What Is Bullying? – Causes, Symptoms, Diagnosis, Treatment

Patient Tools

Read, save, and share this guide

Use these quick tools to make this medical article easier to read, print, save, or share with a family member.

Article Summary

Bullying is unwanted aggressive behavior by another person or group of people. In bullying, there is always an actual or perceived power imbalance, and the aggression is repeated multiple times or is highly likely to be repeated. Bullying also includes cyberbullying, a type of aggression that is carried out through electronic means, such as through the Internet, e-mail, or mobile devices. People of all ages...

Key Takeaways

  • This article explains Signs a Child Is Being Bullied in simple medical language.
  • This article explains Why don't kids ask for help? in simple medical language.
  • This article explains Bullying and Youth with Disabilities and Special Health Needs in simple medical language.
  • This article explains Creating a Safe Environment for Youth with Disabilities in simple medical language.
Educational health guideWritten for patient understanding and clinical awareness.
Reviewed content workflowUse writer and reviewer profiles for stronger trust.
Emergency safety firstUrgent warning signs are highlighted below.

Seek urgent medical care if you notice

These warning signs are general safety guidance. Local emergency numbers and clinical judgment should always come first.

  • Severe symptoms, breathing difficulty, fainting, confusion, or rapidly worsening illness.
  • New weakness, severe pain, high fever, or symptoms after a serious injury.
  • Any symptom that feels urgent, unusual, or unsafe for the patient.
1

Emergency now

Use emergency care for severe, sudden, rapidly worsening, or life-threatening symptoms.

2

See a doctor

Book a professional medical evaluation if symptoms persist, worsen, recur often, affect daily activities, or occur in a high-risk patient.

3

Learn safely

Use this article to understand possible causes, tests, treatment options, prevention, and questions to ask your clinician.

Bullying is unwanted aggressive behavior by another person or group of people. In bullying, there is always an actual or perceived power imbalance, and the aggression is repeated multiple times or is highly likely to be repeated. Bullying also includes cyberbullying, a type of aggression that is carried out through electronic means, such as through the Internet, e-mail, or mobile devices. People of all ages can be bullied, and bullying may take place at home, school, or work. Because of cyberbullying, bullying can occur almost anywhere at any time.

Bullying is when a person or a group shows unwanted aggression toward another person.1 To be considered bullying, the behavior in question must be aggressive.2 The behavior must also involve an imbalance of power (e.g., physical strength, popularity, access to embarrassing details about a person) and be repetitive, meaning that it happens more than once or is highly likely to be repeated.2

Bullying can be2:

  • Physical: punching, beating, kicking, or pushing; stealing, hiding, or damaging another person’s belongings; forcing someone to do things against his or her will
  • Verbal: teasing, calling names, or insulting another person; threatening another person with physical harm; spreading rumors or untrue statements about another person
  • Relational: refusing to talk to someone or making them feel left out; encouraging other individuals to bully someone

Bullying also includes cyberbullying and workplace bullying.

  • Cyberbullying has increased with the increased use of the social media sites, the Internet, e-mail, and mobile devices.3 Unlike more traditional bullying, cyberbullying can be more anonymous and can occur nearly constantly.3 A person can be cyberbullied day or night, such as when they are checking their e mail, using Facebook or another social network site, or even when they are using a mobile phone.3
  • Workplace bullying refers to adult behavior that is repeatedly aggressive and involves the use of power over another person at the workplace.4 Certain laws apply to adults in the workplace to help prevent such violence

What are risk factors for being bullied?

Those who are at risk of being bullied may have one or more risk factors1,2,3:

  • Are seen as different from their peers (e.g., overweight, underweight, wear their hair differently, wear different clothing or wear glasses, or come from a different race/ethnicity)
  • Are seen as weak or not able to defend themselves
  • Are depressed, anxious, or have low self-esteem
  • Have few friends or are less popular
  • Do not socialize well with others
  • Suffer from an intellectual or developmental disability

What are common signs of being bullied?

Signs of bullying include1,2,3:

  • Depression, loneliness, or anxiety
  • Low self-esteem
  • Headaches, stomachaches, tiredness, or poor eating habits
  • Missing school, disliking school, or having poorer school performance than previously
  • Self-destructive behaviors, such as running away from home or inflicting harm on oneself
  • Thinking about suicide or attempting to commit suicide
  • Unexplained injuries
  • Lost or destroyed clothing, books, electronics, or jewelry
  • Difficulty sleeping or frequent nightmares
  • Sudden loss of friends or avoidance of social situations.

