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Here are some of the signs: Behaviour Signs change in overall attitude or personality for no known reason loss of motivation, energy, self-esteem, "I don't care" attitude unsafe driving or car accidents as a form of self-destruction or driving while impaired attending school less, doing less homework, lower grades extreme need for privacy, doesn't want to talk about new friends, suspicious behaviour Physical Signs change in personal grooming, sleep pattern, or habits at home smell of substance on breath, body or clothes change in appetite or eating habits, unexplained weight loss or gain slow or staggering walk, poor coordination, shaking red, watery eyes, pupils larger or smaller than usual, blank stare Patterns that may suggest problematic substance use: using daily using before or during work or school using as a main way to have fun or relax using to deal with negative moods using at times of high emotions, such as anger or aggression Below, youll find tips for talking about substance use with your child