining relationships with peers and adults 2. Poor academic performance or behavior in school 3. Aggressive or disruptive behavior 4. Withdrawn or isolated behavior 5. Low self-esteem and lack of confidence 6. Difficulty managing emotions and expressing feelings appropriately 7. Lack of empathy or concern for others 8. Difficulty following rules and authority figures 9. Poor problem-solving skills and coping mechanisms 10. Possible history of trauma or adverse childhood experiences.