Signs a Child Is Being Bullied

Look for changes in the child. However, be aware that not all children who have been bullied exhibit warning signs.

Some signs that may point to a bullying problem are:

  • Unexplainable injuries
  • Lost or destroyed clothing, books, electronics, or jewelry
  • Frequent headaches or stomach aches, feeling sick or faking illness
  • Changes in eating habits, like suddenly skipping meals or binge eating. Kids may come home from school hungry because they did not eat lunch.
  • Difficulty sleeping or frequent nightmares
  • Declining grades, loss of interest in schoolwork, or not wanting to go to school
  • Sudden loss of friends or avoidance of social situations
  • Feelings of helplessness or decreased self-esteem
  • Self-destructive behaviors such as running away from home, harming themselves, or talking about suicide

If you know someone in serious distress or danger, don’t ignore the problem.Signs a Child is Bullying Others

Kids may be bullying others if they:

  • Get into physical or verbal fights
  • Have friends who bully others
  • Are increasingly aggressive
  • Get sent to the principal’s office or to detention frequently
  • Have unexplained extra money or new belongings
  • Blame others for their problems
  • Don’t accept responsibility for their actions
  • Are competitive and worry about their reputation or popularity

Why don’t kids ask for help?

Statistics from the 2018 Indicators of School Crime and Safety – PDF show that only 20% of school bullying incidents were reported. Kids don’t tell adults for many reasons:

  • Bullying can make a child feel helpless. Kids may want to handle it on their own to feel in control again. They may fear being seen as weak or a tattletale.
  • Kids may fear backlash from the kid who bullied them.
  • Bullying can be a humiliating experience. Kids may not want adults to know what is being said about them, whether true or false. They may also fear that adults will judge them or punish them for being weak.
  • Kids who are bullied may already feel socially isolated. They may feel like no one cares or could understand.
  • Kids may fear being rejected by their peers. Friends can help protect kids from bullying, and kids can fear losing this support.

What can be done to help someone who is being bullied?

To help someone who is being bullied, support the person and address the bullying behavior. Other ways to help—including what to do if a person is in immediate danger—are listed below.

Support a child who is being bullied:1

  • You can listen to the child and let him or her know you are available to talk or even help. A child who is being bullied may struggle talking about it. Consider letting the child know there are other people who can talk with him or her about bullying. In addition, you might consider referring the child to a school counselor, psychologist, or another mental health specialist.
  • Give the child advice about what he or she can do. You might want to include role-playing and acting out a bullying incident as you guide the child so that the child knows what to do in a real situation.
  • Follow up with the child to show that you are committed to helping put a stop to the bullying.

Address the bullying behavior:1

  • Make sure a child whom you suspect or know is bullying knows what the problem behavior is and why it is not acceptable.
  • Show kids that bullying is taken seriously. If you know someone is being a bully to someone else, tell the bully that bullying will not be tolerated. It is important, however, to demonstrate good behavior when speaking with a bully so that you serve as a role model of good interpersonal behavior.

The “Bullying: Be More Than a Bystander” resource, which includes a presentation and facilitator’s guide, seeks to educate people about taking action against bullying. It suggests you can help someone who is being bullied in the following ways:2

  • Be a friend to the person who is being bullied, so they do not feel alone.
  • Tell a trusted adult if you see someone being bullied.
  • Help the person get away from the bullying without putting yourself at risk.
  • Don’t enable bullying by providing an audience.
  • Set a good example by not bullying.

If you feel that you have taken all possible steps to prevent bullying and nothing has worked, or someone is in immediate danger, there are other ways for you to help.3

The problemWhat you can do
A crime has occurred or someone is at immediate risk of harm.Call 911.
Someone is feeling hopeless, helpless, or thinking of suicide.Contact the National Suicide Prevention Lifeline online or at 1-800-273-TALK (8255). This toll-free call goes to the nearest crisis center in a national network. These centers provide crisis counseling and mental health referrals.
Someone is acting differently, such as sad or anxious, having trouble completing tasks, or not taking care of themselves.Find a local counselor or other mental health services.
A child is being bullied in school.Contact the:

  • Teacher
  • School counselor
  • School coach
  • School principal
  • School superintendent
  • Board of Education
Child is being bullied after school on the playground or in the neighborhood
  • Neighborhood watch
  • Playground security
  • Team coach
  • Local precinct/community police
The child’s school is not addressing the bullyingContact the:

  • School superintendent
  • Local Board of Education
  • State Department of Education

Bullying and Youth with Disabilities and Special Health Needs

Children with disabilities—such as physical, developmental, intellectual, emotional, and sensory disabilities—are at an increased risk of being bullied. Any number of factors— physical vulnerability, social skill challenges, or intolerant environments—may increase the risk. Research suggests that some children with disabilities may bully others as well.

