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Long-Term Effects of Bullying in Adulthood

Childhood bullying can shape adult anxiety, depression, self-esteem and relationships years later. Here is what the evidence shows and what actually helps.

6 min read

Pop-art illustration of a young woman sitting cross-legged alone on a bed, looking away toward a window with a withdrawn expression.

Key takeaways

  • Being bullied as a child is linked to measurably worse adult mental health decades later, not just a bad memory. A five-decade British cohort study found elevated anxiety, depression and poorer social and financial outcomes at midlife, after accounting for childhood family hardship.
  • Anxiety and depression are the two conditions most consistently tied to a bullying history, and they can surface for the first time in adulthood rather than immediately afterward.
  • Bullying tends to damage self-esteem at the exact age it is being built, which is one reason the effect on how somebody sees themselves can outlast the specific memories of what happened.
  • Difficulty trusting people, reading normal social friction as a threat, and avoiding closeness are common adult patterns traced back to being targeted as a child.
  • None of this is fixed. The same longitudinal evidence that shows the harm also shows wide variation between people, and the mechanisms involved, mainly rumination and avoidance, respond to therapy.

Childhood bullying does not reliably end when the bullying stops. The strongest evidence comes from a British cohort followed from childhood to age 50, which found that people bullied as children had higher rates of anxiety, depression and psychological distress decades later, along with worse social relationships, than people who were not bullied. [takizawa-2014-adult] This piece covers what the long-term effects actually look like in adults, why they last, and what helps; our bullying pillar covers what bullying looks like and how to respond to it while it is still happening.

Why the effects can show up decades later

The effects last because bullying usually happens while a child’s sense of self, their expectations of other people, and their habits around social risk are still being formed, not after those things are already fixed. A repeated experience during that window becomes part of how the pattern gets built, rather than a single event stored on top of an otherwise settled foundation.

That is also why the gap between the bullying and the adult symptom can be large and confusing. Somebody might have no anxiety at all as a teenager, then develop it in their late twenties when a promotion puts them in front of a room, and not connect the two. Arseneault’s review of the longitudinal evidence describes this as a durable shift in mental health risk rather than a short-term reaction, present at both early follow-up and again decades later in the same cohort. [arseneault-2017-review]

Anxiety and depression in adulthood

Anxiety and depression are the two conditions most consistently linked to a childhood bullying history in long-term studies. The five-decade cohort found elevated rates of both in adults who had been bullied at age 7 or 11, and the difference held up after the researchers accounted for family hardship in childhood, which rules out the simplest alternative explanation that it was really about growing up poor or with a difficult family. [takizawa-2014-adult]

An illustrative pattern across life stages Illustrative
0 25 50 75 100 Reported symptoms Childhood Adolescence Early adulthood Adulthood Anxiety symptoms Low self-esteem

Illustrative pattern only, drawn to show the general shape the research describes: a rise around the bullying itself and only a partial fall afterward. It is not measured data from a specific study, and no study reports these exact values.

The shape worth noticing in that pattern is the partial fall rather than a full one. Symptoms that spike during the bullying itself do not reliably return all the way to baseline once it stops, which is consistent with what the cohort data show: elevated risk was still measurable at midlife, not only in the years immediately after. [takizawa-2014-adult]

How it affects self-esteem

Bullying damages self-esteem because it delivers a repeated, specific message (you are not liked, not good enough, or a target) at the exact age children are building their sense of who they are from what other people seem to think of them. That message tends to get absorbed as a belief about the self rather than remembered as a series of incidents, which is why it can survive long after the specific memories have faded.

The practical result in adulthood is often a harsh internal standard that feels like an observation rather than an opinion: “people don’t really like me” arrives as a fact rather than as a leftover conclusion from being twelve. Our pillar on self-worth covers how that kind of belief forms and what actually shifts it, since arguing with the belief directly rarely works as well as changing the evidence a person collects about themselves.

How it shapes adult relationships

Bullying can leave adults expecting rejection or hidden hostility in ordinary social situations, which then affects how they behave in relationships. A common pattern is reading a neutral or mildly ambiguous interaction (a slow reply, a joke, a group not including them) as confirmation of an old belief that people are unsafe or that they do not really belong, and then pulling back before finding out whether that reading was accurate.

That pattern shows up in the same longitudinal evidence as a real effect on social functioning, not just an occasional worry: bullied children were more likely as adults to report poor social relationships and lower social support than their peers. [takizawa-2014-adult] It also overlaps heavily with the fear of being watched or judged that drives social anxiety, and with the pattern our guide to fear of abandonment describes in people who withdraw before they can be rejected.

Not everyone is affected the same way

The evidence describes a real risk at population level, not a fixed outcome for every bullied child. Plenty of people who were bullied do not go on to have clinical anxiety or depression, and the same research that documents the harm also documents a wide spread of individual outcomes around it.

