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Symptoms of Suicidal Teenagers: Suicide Signs in Teens

Symptoms of Suicidal Teenagers: Suicide Signs in Teens

Young people go through a lot of changes during their teen years. Emotionally, socially and hormonally things can feel extremely turbulent and for some, things can seem unmanageable. Peer pressure, social media, and a desire to fit in can all put a serious amount of strain on kids as they navigate their youth.

Additionally, adolescence is a common time for mental health problems to develop. Conditions such as depression, anxiety, bipolar disorder, and schizophrenia are likely to first occur in teenagers.

Whether a teenager has a diagnosed mental health condition or not, they could still be at risk of developing suicidal thoughts and ideation.

For anyone going through a mental health crisis, it can be extremely scary, lonely, and isolating. Witnessing this as a parent, friend or teacher can incur all of these feelings too. It can be complex to differentiate between low mood or hormonal changes, and something more serious such as depression or suicidal behavior.

Here we look at some warning signs of teen suicide. If you are concerned about a young person in your life, get in touch with a healthcare professional as soon as possible. Some people may feel as though they don’t want to interfere or they are unsure how to help, but seeking expert advice can save a life.

What Causes Young People to Attempt Suicide?

Studies by the Centers for Disease Control and Prevention (CDC), have found that in the United States suicide is the second leading cause of death in children aged 10 – 14 and the third leading cause of death in teenagers aged 15-19. On a global scale, suicide is the fourth highest cause of death in adolescents aged 15-19. These are devastating statistics, suicide affects not only the family but the friends, school peers, teachers, and community around the young person.

Going through the adjustments of adolescence can be challenging. Young people go through big changes within their bodies, minds, emotions, and their beliefs about the world. This can cause them to feel distressed, frightened, and alone. These can be confounded by some other big developments which we look at below.

Challenges of Adolescence

  • Family breakdown, divorce, or movement
  • Problems with friends
  • Difficulty at school
  • Death of a loved one or friend
  • Worrying global events
  • Pressure to conform
  • Worries about image or appearance

The combination of these experiences can feel so overwhelming for some young people, they feel that suicide is the only option. We look at some of these risk factors in a little more detail below:

Pre-existing Mental Illness

Studies suggest that overall, around 90% of people who die by suicide have experienced at least one mental health disorder.

Living with any untreated disorder is likely to decrease the overall well-being of a young person. The following mental health conditions are found to be linked:

Social Pressure and Challenges

Many young people experience bullying, peer pressure, and loneliness due to being left out of groups and cliques. Unfortunately, sometimes the repercussions of this can lead to teen suicide. In many cases, young people don’t feel able to talk to anyone about what they are going through which can further isolate them.

The Centers for Disease Control (CDC), suggests that young people who experience bullying and those who bully are at the highest risk of having suicidal feelings and behaviors.

Studies have found that individuals from the LGBTQIA+ community are more likely to attempt suicide than heterosexual individuals – around 20% of the community surveyed had attempted suicide. With the risk increasing in transgender communities — 43% of transgender people have attempted suicide in their lifetime.

Stressful Life Events

There are a number of family or life events that could increase the suicide risk of a young person. These risk factors include things such as:

  • Substance misuse in the family
  • The death of a loved one
  • Prejudice or racism, from individuals or institutional
  • Family problems such as arguing, relationship breakdown, or divorce
  • Academic pressure
  • Emotional, physical, or sexual abuse
  • Losing friends or relationships

Family Factors

Although a lot more research is needed on the topic, there is often a correlation between a family history of mental disorders in close relations – such as depression and substance abuse — and suicide attempts in young people. It is still not known exactly how these factors influence each other, it is thought to be a combination of genetics, behavior modeling, environment, and communication. It is important to note it is certainly not always the case that young people with a family history of suicide and mental illness will result in further cases.

Warning Signs That Your Teen May Be Suicidal

Being aware of the warning signs of suicide in young people can help you to seek help from a medical professional. Suicide is nobody’s fault, trying to navigate this experience alone can be extremely difficult and can lead to your own mental health deterioration. Reach out for help if any of the following symptoms resonate with you.

Some of these warning signs are symptoms of depressive disorders. If your young person experiences depression, try to notice if any of their symptoms develop or change.