Kids with special health needs, such as epilepsy or food allergies, also may be at higher risk of being bullied. Bullying can include making fun of kids because of their allergies or exposing them to the things they are allergic to. In these cases, bullying is not just serious, it can mean life or death.

Creating a Safe Environment for Youth with Disabilities

Special considerations are needed when addressing bullying in youth with disabilities. There are resources to help kids with disabilities who are bullied or who bully others. Youth with disabilities often have Individualized Education Programs (IEPs) or Section 504 plans that can be useful in crafting specialized approaches for preventing and responding to bullying. These plans can provide additional services that may be necessary. Additionally, civil rights laws protect students with disabilities against harassment.

Creating a Safe Environment for Youth with Special Health Needs

Youth with special health needs—such as insulin is low or not working well. সহজ বাংলা: রক্তে চিনি বেশি থাকার রোগ।" data-rx-term="diabetes" data-rx-definition="Diabetes is a condition where blood sugar stays too high because insulin is low or not working well. সহজ বাংলা: রক্তে চিনি বেশি থাকার রোগ।">diabetes requiring insulin regulation, food allergies, or youth with epilepsy— may require accommodations at school. In these cases they do not require an Individualized Education Program or Section 504 plan. However, schools can protect students with special health needs from bullying and related dangers. If a child with special health needs has a medical reaction, teachers should address the medical situation first before responding to the bullying. Educating kids and teachers about students’ special health needs and the dangers associated with certain actions and exposures can help keep kids safe.

Federal Civil Rights Laws and Youth with Disabilities

When bullying is directed at a child because of his or her established disability and it creates a hostile environment at school, bullying behavior may cross the line and become “disability harassment.”  Under Section 504 of the Rehabilitation Act of 1973 and Title II of the Americans with Disabilities Act of 1990, the school must address the harassment. Read more about federal civil rights laws.

Bullying Prevention for Children with Special Health Care Needs

Having special health care needs due to neurological, developmental, physical, and mental health conditions can add to the challenges children and young people face as they learn to navigate social situations in school and in life. While bullying and cyberbullying is an unfortunate reality for many young people, children with special healthcare needs are at greater risk for being targeted by their peers.

One reason children and young adults with special health care needs might be at higher risk for bullying is lack of peer support. Having friends who are respected by peers can prevent and protect against bullying. Ninety-five percent of 6- to 21-year-old students with disabilities were served in public schools in 2017. However, children with special health care needs may have difficulty getting around the school, trouble communicating and navigating social interactions, or may show signs of vulnerability and emotional distress. These challenges can make them be perceived as different, and increase their risk of aggression from peers.

Young people with special needs may benefit from, both individualized and class-wide approaches to address the specific effects of their condition and prevent them from becoming the target or perpetrator of bullying. Teachers, school staff, and other students need to understand the specific impairments of a child’s health condition so that they can develop strategies and supports to help them participate and succeed in class and with their peers.

Potential Perceived Differences

Children and youth with special needs are impacted by their conditions in a variety of ways. Every child is unique, and so are the ways that their health condition affects them. Some impairments, such as brain injuries or neurological conditions, can impact a child’s understanding of social interactions and they may not even know when they are being bullied. Here are a few ways that disabilities may affect children:

  • Children and youth with cerebral palsy, spina bifida or other neurological or physical conditions can struggle with physical coordination and speech.
  • Brain injuries can impair speech, movement, comprehension, and cognitive abilities or any combination of these. A child or youth with a brain injury may have trouble with body movements or speaking in a way that others can understand. It could take them longer to understand what is being said or to respond.
  • Children and young people with Autism Spectrum Disorder, Attention Deficit Hyperactivity Disorder, and Tourette’s Syndrome may have difficulties with social interactions, sensitivities, impulsivity, and self-regulating their behavior or effectively communicating.
  • A child or young person who experiences anxiety or depression or who has a mental health condition may be withdrawn, quiet, fearful, anxious, or vulnerable. They may exhibit intense social awkwardness or have difficulty speaking.
  • Children who have epilepsy or behavioral disorders may exhibit erratic or unusual behavior that makes them stand out among their peers.

