Bullying and teen mental health

How bullying can deeply affect a young person’s wellbeing, identity and sense of safety – and what adults can do to respond with steadiness, support and accountability

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Fiona Hannah

Child and Adolescent Psychotherapist and Clinical Director

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At a glance

  • Bullying is not a normal or harmless part of growing up. It can have a serious impact on 
a teenager’s mental health.
  • Bullying can be physical, verbal, relational1, online or happen at home.
  • Adolescence is a sensitive time when young people form their identity, and repeated humiliation, exclusion or intimidation can be especially damaging.
  • Teenagers who are being bullied need calm support, validation and practical help.
  • If your child’s bullying others, they need clear boundaries, accountability and support to change the behaviour.
  • Early intervention can reduce harm, protect mental health and help prevent patterns from becoming entrenched.

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Bullying has a greater impact on adolescents 

Bullying is more than unkindness. It’s repeated behaviour that causes harm, distress or fear, and often involves a power imbalance. For teenagers, that harm can cut especially deep.

It’s not always obvious. Physical bullying can be visible. But other forms, such as verbal, social or relational bullying1, can be subtle, cumulative and easy to dismiss.

Adolescence is a time of rapid emotional, social and psychological development. Teenagers are working out who they are, where they belong and how they’re seen by others. Friendships, peer approval and social status can feel intensely important.

When bullying happens at this stage of life, it can affect far more than a young person’s feelings. It can alter their sense of safety, damage self-esteem and begin to shape how they feel about themselves and their relationships with everyone – not just the people involved.

For some teenagers, bullying leads to fear and hypervigilance2. For others, it leads to shame, withdrawal, anger or hopelessness. Often, adults only see part of the picture.

The different forms bullying can take

Physical bullying | This is often easier for adults to identify because there may be visible injuries, damaged possessions or direct reports of violence. But the emotional impact can last long after an incident has ended.
When a young person feels physically unsafe, the brain’s threat system becomes highly active. Stress hormones such as cortisol3 and adrenaline rise, and the body prepares for danger. If this happens repeatedly, a teenager may begin to feel on edge even in situations that seem safe to others. Over time, this can affect sleep, concentration and their ability to settle.

Physical bullying can include:

  • Hitting, pushing or kicking
  • Physical intimidation
  • Damaging belongings
  • Blocking someone’s movement or cornering them

Verbal bullying | Sometimes minimised as banter, teenagers are especially sensitive to hurtful words that are repeated over time. They can begin to feel true, particularly when they focus on something a young person is already unsure about. The emotional pain can be profound.
Verbal bullying can include:

  • Name-calling
  • Insults about appearance, identity or ability
  • Threats
  • Spreading rumours
  • Repeated ‘jokes’ aimed at the same person

Relational bullying | This can be particularly painful in adolescence because belonging is so central to development. Teenagers are often highly attuned to whether they’re included, valued or left out.
Being excluded can activate intense anxiety and shame. A young person may start to monitor every interaction, overthink social situations, and withdraw in an effort to protect themselves. This can create a painful cycle in which isolation deepens the emotional impact of the bullying.
Social or relational bullying can include:

  • Deliberate exclusion
  • Public humiliation
  • Turning someone’s peers against them
  • Withdrawing friendship as a form of control
  • Silent treatment used to punish or dominate

Cyberbullying | Bullying in a digital space can feel relentless because it follows a young person beyond school or college. It removes the sense of safety that home might once have provided after the school day ends.
In turn, online content can spread quickly to a wide audience, which intensifies shame and panic. For some teenagers, there’s also the constant fear of not knowing who has seen something, shared something or commented behind their back.
This can be especially upsetting when it continues into the evening or night. Sleep may suffer, and without rest, emotional resilience is often lower the next day.
Cyberbullying can include:

  • Hurtful or threatening messages
  • Sharing embarrassing images or videos
  • Impersonating someone online
  • Public shaming
  • Excluding someone from group chats or online communities

Bullying at home | Home should be a place of safety. But sometimes bullying can happen within families, where harmful behaviour is normalised as teasing or dismissed as ordinary sibling dynamics. What matters is the pattern. If the behaviour is repeated, one-sided and distressing, it should be taken seriously – the emotional impact can be especially confusing and painful.
Bullying at home can include:

  • Sibling intimidation
  • Repeated put-downs or one-sided ‘jokes’
  • Ongoing humiliation
  • Controlling or threatening behaviour

How bullying can affect mental health

Bullying can affect both short-term wellbeing and longer-term mental health. Some young people become quiet and shut down. Others become more reactive, defiant or emotionally volatile. A teenager who seems ‘difficult’ may in fact be overwhelmed, ashamed or frightened.
In the short-term, a teenager may show:

  • Anxiety
  • Low mood
  • Irritability
  • Sleep disruption
  • School avoidance
  • Withdrawal from friends or family
  • Tearfulness or anger
  • Changes in eating or confidence

Longer-term effects can include:

  • Depression
  • Persistent low self-esteem
  • Social anxiety
  • Trust difficulties
  • Ongoing hypervigilance
  • Self-harm
  • Suicidal thoughts

Bullying can also affect learning. A young person who feels unsafe or is constantly on edge may struggle to concentrate, retain information or feel motivated in school. In some cases, they may begin to avoid school altogether.
None of this means the damage is permanent. With support, protection and time, recovery is absolutely possible. But early intervention can speed up the process.