  • Very low mood
  • Change in sleeping habits – sleeping a lot or very little
  • Changes in appetite
  • Loss of interest in activities previously enjoyed
  • Becoming isolated from friends and family
  • Substance use
  • Risk-taking
  • Becoming obsessed with, talking about, death and dying
  • Exhaustion
  • Physical health issues such as headaches
  • Loss of interest or effort at school
  • Difficulties paying attention
  • Feeling or remarking that they want to die

Some young people may show other warning signs of suicidal intent which are not common symptoms of depressive disorders. These include:

  • Speaking about death, dying, or killing themselves
  • Making comments about the future such as ‘I won’t be here then’
  • Giving away or getting rid of personal possessions
  • Suddenly becoming happy after a period of deep depression
  • Writing suicide notes, emails, or social media posts
  • Having suicidal thoughts and suicidal ideation

In younger children, symptoms may be slightly different. You could expect to see symptoms such as:

  • Frequent and uncontrollable tantrums
  • Physical pain such as stomach or headache
  • Feeling very fearful or worried
  • Having bad dreams
  • Having problems at school

Being aware of the signs of potential suicide risk is important, but remember that it takes trained medical professionals to manage this situation and it’s critical you involve them.

If any of these symptoms of suicidal behavior sound familiar, you are not alone. Help is available.

What Can I Do If My Teen Is Suicidal?

Talking about suicide can be difficult with anyone, let alone with children and teens. However, having open conversations with your friends and family members can help to decrease the stigma and assure youth they are not alone.

The way you approach the discussion can really impact the outcome. Trying to remain calm, non-judgmental, and compassionate can encourage them to talk more honestly. Essentially, the safer you feel, the more they will too.

Some people may feel they have to come up with solutions or answers for their child’s pain, in actual fact just listening and enabling them to feel heard as your child speaks is often the most important thing.

Try not to make any comparisons, between you, your child, their siblings, or their friends. It can be hard to comprehend how they are feeling but the best thing you can do is listen.

Reaching Out for Professional Help

Your child or teen may find it difficult to open up to you about how they feel, for fear that you may be scared, judgmental, or angry. This is why talking to a mental health professional who is removed from the situation can be so helpful.

Although a trained doctor will have a lot of care and empathy for your child, they won’t feel as emotionally involved as you which can help them formulate a practical plan with you and your child. This can be used when your child is thinking about suicide, attempting suicide, or is showing suicidal behavior. For every child, this emergency plan will be different so it’s important to involve them in the planning process.

It may be helpful to remind your child that professionals are trained to work through these kinds of difficult feelings with people. For some children and teens, this may remind them they are not alone in their emotions.

For some people, online therapy or community groups can be beneficial, both for you and your child. It’s crucial in this time that you look after your own well-being, attending therapy or a teen suicide support group for parents can give you the guidance and strength you need to keep going.

Treatment for Young People

Treatment varies depending on the circumstances of your child. They will likely take part in a mental health evaluation and a treatment plan will be formulated reflecting their age, physical and mental health history, and the severity of their condition.

If your child is in immediate danger it may be advised that they stay in a residential setting for some days to ensure your child’s safety. It’s possible that your child will receive some of the following components of care, depending on their needs:

  • An extended stay in hospital until suicidal behaviors have reduced
  • Individual therapy
  • Family therapy
  • Intensive outpatient care
  • Structured environments
  • Residential facilities
  • Partial hospital care
  • Outpatient therapy

Every child is different, and their treatment plan should reflect this. Although most adolescents would prefer to be at home, sometimes for safety reasons they will need to stay in a residential environment. If they do come home with you, the medical team will help you to create a safe space for your child.

Moving Forward from Suicide Attempts

Transitioning from residential care back to home life can be challenging, regardless of how long your child has spent there. It will take time for everybody to adjust and there are likely to be a lot of difficult emotions and feelings in the house.

One Day at a Time

Focus on the day in front of you instead of getting caught up in the past or the future, this is helpful for everyone.

Returning to Everyday Activities

When you are confident that your child has fully started their healing process and they are fully in recovery, you can begin to re-introduce everyday activities. This could include, sports, school, and socializing. It’s important to note that these should all happen at the pace of the child, rushing into things can be detrimental.