Supporting Special Needs and Preventing Bullying at School

Strategies to address students’ special needs at school can also help to prevent bullying and have positive outcomes for all students, especially tactics that use a team approach, foster peer relationships, and help students develop empathy. Some strategies include:

  • Engaging students in developing high-interest activities in which everyone has a role to play in designing, executing or participating in the activity.
  • Providing general up-front information to peers about the kinds of support children with special needs require, and have adults facilitate peer support.
  • Creating a buddy system for children with special needs.
  • Involving students in adaptive strategies in the classroom so that they participate in assisting and understanding the needs of others.
  • Conducting team-based learning activities and rotate student groupings.
  • Implementing social-emotional learning activities.
  • Rewarding positive, helpful, inclusive behavior.

Peer Support Makes a Difference

Here are a few examples of innovative strategies used by schools to promote peer-to-peer learning, foster relationships, and prevent bullying:

  • One high school created a weekly lunch program where student’s with and without special healthcare needs sat and ate lunch together. Several senior students led the group, and invited their friends to join. All kinds of students participated. The students got to know each other through question and answer periods and discussions over lunch. They discovered things they had in common and formed friendships. A group of them went to the prom together.
  • Youth at one school held a wheelchair soccer night. Students with special healthcare needs that used wheelchairs coached their peers in how to use and navigate the wheelchairs to play. The students helped another peer who used a wheelchair who was interested in photography by mounting a digital camera on her chair so she could be the game photographer.
  • Another school created a club rule that required clubs to rotate leadership responsibilities in club meetings so that every member had a chance to run the group. This allowed students with special health care needs to take on leadership roles.

Peer support is an important protective factor against bullying. By working together, teachers, parents and students can develop peer education, team-building, and leadership activities that foster friendships, build empathy, and prevent bullying to make schools safer and inclusive for all students, including children with special healthcare needs.

References

Patient safety assistant

Check your symptom safely

Hi, I am RX Symptom Navigator. I can help you understand what to read next and what warning signs need care.
Warning: Do not use this in emergencies, pregnancy, severe illness, or as a substitute for a doctor. For children or teens, use with a parent/guardian and clinician.
A rural-friendly guide: warning signs, when to see a doctor, related articles, tests to discuss, and OTC safety education.
1 Symptom 2 Severity 3 Safe guidance
First safety question

Is there chest pain, breathing trouble, fainting, confusion, severe bleeding, stroke-like weakness, severe injury, or pregnancy danger sign?

Choose quickly

Browse by body area
Start here: Write or select a symptom. The guide will show warning signs, doctor guidance, diagnostic tests to discuss, OTC safety education, and related RX articles.

Important: This tool is educational only. It cannot diagnose, treat, or replace a doctor. OTC information is not a prescription. In an emergency, contact local emergency services or go to the nearest hospital.

Doctor visit helper

Prepare before seeing a doctor

A simple rural-patient checklist to help you explain symptoms clearly, ask better questions, and avoid unsafe self-treatment.

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Start with a registered doctor or the nearest qualified health center.

What to tell the doctor

  • Write when the problem started and how it changed.
  • Bring old prescriptions, investigation reports, and current medicines.
  • Write allergies, pregnancy status, diabetes, kidney/liver disease, and major past illnesses.
  • Bring one family member if the patient is weak, elderly, confused, or a child.

Questions to ask

  • What is the most likely cause of my symptoms?
  • Which danger signs mean I should go to hospital quickly?
  • Which tests are necessary now, and which can wait?
  • How should I take medicines safely and what side effects should I watch for?
  • When should I come for follow-up?

Tests to discuss

  • Vital signs: temperature, pulse, blood pressure, oxygen saturation
  • Basic physical examination by a clinician
  • CBC, urine test, blood sugar, or imaging only when clinically needed

Avoid these mistakes

  • Do not use antibiotics, steroid tablets/injections, or strong painkillers without proper medical advice.
  • Do not hide pregnancy, kidney disease, ulcer, allergy, or blood thinner use.
  • Do not delay emergency care when danger signs are present.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

  • Avoid heavy lifting, sudden bending, and prolonged bed rest.
  • Use comfortable posture and gentle movement as tolerated.
  • Discuss physiotherapy, X-ray, or MRI only when clinically needed.

