Which of the following is a warning sign that a person may be in distress?

• A. Sudden changes in mood
• B. Regular exercise
• C. Balanced meals
• D. Sudden changes such as sleep difficulties

Answer: (D)

Warning signs of distress show up as noticeable changes in how a person feels and functions, and sleep is a particularly telling indicator. Sudden sleep difficulties signal that someone may be under significant stress or coping with emotional strain, because sleep disruption often accompanies anxiety, depression, or other mental health challenges. When sleep becomes consistently troubled, it can ripple into mood, energy, concentration, and daily functioning, making it a reliable red flag that someone might be in distress. In contrast, regular exercise and balanced meals are healthy habits that support well-being, and while mood changes can occur, they’re less specific indicators on their own. The phrase about sudden changes including sleep difficulties highlights an observable shift that should prompt thoughtful care and supportive conversation.