Maintaining Communication

Keeping good communication up with your child about their feelings, their experiences, what they do and don’t feel comfortable with and their progress is crucial to their recovery. It’s easy to miss certain indicators and trigger points during this time and the best way to understand them is to maintain a good dialogue.

Clearfork Academy

Teen suicide is a devastating experience that affects everyone around the young person. Suicide rates are increasing amongst children and teens, indicating we need to increase our conversations around this topic. If you, a friend, or a family member is affected by suicide, or you believe they are considering committing suicide, seek help today. You can contact the national suicide prevention lifeline on 988 for support and assistance from a trained counselor.

Mental health for children and young adults needs a very specific approach. At Clearfork Academy, we specialize in youth services and adolescent psychiatry, taking a person-centered approach to well-being. We offer intensive outpatient and inpatient treatment for children and adolescents who are at risk of suicide, substance misuse, and other co-existing mental health issues.

We have a highly skilled cohort of staff who truly understand the complexities of youth mental illness. We are here for you and your family, and we have all of your best interests at heart. Get in contact with us at Clearfork Academy today to find out how we can help.

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Depressed Teen: How to Help a Teen with Depression

How to Help a Teen with Depression

Depression can affect anyone, but there is growing evidence that teenagers are suffering from the condition in greater numbers. Programs offered by Clearfork can help manage a teen’s depression, but what are some of the factors that could be contributing, and how else can you help?

What Is Depression?

Depression is a condition often characterized by a low mood and poor self-esteem. There are in fact several psychiatric disorders associated with depression, although they all share certain core symptoms, namely periods of especially low mood and sadness.

Depression as a condition is not to be confused with feeling depressed, which is a normal thing that everyone experiences from time to time. Feelings of depression or sadness, often as a result of a loss or some other negative experience, can be powerful in their impact but pass relatively quickly. Depression as a mental illness differs in that these periods can last for weeks or even months, and be accompanied by a host of other symptoms.

Symptoms of Depression

Symptoms of Depression

Some of the key symptoms of depression are prolonged low periods. These periods typically last for at least two weeks, although they can go on for months. Symptoms such as low self-esteem and a profound lack of motivation are also common during depressive periods. Different types of depression have different symptoms. The Diagnostic and Statistical Manual V (DSM-5) is a document that aids in the assessment of mental health problems. By examining the DSM-5 we can get a better idea of how depression symptoms differ.

Major Depressive Disorder

Major depressive disorder (MDD) is a condition often referred to as clinical depression. People suffering from major depression may experience a loss of interest in things they used to enjoy. This can be very sudden and dispiriting and is not the same as boredom or just losing interest normally.

Other symptoms of clinical depression include:

  • feelings of worthlessness
  • misplaced guilt
  • excessive regret
  • feeling helpless or like things are hopeless
  • decreased concentration
  • anxiety
  • fatigue

Symptoms of MDD

There are also more physical symptoms, such as changes in psychomotor function. Psychomotor activities are physical actions that arise from mental activity. This includes things like playing a musical instrument, driving a car, writing, playing sports, and so on.

Someone with MDD may experience psychomotor retardation, which is the slowing down of these activities. Conversely, they may also suffer from psychomotor agitation, which results in unintentional, repetitive actions. One example of this is restless leg syndrome, or ‘jittery legs’.

Disruptions or changes to normal sleep patterns are also potential symptoms. The inability to sleep, known as insomnia, is common and can also exacerbate some of the other symptoms like anxiety. Hypersomnia, or oversleeping, can also occur. This in turn can cause people to miss important engagements or responsibilities, which may make feelings of guilt or hopelessness even worse.

Bipolar Disorder

Bipolar disorder is another mental condition that is associated with depression. Also known as bipolar depression, this condition also involves extended periods of low energy and profound sadness. Where it differs from major depression is that sufferers also experience periods of heightened energy and mood. These periods of elevated energy are known as mania, or manic episodes, leading to the condition sometimes being called manic depression.

During these manic episodes, people experience extreme levels of energy and motivation. They may feel unusually happy or easily annoyed. There is also a tendency towards risky behaviors and decisions, regardless of the consequences.

Someone might, for example, make impulsive purchases beyond what they can afford, or say and do things that have negative social consequences. In many cases, impulsive behaviors during manic episodes lead to even more profound regret and self-loathing during the subsequent depressive episodes.

