Bulimia nervosa involves repeated binge-eating episodes followed by behaviors meant to compensate for the binge, such as vomiting, fasting, laxative misuse or excessive exercise. Teens with bulimia may be at an average or higher weight, so the disorder can remain hidden while causing serious medical and emotional harm.
Alcohol use disorder (AUD) is a treatable medical condition in which drinking becomes difficult to control and causes problems. Because drinking under age 21 is illegal in the United States and adolescent brains are still developing, alcohol carries added risks for teens. A pattern does not have to look “severe” before it deserves attention.
Child abuse includes physical abuse, sexual abuse, emotional abuse and neglect. If abuse is happening to you or someone you know, you do not need to prove it or handle it alone. A trusted adult, health professional, school staff member or child protection resource can help you take the next safe step.
Alzheimer’s disease is a progressive brain disease and the most common cause of dementia. It is very uncommon in teenagers; for a high-school student, this article is more likely to help you understand changes in a grandparent, parent or other loved one and know what support and caregiving can look like.
Major depressive disorder is more than feeling sad after a hard day. In teenagers, it can show up as irritability, numbness, exhaustion, loss of interest, sleep changes, falling grades, isolation or thoughts that life is not worth much. A diagnosis depends on a pattern of symptoms and impairment, not on whether you “look depressed” to other people.
Hoarding disorder involves persistent difficulty discarding possessions, a strong perceived need to save them, and clutter that compromises living spaces or functioning. It is much more than a messy bedroom. Symptoms can begin in adolescence, and early help can prevent the pattern from becoming more severe over time.
Intermittent explosive disorder (IED) involves repeated impulsive aggressive outbursts that are out of proportion to the situation. It is more than having a temper. Teens need careful evaluation for ADHD, trauma, mood disorders, substance use and unsafe environments before aggressive behavior is attributed to IED.
Self-injury is when someone intentionally hurts their own body as a way of coping with overwhelming feelings, numbness or distress. It often begins during the teen years. Self-injury is not the same as a suicide attempt, but it is serious, can become hard to stop and is linked with a higher risk of suicidal behavior. Help is available.
Learning disorders affect specific academic skills such as reading, writing or math even when a student has had an opportunity to learn and has typical or strong intelligence. In high school, the gap between ability and performance can become more frustrating as coursework gets faster and more independent. Evaluation, targeted instruction and accommodations can make a real difference.
Delirium is a sudden, serious change in attention and thinking caused by a medical problem, medication, substance effect or withdrawal. Unlike dementia, delirium usually begins quickly and fluctuates. Sudden confusion is a medical warning sign and should be evaluated promptly.
Project Semicolon support
Choose the closest answer. We will narrow the next step from there.
You’re here for yourself.
You do not need the clinical name for what you are feeling. Pick the closest place. We will keep the next step small.
This may be a place to start.
Start with depression support.
A few answers for the thoughts that make this harder to say out loud.
Feeling like a burden is a very common experience when someone is struggling emotionally. Depression and intense stress can distort how we see ourselves and our value to others. You might believe you're making life harder for the people around you, even when they care deeply about you. These feelings can be powerful, but they are not always an accurate reflection of reality.
When you're in deep emotional pain, the brain often loses the ability to imagine a better future. It can feel like the way things are now is how they will always be. But emotions, circumstances, and perspectives change far more often than our minds allow us to see during dark moments. Many people later look back and realize that the future was much bigger than the pain they were in at the time.
The Semicolon Journey checks multiple areas at once and builds a support path around what surfaces for you.
This may be a place to start.
Find support for dread, panic, and overwhelm.
A few answers for the thoughts that make this harder to say out loud.
This confuses a lot of people. From the outside, things might look okay, but inside you may feel overwhelmed, exhausted, or emotionally numb. Suicidal thoughts often come from internal pain, not just external circumstances. You might be carrying stress, depression, trauma, loneliness, or pressure that others simply can't see. Feeling this way doesn't mean your pain isn't real.