Signs a teenager may be being bullied

Teenagers don’t always tell adults directly when bullying is happening. Shame, fear of retaliation, or worry that things will be made worse can stop them from speaking up. Signs to look for include:

  • Not wanting to go to school or college
  • Frequent headaches, stomach aches or vague illnesses
  • Changes in sleep
  • Withdrawing from usual friendships or activities
  • Sudden distress after using a phone or computer
  • Lost or damaged belongings
  • Changes in mood, confidence or appetite
  • Becoming unusually quiet, angry or secretive

None of these signs prove bullying on their own. Look for patterns or dramatic changes in behaviour.

What young people themselves can do

Teenagers are not powerless. When bystanders refuse to participate, bullying often loses some of its power. Helpful steps young people can take include:

  • Telling a trusted adult early
  • Staying near supportive peers
  • Not joining in when others are being targeted
  • Saving evidence of online bullying
  • Supporting others who are excluded
  • Using privacy, blocking and reporting tools online
  • Seeking help before things escalate

The role of schools and other services

Schools have a duty of care to safeguard pupils and respond to bullying.
Safeguarding or legal actions may be required when bullying involves threats, harassment, hate incidents, stalking or image-based abuse.

Be sure to read the school’s anti-bullying policy. If you’re concerned, contact the form tutor, head of year, pastoral lead or safeguarding lead. Request a clear action plan and keep written records of incidents and responses – they can strengthen your case and reduce confusion. Always follow up if the issue doesn’t improve.

What to do if your child is being bullied

If your teenager tells you they’re being bullied, the way you respond can make a significant difference.
Stay calm, listen and take them seriously | A calm response creates emotional safety. Your child may feel exposed, ashamed or frightened. If you respond with panic, anger or immediate action before they’re ready, 
they may stop confiding in you. Steadiness can help their nervous system6 begin to settle, and also supports 
co-regulation.

  1. Thank them for telling you
  2. Listen without interrupting
  3. Validate what they’re feeling
  4. Reassure them that it’s not their fault
  5. Avoid rushing straight into problem-solving

Make a plan together | Reporting bullying is not about revenge – it’s about safety, support and accountability. However, teenagers often fear losing control of the situation. It can help to involve them in 
deciding what happens next.

  1. Identify a trusted adult in school
  2. Contact a teacher, tutor, pastoral lead or safeguarding lead
  3. Keep a written record of incidents
  4. Save screenshots or messages
  5. Think about where and when bullying tends to happen

Strengthen support around them | Bullying can make a young person feel isolated, so it’s important to widen 
the circle of support where possible. Even one reliable relationship can help buffer the impact of bullying. Teenagers recover better when they feel seen, believed and supported.

  1. Encourage time with safe friends
  2. Support activities outside the bullying context
  3. Reduce unhelpful online exposure

Help them take action without expecting them to handle it alone | Teenagers often need help rebuilding their confidence and sense of control after bullying. The goal is not to make them solely responsible for stopping the bullying – but it often helps if they feel less powerless within a situation.

  1. Practise what they might say in certain situations
  2. Create a buddy system7
  3. Encourage confident, non-provocative body language
  4. Help them identify safe exits and supportive adults
  5. Reinforce that asking for help is a strength, not a weakness

Review online safety | Online harm can feel especially exposing because of the speed, scale and permanence 
of digital content. Adults may need to take a more active role here.

  1. Review privacy settings
  2. Block and report abusive users
  3. Screenshot harmful content
  4. Limit late-night device use where possible
  5. Avoid engagement with abusive messages

What to do if your child is bullying others

Discovering that your child has bullied someone else can be deeply uncomfortable. It may bring up defensiveness, disbelief, shame or anger. However, meaningful adult intervention can help change the course of the behaviour. It helps to respond in a way that is calm, clear and accountable.
1 Respond firmly, but without shaming
Shame can make children defensive, so comments like, “This behaviour is hurtful and must stop” are more constructive than attacks on their character. Explore what’s driving the behaviour.

  • Get as full a picture as you can with questions like, “What was happening at the time?”, “What were you hoping would happen?”, “How do you think they felt?”, “What do you think needs to happen now?”
  • Make it clear the behaviour isn’t acceptable
  • Focus on what they did, not who they are
  • Avoid labelling them as a ‘bully’
  • Be clear about consequences and what needs to change

2 Focus on change, not just punishment
Where appropriate, adolescents need support to understand the impact of what they’ve done, put things right where possible and face consequences. That may involve apology, changed behaviour, school-based work or support from a counsellor or family professional.
The aim is not only to stop the behaviour, but reduce the risk of it being the way your child relates to others.
It helps to remember that harmful behaviour often has causes beneath it. None of this excuses bullying, but contributing factors could include:

  • Difficulty managing anger or frustration
  • A desire for status, power or control
  • Insecurity or low self-worth
  • Poor impulse control
  • Exposure to aggression or humiliation elsewhere
  • Being bullied themselves
  • Gaps in empathy or emotional regulation8

When to get more support

It may be time to seek additional support quickly if there are concerns about immediate safety with:

  • Ongoing school refusal
  • Significant withdrawal or isolation
  • Panic, severe anxiety or persistent low mood
  • Self-harm
  • Suicidal thoughts9
  • Changes in eating, sleeping or daily functioning
  • Expressions of hopelessness or ‘not wanting to be here’

What to remember

Bullying is not a harmless rite of passage. It can affect a teenager’s mental health, self-image and sense of safety in deep ways. When adults respond with calm, compassion and clear action, young people can recover and rebuild their confidence.

A closer look at 
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For some young people, anxiety can shape thoughts, behaviour, mood and confidence in ways that are hard to explain. Learn more about the behaviours it drives, and how the team here at Teenage Mental Health responds.

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