Some Possible Risk Factors

Some Possible Risk Factors

The loss of a loved one or family member is hard for anyone, but it also represents an important potential influence on the onset of a depressive episode. Major loss, rejection, or disappointment can trigger a depressive episode, especially in people who might have a particular vulnerability or predisposition to depression.

One of the main risk factors for teen depression is a family history of depression. A 2015 study published in the National Library of Medicine (NLM) appeared to show that a positive family history for depression made someone more likely to experience a greater amount of depressive episodes over their lifetime.

Research by Stanford University School of Medicine (summarized here) also suggests that you may be two or three times more likely to develop depression if an immediate family member has also suffered from it.

Substance Abuse and Teen Depression

Depressed teens may also be more susceptible to substance abuse, and may abuse alcohol as well in order to help cope with their symptoms. This can have the opposite effect and may actually make them feel worse in the long run.

Depression is also a potential symptom of drug or alcohol withdrawal, which can trap people into addiction in order to avoid the worst of the suffering. The involvement of illicit substances can not only help instigate but also exacerbate teen depression and is an important risk factor to be aware of.

Adolescent Depression

Medically speaking, adolescent depression has the same diagnostic criteria as it does in adults. The onset of puberty also brings with it many behavioral changes and emotional fluctuations which can mask more serious underlying mental health issues. Mood swings are a very common side effect of puberty, and it’s not uncommon for parents to report confusion over what caused instances of irritability or sadness in their teenage children.

A depressed teenager might burst into tears for no clear reason, or have outbursts of misdirected anger. Unlike those associated with puberty, there may not even be a reason offered for these strong emotions, and the teenager may themselves be unsure why they are feeling this way.

Warning Signs to Watch out For

It can sometimes be hard to tell if someone is going through a hard time or if they are suffering from undiagnosed mental disorders. This is especially the case for teenagers, who often have a lot of major life changes to deal with in a short space of time. For those who may be concerned about a loved one, or even themselves, there are some signs and signals that someone may be suffering from untreated depression.

Some teenage depression signs to look out for include:

  • Sudden changes in sleeping patterns
  • A drastic reduction in appetite
  • Unexplained aches and pains, such as headaches and stomach aches
  • A pronounced drop in school attendance or attainment
  • A trending toward social isolation
  • Increased restlessness and agitation

Taking extra risks

You may also notice a seemingly inexplicable increase in risk-taking behavior, especially in the case of bipolar depression. This can come in many forms, such as alcohol abuse, drug abuse, or unprotected sex. The comedown or consequence of these risky behaviors can then contribute to or exacerbate the teen’s symptoms of depression.

Some level of risk-taking is a common part of adolescence and puberty and can help your teen develop their self-esteem, as well as their boundaries. Too much can be dangerous, or one of the warning signs of depression.

Self-harm and Suicidal Thinking

Self-harm and Suicidal Thinking

Another important warning sign of a teen’s depression is self-harm, also known as Nonsuicidal Self Injury (NSSI). This can take many forms, but perhaps the most common is the deliberate cutting of the skin, often on the forearms. This can help some people cope with difficult or painful feelings. People who self-harm might find physical pain to be an easier to manage proxy for when they feel overwhelmed.

In order to conceal these injuries, people might wear long-sleeved tops more frequently, for example, or suddenly go out of their way to avoid showing bare skin. It is important not to jump to conclusions in these cases, as NSSI is not necessarily a sign of suicidal thinking. Some people report that these acts actually help prevent suicidal thoughts from manifesting.

That said, suicidal ideation is a serious warning sign that someone may be depressed. Expressing the desire to take one’s own life, or wishing they were dead is a clear signal that something is wrong. It can be very distressing for a parent or loved one to hear these things from their child, but it is important to take it seriously while trying not to react in a way that closes them off from sharing such things again.

Suicide and Depression

Not everyone who suffers from depression will experience persistent suicidal thoughts, although suffering from depression represents a significant risk in this regard. Sometimes, a suicide attempt may be a cry for help, and it is vital to pick up on these signals and give them the help they need.

According to a 2018 study in the International Journal of Environmental Research and Public Health (IJERPH), half of all completed suicides are linked to depression or other affective disorders.