More people experience suicidal thoughts than most realize. During periods of intense stress, depression, trauma, or emotional exhaustion, the brain can start searching for ways to escape the pain. These thoughts are often a signal that something inside you is hurting deeply — not a sign that you actually want your life to end. Experiencing these thoughts doesn't make you broken or beyond help.
The Semicolon Journey checks multiple areas at once and builds a support path around what surfaces for you.
This may be a place to start.
Make the next step smaller.
A few answers for the thoughts that make this harder to say out loud.
This confuses a lot of people. From the outside, things might look okay, but inside you may feel overwhelmed, exhausted, or emotionally numb. Suicidal thoughts often come from internal pain, not just external circumstances. You might be carrying stress, depression, trauma, loneliness, or pressure that others simply can't see. Feeling this way doesn't mean your pain isn't real.
More people experience suicidal thoughts than most realize. During periods of intense stress, depression, trauma, or emotional exhaustion, the brain can start searching for ways to escape the pain. These thoughts are often a signal that something inside you is hurting deeply — not a sign that you actually want your life to end. Experiencing these thoughts doesn't make you broken or beyond help.
The Semicolon Journey checks multiple areas at once and builds a support path around what surfaces for you.
This may be a place to start.
Start without needing the perfect words.
A few answers for the thoughts that make this harder to say out loud.
This confuses a lot of people. From the outside, things might look okay, but inside you may feel overwhelmed, exhausted, or emotionally numb. Suicidal thoughts often come from internal pain, not just external circumstances. You might be carrying stress, depression, trauma, loneliness, or pressure that others simply can't see. Feeling this way doesn't mean your pain isn't real.
More people experience suicidal thoughts than most realize. During periods of intense stress, depression, trauma, or emotional exhaustion, the brain can start searching for ways to escape the pain. These thoughts are often a signal that something inside you is hurting deeply — not a sign that you actually want your life to end. Experiencing these thoughts doesn't make you broken or beyond help.
The Semicolon Journey checks multiple areas at once and builds a support path around what surfaces for you.
This may be a place to start.
Find immediate next steps and crisis options.
A few answers for the thoughts that make this harder to say out loud.
This confuses a lot of people. From the outside, things might look okay, but inside you may feel overwhelmed, exhausted, or emotionally numb. Suicidal thoughts often come from internal pain, not just external circumstances. You might be carrying stress, depression, trauma, loneliness, or pressure that others simply can't see. Feeling this way doesn't mean your pain isn't real.
More people experience suicidal thoughts than most realize. During periods of intense stress, depression, trauma, or emotional exhaustion, the brain can start searching for ways to escape the pain. These thoughts are often a signal that something inside you is hurting deeply — not a sign that you actually want your life to end. Experiencing these thoughts doesn't make you broken or beyond help.
The Semicolon Journey checks multiple areas at once and builds a support path around what surfaces for you.
You’re here because you’re worried about someone.
You do not have to know whether this is serious before you deserve guidance. Start with what you are noticing.
This may be a place to start.
Start with what you are noticing.
A few answers for the moments people are afraid of handling wrong.
Sometimes it's hard to know for certain, and that uncertainty itself can feel unbearable. The signs vary from person to person, but some of the most important include: withdrawing from people they love, giving away meaningful possessions, talking about being a burden or not wanting to be here, a sudden calm after a long period of depression, or increased talk of hopelessness. Not everyone shows obvious signs. If you have a feeling something is wrong, trust it enough to gently ask.
Warning signs can be behavioral, verbal, or emotional. Behaviorally: withdrawing from people, sleeping too much or too little, reckless behavior, researching methods of suicide, or giving things away. Verbally: saying things like "I'm a burden," "I wish I wasn't here," or "No one would care if I was gone." Emotionally: sudden calm after intense depression, persistent hopelessness, or extreme mood changes. No single sign confirms risk, but a pattern — especially combined with a recent loss or crisis — warrants attention.
The Semicolon Journey can help someone sort what is surfacing and build a support path around it.
This may be a place to start.
Find words that stay calm and close.
A few answers for the moments people are afraid of handling wrong.
Stay calm and stay with them. You don't need the perfect words — what matters most is that they feel heard. Try: "I'm really glad you told me that. Can you tell me more about what you're feeling?" Avoid minimizing ("Things aren't that bad") or problem-solving immediately. Just listen first. Let them know you take what they're saying seriously and that you're not going anywhere.
