Recognizing the Signs of Bullying: Identification, Impact, and Intervention

Bullying is a pervasive social and psychological issue that affects individuals across various settings, including schools, workplaces, and online environments. Defined as repeated aggressive behavior that involves a power imbalance, bullying can have profound psychological, emotional, and social consequences for both victims and perpetrators. The impact of bullying extends beyond immediate distress, often leading to long-term mental health challenges such as depression, anxiety, and post-traumatic stress disorder (PTSD) (ARZT, 2025)

As many as 75% of bullied victims report higher likelihood to develop mental illness and the American Psychological Association (APA) classifies bullying as a significant risk factor for mental health disorders, social withdrawal, and impaired cognitive development, particularly among children and adolescents. With the rise of cyberbullying, bullying has evolved into a 24/7 threat, making early detection and intervention more critical than ever.

For mental health professionals, understanding the warning signs of bullying is essential for effective intervention and support. This article explores the different types of bullying, key indicators, and psychological consequences, providing evidence-based strategies for professionals working with victims and perpetrators.

What Is Bullying?

Definition and Key Characteristics

Bullying is not merely conflict or teasing but a deliberate, repetitive behavior intended to harm, intimidate, or exert control over another person. According to the Centers for Disease Control and Prevention (CDC, 2021), bullying can manifest through physical aggression, verbal harassment, social exclusion, or digital abuse.

A defining characteristic of bullying is the power imbalance between the aggressor and the victim, which may be based on physical strength, social status, or access to resources (Smith et al., 2019). Unlike isolated incidents of aggression, bullying involves a pattern of behavior that inflicts emotional or psychological harm over time.

Types of Bullying

Bullying occurs in multiple forms, often intersecting and compounding the victim’s distress. The primary types include:

  1. Physical Bullying – Involves hitting, pushing, tripping, spitting, or damaging belongings. This form of bullying is most visible and often coexists with verbal abuse (Modecki et al., 2014).
  2. Verbal Bullying Includes name-calling, insults, threats, or derogatory remarks, often aimed at diminishing self-esteem and social acceptance.
  3. Relational (Social) Bullying – Involves manipulating relationships to socially exclude, spread rumors, or sabotage reputations. This is particularly common among adolescents and can lead to severe emotional distress (Craig et al., 2020).
  4. Cyberbullying – Occurs in digital spaces, including social media, messaging apps, and online forums. Cyberbullying includes harassment, doxxing, impersonation, and the non-consensual sharing of images, creating a persistent threat beyond school or workplace environments.

Signs That Someone Is Being Bullied

Emotional and Psychological Signs

Victims of bullying often exhibit significant emotional distress, even in the absence of visible physical harm. Symptoms may include chronic anxiety, depressive symptoms, and increased emotional reactivity. 

Mental health professionals should be particularly attentive to expressions of fear or avoidance of certain social settings, as victims may attempt to escape environments where bullying occurs. Reports of feeling powerless, worthless, or excessively self-critical can indicate prolonged exposure to bullying dynamics.

Behavioral and Social Indicators

Bullying victims often demonstrate avoidance behaviors, particularly regarding school, work, or social interactions. Adolescents who experience bullying may frequently skip classes, show a decline in academic performance, or disengage from extracurricular activities. Adults in workplace settings may exhibit absenteeism, sudden resignations, or decreased productivity due to hostile environments (Nielsen et al., 2017).

Other behavioral changes include sudden isolation from peers, reluctance to use digital communication, or increased dependency on caregivers or mentors. Changes in friendship dynamics, particularly unexpected loss of social connections or reluctance to discuss relationships, may indicate relational bullying.

Physical Symptoms and Warning Signs

Psychosomatic symptoms are common among bullying victims, as prolonged stress triggers autonomic nervous system dysregulation. Common complaints include headaches, gastrointestinal distress, sleep disturbances, and muscle tension (Gini & Pozzoli, 2013). Victims may also present with unexplained injuries, torn clothing, or missing personal items, suggesting physical aggression.

