Does your teen have a history of verbally abusing caregivers and siblings? For example, does he bully younger siblings or yell at them if they do anything he perceives as a slight? Does he scream at his parents when they give him a directive he doesn’t like?

When your teen is frustrated or angry, does it often lead to violent behavior? For example, does it seem she is unable to control her emotions and may lash out by yelling, swearing, hitting, pushing, kicking, or breaking objects without any regard to property?

Has your teen exhibited violent outbursts at least three times in the past year? These episodes may include injury to himself or another person, harm to an animal, or destruction of property.

Does your teen exhibit anger, but not violent outbursts? These episodes may include verbal aggression such as heated arguments, extremely contrary behavior, temper tantrums or verbal bullying without physical harm or destruction of property.

When your teen has an explosive episode, does it typically last 30 minutes or fewer? Does he or she exhibit short episodes that begin with a build-up of tension, followed by an angry explosion, and then a feeling relief because it is over? Is he or she fatigued after such an episode?

Has your teen injured or assaulted an animal purposely?

Has your teen caused physical injury to other people — siblings, parents, other relatives, peers, or people he or she does not know? The injury may be mild, such as falling after being pushed or shoved, or more serious, such as from a punch or a weapon.

Has your teen had run-ins with the law? These may be minor, such as citations for vandalism or loitering, more serious infractions that brought with them the financial burden of retribution, fines, lawyers and court costs.

Does your teen become easily frustrated? When faced with a difficult task, such as a difficult homework assignment, does he or she become frustrated and then aggressive or angry? Do they become upset and frustrated when things do not go their way?

Has your teen described a feeling of pressure that builds up in his or her chest and head prior to having an explosive episode? They may have a headache, palpitations, a tingling feeling, or tremors during the time when the pressure is building, during the episode, or shortly after. They may have racing thoughts and the feeling that they cannot control their thoughts.

When your teen becomes angry, does his reaction seem disproportionate to the situation? For example, if someone cuts in front of him, does he become enraged and push or shove the person out of line?

Has your teen acted in self-harming ways, such as cutting himself or herself, expressing suicidal thoughts, or even attempting suicide?

Does everyone in the household “walk on eggshells” in an effort to keep your teen calm and not trigger his or her anger?

Does your teen struggle to maintain friendships because his or her peers find them bossy and inflexible? Do peers prefer to not deal with their episodes of anger and avoid spending time with them?

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