Avoid phrases that can unintentionally increase shame or shut down the conversation: "You have so much to live for," "Think about what this would do to your family," "You're being selfish," or "Other people have it worse." These responses — even when well-intentioned — can leave someone feeling more alone and misunderstood. Resist the urge to fix or reassure before you've truly listened.
The Semicolon Journey can help someone sort what is surfacing and build a support path around it.
This may be a place to start.
Understand distance without ignoring it.
A few answers for the moments people are afraid of handling wrong.
Sometimes it's hard to know for certain, and that uncertainty itself can feel unbearable. The signs vary from person to person, but some of the most important include: withdrawing from people they love, giving away meaningful possessions, talking about being a burden or not wanting to be here, a sudden calm after a long period of depression, or increased talk of hopelessness. Not everyone shows obvious signs. If you have a feeling something is wrong, trust it enough to gently ask.
Warning signs can be behavioral, verbal, or emotional. Behaviorally: withdrawing from people, sleeping too much or too little, reckless behavior, researching methods of suicide, or giving things away. Verbally: saying things like "I'm a burden," "I wish I wasn't here," or "No one would care if I was gone." Emotionally: sudden calm after intense depression, persistent hopelessness, or extreme mood changes. No single sign confirms risk, but a pattern — especially combined with a recent loss or crisis — warrants attention.
The Semicolon Journey can help someone sort what is surfacing and build a support path around it.
This may be a place to start.
Know what to watch for and when to act.
A few answers for the moments people are afraid of handling wrong.
Sometimes it's hard to know for certain, and that uncertainty itself can feel unbearable. The signs vary from person to person, but some of the most important include: withdrawing from people they love, giving away meaningful possessions, talking about being a burden or not wanting to be here, a sudden calm after a long period of depression, or increased talk of hopelessness. Not everyone shows obvious signs. If you have a feeling something is wrong, trust it enough to gently ask.
Warning signs can be behavioral, verbal, or emotional. Behaviorally: withdrawing from people, sleeping too much or too little, reckless behavior, researching methods of suicide, or giving things away. Verbally: saying things like "I'm a burden," "I wish I wasn't here," or "No one would care if I was gone." Emotionally: sudden calm after intense depression, persistent hopelessness, or extreme mood changes. No single sign confirms risk, but a pattern — especially combined with a recent loss or crisis — warrants attention.
The Semicolon Journey can help someone sort what is surfacing and build a support path around it.
This may be a place to start.
Use immediate support options.
A few answers for the moments people are afraid of handling wrong.
Sometimes it's hard to know for certain, and that uncertainty itself can feel unbearable. The signs vary from person to person, but some of the most important include: withdrawing from people they love, giving away meaningful possessions, talking about being a burden or not wanting to be here, a sudden calm after a long period of depression, or increased talk of hopelessness. Not everyone shows obvious signs. If you have a feeling something is wrong, trust it enough to gently ask.
Warning signs can be behavioral, verbal, or emotional. Behaviorally: withdrawing from people, sleeping too much or too little, reckless behavior, researching methods of suicide, or giving things away. Verbally: saying things like "I'm a burden," "I wish I wasn't here," or "No one would care if I was gone." Emotionally: sudden calm after intense depression, persistent hopelessness, or extreme mood changes. No single sign confirms risk, but a pattern — especially combined with a recent loss or crisis — warrants attention.
The Semicolon Journey can help someone sort what is surfacing and build a support path around it.
You’re here for a child or student.
Kids and teens do not always explain distress clearly. Start with the pattern you notice most.
This may be a place to start.
Help their body and mind settle safely.
A few answers for confusing, frightening, or easy-to-second-guess moments.
Take it seriously — every time, no matter how it's said. Stay calm, even though everything inside you may be screaming. Get to eye level, put down whatever you're holding, and listen without interrupting. Say: "I'm glad you told me that. I love you and I want to understand what you're feeling." Do not punish or minimize. Once they've talked, ask directly: "Are you thinking about hurting yourself?" Then get professional support as soon as possible.