Signs of Cyberbullying

Unlike traditional bullying, cyberbullying leaves no physical evidence, making detection more challenging. Mental health professionals should be aware of sudden changes in online behavior, such as deleting social media accounts, avoiding phone use, or expressing distress after using digital platforms. Victims may also receive an influx of anonymous messages, threats, or explicit content, causing emotional turmoil.

Recognizing the Signs of a Bully

Common Traits of Individuals Who Bully

Perpetrators of bullying often exhibit antisocial behavior patterns, a desire for dominance, and a lack of empathy. While some bullies engage in aggression due to low self-esteem or past victimization, others display narcissistic traits, impulsivity, or hostility toward perceived weakness (Cook et al., 2010).

Behavioral Patterns in Bullies

Bullies often use coercion, threats, or intimidation to control others. They may manipulate social situations, justify harmful actions as “jokes,” or blame victims for their suffering. In workplace settings, bullying often manifests as harassment, micromanagement, or exclusionary tactics aimed at diminishing an individual’s confidence or professional standing.

The Psychological Impact of Bullying

Short-Term Effects

Victims of bullying experience acute stress reactions, including increased anxiety, emotional dysregulation, and fear of confrontation. These symptoms can impair academic or workplace performance and disrupt social development.

Long-Term Consequences

Chronic bullying exposure increases the risk of depression, PTSD, and suicidal ideation, particularly in adolescence (Arseneault, 2018). Many victims develop maladaptive coping mechanisms, such as substance use, self-harm, or dissociation. Furthermore, studies have linked childhood bullying exposure to higher rates of social anxiety, trust issues, and emotional instability in adulthood.

How to Respond to Bullying

Supporting Someone Who Is Being Bullied

Mental health professionals play a critical role in intervention by fostering safe, therapeutic environments where victims feel validated and empowered. Encouraging open communication is essential, as many victims hesitate to disclose their experiences due to shame or fear of retaliation.

Professionals should assess the severity of bullying, provide cognitive-behavioral interventions for emotional regulation, and educate victims on assertiveness strategies. School-based interventions, workplace anti-harassment policies, and legal resources for cyberbullying may be necessary in severe cases.

Preventing Bullying in Schools and Workplaces

Comprehensive anti-bullying programs are crucial for creating safe environments. Schools should implement social emotional learning curricula, promote bystander intervention training, and establish anonymous reporting systems for students. In workplace settings, HR departments must enforce zero tolerance policies, mediation strategies, and leadership accountability to mitigate bullying behaviors.

Recognizing the signs of bullying is paramount for effective intervention and prevention. Bullying manifests in various forms: physical, verbal, relational, and cyberbullying each with unique psychological consequences. Mental health professionals must remain vigilant in identifying the emotional, behavioral, and social indicators of bullying while advocating for systemic policy changes to reduce its prevalence. By fostering awareness, early intervention, and mental health support, professionals can help victims rebuild self-esteem, resilience, and emotional well-being.

Kasee Wiesen, DNP, APRN, FNP-C, is a Family Nurse Practitioner who owns her freelance writing business. She has a great passion for bedside and classroom education and has been a nurse educator for over ten years.

References

 

Arseneault, L. (2018). Annual research review: The persistent and pervasive impact of being bullied in childhood and adolescence. Journal of Child Psychology and Psychiatry, 59(4), 405-421.

Arzt, N. (2025). Can Being a Victim of Long-Term Bullying Lead to PTSD Later in Life? American Addiction Centers. https://americanaddictioncenters.org/co-occurring-disorders/trauma-stressor-related-disorders/effects-being-bullied-harassed 

Center for Disease Control and Prevention. (2024, April 7). About Bullying. Youth Violence Prevention. https://www.cdc.gov/youth-violence/about/about-bullying.html

Smith, P. K., Kwak, K., & Toda, Y. (2019). School bullying in different cultures: Eastern and Western perspectives. Cambridge University Press.