What seems to matter most is what happens around the bullying rather than the bullying alone: whether an adult intervened and stopped it, whether the child had at least one solid relationship to fall back on, and how much of childhood the bullying actually occupied. None of that is something a person can go back and change about their own history, but it is useful context for not treating “I was bullied” as a life sentence.

Does this still sound like you?

For adults wondering whether being bullied as a child is still affecting them now. This is a reflection prompt, not a diagnosis, and it produces no score that means anything on its own.

0 of 6 ticked

There is no published screener for bullying’s after-effects specifically, and it would be misleading to point you at one built for something else and call it a match. If the pattern above lines up with anxiety, low mood or persistent low self-esteem, the relevant screener on the self-assessment hub measures that condition on its own terms, not “bullying” as a category.

What actually helps

Name the pattern rather than the history. “I assume people will end up disliking me” is a sentence a therapist can work with directly. “I was bullied at school” is context, and useful context, but it is not itself something to treat.

Test the prediction instead of avoiding the situation. The belief that people are watching for a reason to reject someone rarely survives being checked against what actually happens when they stay in the room, speak up, or ask a direct question instead of guessing.

Expect the self-esteem work to be slower than the anxiety work. A belief built over years of repetition in childhood does not move as fast as a panic response does, and treating the two as if they run on the same timeline leads people to give up on the slower one too early.

Bring it up even without a dramatic story. Persistent teasing and social exclusion with no single violent incident attached is still a legitimate thing to discuss with a therapist, and it is one of the more common histories behind adult anxiety and low self-esteem.

When to seek help

See a doctor if anxiety, low mood or difficulty trusting people in relationships has been persistent rather than occasional, or if it is limiting decisions you would otherwise make, such as turning down opportunities that involve being visible. These are treatable, whether or not the original bullying is ever discussed directly.

If you are having thoughts of harming yourself, seek help now rather than waiting for the next appointment. Contact your local emergency services or a crisis helpline.

How MyFreud can help

The long-term effects of bullying tend to show up as a pattern over weeks, not a single bad day, which makes them easy to feel and hard to describe precisely when you finally sit down with somebody. Daily mood tracking in MyFreud turns that vague sense of “this keeps happening” into a record with dates and triggers attached, which is exactly the kind of detail a therapist can act on.

Download MyFreud and start today: App Store or Google Play.

Frequently asked questions

Can being bullied as a child cause problems in adulthood?

Yes, at population level. The clearest evidence comes from a British cohort followed for five decades: people who were bullied as children had higher rates of anxiety disorders, depression and psychological distress at midlife, along with poorer social relationships and financial outcomes, and the pattern held after accounting for childhood family hardship. That does not mean every bullied child carries lasting harm. It means the risk is real and larger than the reassuring folk story about it just being part of growing up.

What are the long-term effects of childhood bullying?

The most consistently reported effects in adults are anxiety, depression, low self-esteem and difficulty with trust and closeness in relationships. Some people also describe a lasting hypervigilance in group settings, a habit of assuming rejection before it happens, and avoiding situations that resemble the original one, such as speaking up in a group or being the visible one in a room.

Why does bullying affect self-esteem years later?

Bullying usually happens during the exact developmental window in which a child is forming a sense of who they are from what other people seem to think of them. A repeated message that they are not liked or not good enough gets absorbed into that self-concept rather than filed as a memory of specific events. Years later the belief can outlast the memories of who said what, which is why it can feel like a fact about yourself rather than something that happened to you.

Can bullying cause anxiety or depression as an adult?

It is one established risk factor among several, not a single cause. Longitudinal research finds bullied children go on to have higher rates of adult anxiety disorders and depression than children who were not bullied, and the association survives adjustment for other childhood adversity. Other factors, including family history and later life events, also contribute, so the honest answer is that bullying raises the odds rather than guaranteeing the outcome.

Does therapy help with the long-term effects of bullying?

Yes. The patterns that usually need addressing (a harsh self-view, hypervigilance to rejection, and avoidance of situations that resemble the original one) are the same patterns therapy for anxiety, depression and low self-esteem already targets, whether or not bullying is named as the origin. You do not need a fixed memory of what happened or a diagnosis to start; describing the pattern you notice now is enough to begin.

References

  1. 1.Takizawa R, Maughan B, Arseneault L ( 2014). Adult Health Outcomes of Childhood Bullying Victimization: Evidence From a Five-Decade Longitudinal British Birth Cohort. American Journal of Psychiatry, 171(7), 777-784. doi:10.1176/appi.ajp.2014.13101401
  2. 2.Arseneault L ( 2017). The long-term impact of bullying victimization on mental health. World Psychiatry, 16(1), 27-28. doi:10.1002/wps.20399