Suicidal thoughts are more common in teenagers than most parents realize — but "common" does not mean something to dismiss. The adolescent brain is navigating enormous biological, social, and emotional change, and emotional pain in teenagers can be intense in ways that are genuinely difficult for adults to fully appreciate. Whether or not it's "typical" is less important than taking it seriously every time and connecting your child with proper support.
The Semicolon Journey can help sort multiple areas at once and point toward a support path.
This may be a place to start.
Respond without turning the moment into a fight.
A few answers for confusing, frightening, or easy-to-second-guess moments.
Take it seriously — every time, no matter how it's said. Stay calm, even though everything inside you may be screaming. Get to eye level, put down whatever you're holding, and listen without interrupting. Say: "I'm glad you told me that. I love you and I want to understand what you're feeling." Do not punish or minimize. Once they've talked, ask directly: "Are you thinking about hurting yourself?" Then get professional support as soon as possible.
Suicidal thoughts are more common in teenagers than most parents realize — but "common" does not mean something to dismiss. The adolescent brain is navigating enormous biological, social, and emotional change, and emotional pain in teenagers can be intense in ways that are genuinely difficult for adults to fully appreciate. Whether or not it's "typical" is less important than taking it seriously every time and connecting your child with proper support.
The Semicolon Journey can help sort multiple areas at once and point toward a support path.
This may be a place to start.
Look underneath the behavior for what may be wrong.
A few answers for confusing, frightening, or easy-to-second-guess moments.
Take it seriously — every time, no matter how it's said. Stay calm, even though everything inside you may be screaming. Get to eye level, put down whatever you're holding, and listen without interrupting. Say: "I'm glad you told me that. I love you and I want to understand what you're feeling." Do not punish or minimize. Once they've talked, ask directly: "Are you thinking about hurting yourself?" Then get professional support as soon as possible.
Suicidal thoughts are more common in teenagers than most parents realize — but "common" does not mean something to dismiss. The adolescent brain is navigating enormous biological, social, and emotional change, and emotional pain in teenagers can be intense in ways that are genuinely difficult for adults to fully appreciate. Whether or not it's "typical" is less important than taking it seriously every time and connecting your child with proper support.
The Semicolon Journey can help sort multiple areas at once and point toward a support path.
This may be a place to start.
Stay close without forcing them open.
A few answers for confusing, frightening, or easy-to-second-guess moments.
Take it seriously — every time, no matter how it's said. Stay calm, even though everything inside you may be screaming. Get to eye level, put down whatever you're holding, and listen without interrupting. Say: "I'm glad you told me that. I love you and I want to understand what you're feeling." Do not punish or minimize. Once they've talked, ask directly: "Are you thinking about hurting yourself?" Then get professional support as soon as possible.
Suicidal thoughts are more common in teenagers than most parents realize — but "common" does not mean something to dismiss. The adolescent brain is navigating enormous biological, social, and emotional change, and emotional pain in teenagers can be intense in ways that are genuinely difficult for adults to fully appreciate. Whether or not it's "typical" is less important than taking it seriously every time and connecting your child with proper support.
The Semicolon Journey can help sort multiple areas at once and point toward a support path.
This may be a place to start.
Use immediate support options.
A few answers for confusing, frightening, or easy-to-second-guess moments.
Take it seriously — every time, no matter how it's said. Stay calm, even though everything inside you may be screaming. Get to eye level, put down whatever you're holding, and listen without interrupting. Say: "I'm glad you told me that. I love you and I want to understand what you're feeling." Do not punish or minimize. Once they've talked, ask directly: "Are you thinking about hurting yourself?" Then get professional support as soon as possible.
Suicidal thoughts are more common in teenagers than most parents realize — but "common" does not mean something to dismiss. The adolescent brain is navigating enormous biological, social, and emotional change, and emotional pain in teenagers can be intense in ways that are genuinely difficult for adults to fully appreciate. Whether or not it's "typical" is less important than taking it seriously every time and connecting your child with proper support.
The Semicolon Journey can help sort multiple areas at once and point toward a support path.
