The following symptoms usually signal the need for professional help. Only a trained professional can diagnose and determine the treatment needed.

• Thinking or talking about suicide
• Seeing or hearing things that aren't actually present
• Suspiciousness or paranoia
• Strange or grandiose ideas
• Crippling or excessive anxieties (fears or phobias)
• Wide mood swings (extreme highs and lows)
• Prolonged depression and apathy (a sense of hopelessness, loss of pleasure in life, confusion or constant frustration)
• Marked personality change
• Compulsive behaviors (i.e., over spending, overeating, excessive exercising)
• Marked changes in eating or sleeping patterns
• Excessive anger or hostility; destructive, abusive, or violent behavior
• Problems with the law
• Difficulty with authority
• Abuse of alcohol and/or other drugs
• Difficulty interacting with other people (spouse, parents, children, coworkers, and friends)
• Denial of obvious problems; strong resistance to receiving help
• Social withdrawal and isolation
• Inability to cope with the loss of a loved one
• Extreme jealousy
• Preoccupation with physical illness
• Overall decline in job performance
• Problems on the job
• A feeling that you've lost control of your life
• Inability to cope with problems or daily activities such as school, job or personal needs
• Sexual problems