Suicide is also the third leading cause of death for teenagers. One study (also by the IJERPH) shows that over 90% of teens who die by suicide have been diagnosed with one or more psychiatric disorders, most often major depression.

This demonstrates how important suicide prevention programs are. If you are worried that you or a loved one may attempt suicide, please contact a mental health professional immediately, or call the national suicide prevention lifeline (also known as the 988 Suicide & Crisis Lifeline), or another suicide hotline.

Rates of Depression Amongst Teens

According to the Centers for Disease Control and Prevention (CDC), 8.4% of children between six and seventeen years old were diagnosed with depression in 2011-2012. The number of teenagers suffering from depression has since risen. The National Institute of Mental Health (NIMH) reports that 17% of young adults between twelve and seventeen years old experienced at least one major depressive episode in 2020. This amounts to over 4.1 million teenagers experiencing MDD.

When compared to the rates of adults who have experienced depression, we can see that teenagers are at a greater risk. The same NIMH report showed that around twenty-one million adults experienced at least one major depressive episode in 2020, which represents 8.4% of American adults. This means that teen depression is over twice as common as it is in adults.

Contributing Factors to Teen Depression

With so many teenagers suffering from depression symptoms, it is crucial to understand what factors might be leading to the rise in cases. Young people go through a lot of developmental changes during their teenage years, during which they have an extreme sensitivity to social evaluation. This means that things such as peer pressure, social standing, and friendship groups are more impactful than at any other time.

Social Media

The advent of social media has generated a huge amount of social change in a very short space of time. A teenager today will have in their pocket a device that can instantly connect them to millions of people, while their parents are not likely to have even had a computer or mobile phone at all when they were growing up.

This creates a whole new level of social pressure on teenagers, who are being photographed and recorded far more than previous generations. Most teens are on some form of social media, which means they can be judged, praised, or bullied by their peers constantly.

Body image and self-esteem are under threat as a result of social media use, as a teen’s life is often being displayed to others in near real-time. The quick-fire, visual nature of social media platforms invites comments on pictures and videos, with public comments often remaining in place seemingly indefinitely.

There is growing concern over the mental health impacts of social media use among teenagers, and the current rise in rates of depression also roughly coincides with the spread of smartphones and social media.

School Pressures

High school is a tricky time for many teens, with social and academic pressure increasing each year. Many teens face high expectations and an even higher workload. This comes on top of trying to juggle the sometimes volatile changes brought by puberty, as well as maintaining a positive social standing within the school community.

For these reasons, it is not uncommon for teenagers to display troublesome behaviors, such as aggression or avoidance. These pressures can also contribute to teen depression. With exams and other assignments, many teens can end up feeling like the course of their whole life depends on academic success at that one moment in time.

Many people suffering from depression report extreme responses to failure or rejection. This can make academic attainment even more stressful and lead to spiraling negative thoughts.

Teen Depression and the Covid-19 Pandemic

The COVID-19 epidemic resulted in the deaths of millions of people across the world, as well as untold related hospitalizations. Efforts to slow or halt the spread of the disease often took the form of strict restrictions on social and public activity, otherwise known as lockdowns. While these lockdowns undoubtedly saved lives, they also led to profound and widespread mental health impacts, which we are only just beginning to understand.

One of the groups most affected by these lockdowns is adolescents. Their sensitivity to social dynamics, coupled with the increased academic pressure made them especially vulnerable to the impacts of lockdowns. No longer able to physically create and maintain relationships, while losing access to all the systems of support typically offered by schools meant that many teenagers experienced worsening anxiety and depression.

A survey of high school students by the CDC published this year revealed that over a third of respondents experienced poor mental health during the pandemic. A further 44% reported feeling persistently sad or hopeless during the pandemic, common symptoms of teen depression.

How to Help

How to Help

Fortunately, there are many ways you can help manage teen depression. One place to start is to speak with a mental health professional. They can help assess the situation and see if there are any other mental health conditions that could be present. Depression symptoms can be similar to other mental disorders, such as borderline personality disorder. An accurate diagnosis is necessary for effective support.

Parents who are concerned could first speak with their child’s doctor, who will be able to share their advice, as well as put them in contact with specialists in adolescent psychiatry. Some depressed teens might prefer to speak with someone separate, such as a school counselor. They can provide a safe space to discuss why they feel sad or depressed, and also help them seek professional help when they are ready.