OTC medicine safety

  • For mild back pain, pain-relief medicine may be discussed with a doctor or pharmacist.
  • Avoid repeated painkiller use if you have kidney disease, stomach ulcer, uncontrolled blood pressure, or are taking blood thinners.

Avoid these mistakes

  • Do not start antibiotics without a proper medical decision.
  • Do not use steroid tablets or injections casually for quick relief.
  • Do not delay emergency care because of home remedies.

Get urgent help if

  • Back pain with leg weakness, numbness around private area, loss of urine/stool control, fever, cancer history, or major injury needs urgent care.
Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Doctor / qualified healthcare provider
Tests to discuss with doctor
  • Basic vital signs: temperature, pulse, blood pressure, oxygen level if needed
  • Relevant blood, urine, imaging, or specialist tests only after clinical assessment
Questions to ask
  • What is the most likely cause of my symptoms?
  • Which warning signs mean I should go to emergency care?
  • Which tests are really needed now?
  • Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Safe pathway to proper treatment

Back pain care roadmap

Use this simple roadmap to understand the next safe steps. It is educational and does not replace examination by a doctor.

Go to emergency care if you notice:
  • New leg weakness, numbness around private area, or loss of bladder/bowel control
  • Back pain after major injury, fever, unexplained weight loss, cancer history, or severe night pain
Doctor / service to discuss: Orthopedic/spine specialist, physical medicine doctor, physiotherapist under guidance, or qualified clinician.
  1. Step 1

    Check danger signs first

    If danger signs are present, seek emergency care and do not wait for online information.

  2. Step 2

    Record the symptom story

    Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.

  3. Step 3

    Visit a qualified clinician

    A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.

  4. Step 4

    Do only useful tests

    Discuss neurological examination first. X-ray or MRI may be needed only when red flags, injury, nerve weakness, or persistent severe symptoms are present.

  5. Step 5

    Follow up and return early if worse

    If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips
  • Take a written symptom diary and all previous prescriptions/test reports.
  • Do not hide medicines already taken, even herbal or over-the-counter medicines.
  • Ask which warning signs mean urgent referral to hospital.
  • Avoid forceful massage or bone-setting when there is weakness, injury, fever, or nerve symptoms.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.

RX Patient Help

Ask a health question safely

Write your symptom story. A health professional or site editor can review it before any answer is prepared. This box is not for emergency care.

Emergency first: Severe chest pain, breathing trouble, unconsciousness, stroke signs, severe injury, heavy bleeding, or rapidly worsening symptoms need urgent local medical care now.

Frequently Asked Questions

Signs a Child Is Being Bullied Look for changes in the child. However, be aware that not all children who have been bullied exhibit warning signs.Some signs that may point to a bullying problem are:Unexplainable injuries Lost or destroyed clothing, books, electronics, or jewelry Frequent headaches or stomach aches, feeling sick or faking illness Changes in eating habits, like suddenly skipping meals or binge eating. Kids may come home from school hungry because they did not eat lunch. Difficulty sleeping or frequent nightmares Declining grades, loss of interest in schoolwork, or not wanting to go to school Sudden loss of friends or avoidance of social situations Feelings of helplessness or decreased self-esteem Self-destructive behaviors such as running away from home, harming themselves, or talking about suicideIf you know someone in serious distress or danger, don’t ignore the problem.Signs a Child is Bullying OthersKids may be bullying others if they:Get into physical or verbal fights Have friends who bully others Are increasingly aggressive Get sent to the principal’s office or to detention frequently Have unexplained extra money or new belongings Blame others for their problems Don’t accept responsibility for their actions Are competitive and worry about their reputation or popularityWhy don't kids ask for help?

Statistics from the 2018 Indicators of School Crime and Safety - PDF show that only 20% of school bullying incidents were reported. Kids don’t tell adults for many reasons: Bullying can make a child feel helpless. Kids may want to handle it on their own to feel in control again. They may fear being seen as weak or a tattletale. Kids may fear backlash from the kid who bullied them. Bullying can be a humiliating experience. Kids may not want adults to…

References

Add references, clinical guidelines, textbooks, journal articles, or trusted medical sources here. You can edit this area from the RX Article Professional Blocks panel.