;irritability, low self-esteem, and inability to concentrate". Also, children may "internalize depression maladaptively", perhaps expressing it through conduct disorders, hyperactivity, or attention deficit disorders (Fuller, 1992).
             In a study conducted by Dubuque (1998), specific guidelines are provided to help school staff generate awareness and support for depressed students. Dubuque (1998) reports that school staff need to learn to identify signs of depression in children because parents and significant others tend to attribute symptoms of depression as "sensitive and shy", or at the other extreme, they may be mistakenly categorized as attention deficit disorder.
             Dubuque (1998) suggests that school staff should be "alert" to the symptoms or signs of depression in children, for example: "persistent sadness or hopelessness, inability to enjoy previously favorite activities, increased irritability, frequent complaints of physical illness, such as headaches and stomachaches,
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