1. Symptoms such as anxiety, depression, and self-harming acts2. Situational problems involving difficult life circumstances, problematic relationships, and friendships that tend to encourage maladaptive behavior3. Problems with the regulation and control of impulses and emotions4. Maladaptive traits such as anxiousness, sensation seeking, and cognitive dysregulation5. Interpersonal problems linked to traits such as dependency and submissiveness6. Self or identity problems, in this case, a fragmented sense of identity and low self directedness (page 211).