Spending time with friends or family can also be a good way to not only bring attention to the problem but also to maintain the social bonds and enjoyment that can be lost as a result of depression.

Treatment Options

Once they have agreed to engage in treatment, there are a number of ways they can receive help. Treatment facilities can create custom programs tailored to a person’s individual needs and circumstances.

Some strategies that can help are getting regular physical exercise and forming routines of going outside at least once a day. Some people also find writing stories to be a good way of getting uncomfortable thoughts out of their heads and onto paper, where they can seem more manageable.

These kinds of strategies are a good way of taking control of one’s own treatment. Aside from these examples, the main kind of treatment they are likely to receive at first is therapy.

Therapeutic Treatment

The use of talk therapy can help people understand their condition, as well as cope with it. A mental health professional might suggest something like cognitive behavior therapy (CBT) to treat teen depression. This can provide useful strategies for managing manic or depressive episodes, as well as helping to tackle any underlying issues which could be contributing.

Family therapy may also be suggested. This kind of therapy can help family members understand the teen’s feelings, as well as how to help support them in times of need. It can also bring to light circumstances which may explain why the teen is depressed, which might be too difficult to speak about otherwise.

Medical Treatment

Alongside therapy, there are other kinds of medical care that are used to treat depression. Pharmaceutical approaches, such as antidepressant medications, are used to help mitigate some of the symptoms. Antidepressants and selective serotonin reuptake inhibitors (SSRIs) must be prescribed by the teen’s doctor and taken under medical supervision in order to ensure the correct dosage and avoid any side effects.

Clearfork Academy

Here at Clearfork Academy, our experts in adolescent psychiatry can help your teen overcome the hurdles they are facing. We offer programs ranging from art and music therapy to medical detoxes for those suffering from the effects of drug or alcohol abuse. Our therapeutic solutions include family therapy, individual therapy, to adventure therapy. Get in contact now to find out more about how we can work together to combat teen depression.

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The Mental Health Effects of Covid-19 on Teens

No one could have prepared for the sudden COVID crisis of 2020, and that includes our kids. It’s been undeniably hard on everyone, and when one of our greatest coping mechanisms is the positive reinforcement we get from our friends, what is your teen supposed to do when they’re cooped up at home?

How is the pandemic affecting them?
What are some signs that parents need to be on the lookout for?


Depression is More Prevalent

Sadly, depression has seen a big rise since the start of the pandemic. Teens are even more susceptible to its effects because of their natural hormone imbalances and brain development. They don’t yet have all of the coping skills that adults have crafted over a lifetime.

It can be more than just the blues; severe depression is something to be concerned about. Changes in your child’s behavior or mood could be indicators that they are struggling emotionally and are in need of help.


Signs of Depression

Teens can be moody, even in the best of circumstances, so keep your child’s unique personality and patterns in mind as you go through the possible signs of depression:
        • Irritability
        • Mood swings
        • Withdrawal and isolation
        • Excessive sleeping or napping
        • Loss of appetite
These are symptoms that will typically last for an extended period of time. You should monitor how long you notice certain behaviors. Has it been one or two days? A week or longer? The more severe signs of depression require urgent attention:
If you’ve seen these behaviors in your teen, please seek professional help right away.

 

What You Can Do to Help

If you see any of these behaviors that give cause for concern, don’t be afraid to ask your child about it. Having open lines of communication can be an extreme comfort for you and for them. Urging them to speak to a trusted friend or adult can also foster healthy ways for them to express their emotions in a safe space.

Remember to also lead by example. Talking about your own feelings can prompt input from your teen. Keep a positive outlook even when dealing with your own stress. Take care of yourself, each other, and encourage time spent together as a family.

Don’t be afraid to reach out for help. Calling your pediatrician, counselor, or a treatment facility like Clearfork to get an assessment of your child’s mental state can make a big difference. It’s never too soon to ask questions, but there could come a time where it is too late. 

Take your child’s mental health seriously, and above all, just be there for them. Let them know that you care. 


If your child is struggling with substance abuse or mental health, we’re here to help. Our clinical admissions specialists are available 24/7 to help with your unique situation. Please call us at 888-966-8604, email us at help@clearforkacademy.com, or visit our website at
www.ClearforkAcademy.com!

 

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