Ha recently began experiencing panic attacks, characterized by trembling limbs, rapid heartbeat, shortness of breath, and auditory hallucinations. Her family brought her to Tam Anh General Hospital Hanoi. During her consultation, Ha revealed she was a good student but had been isolated by classmates for nearly two years, who perceived her as arrogant. She had kept this distress to herself.

Doctor Pham Van Duong, from the Department of General Internal Medicine, diagnosed Ha with depression, psychotic symptoms, and prolonged psychological trauma. Her treatment plan included medication and psychotherapy, focusing on emotional recognition, regulation, and stress management. Her family received guidance on minimizing potential stressors for the teenager.

After about two weeks of treatment, Ha's sleep improved, and the frequency of her panic attacks decreased. She continues treatment following the doctor's protocol.

Doctor Duong talks to and advises Ha. *Photo: Tam Anh General Hospital*

Doctor Duong emphasized that school bullying can inflict lasting psychological damage. Children subjected to continuous isolation, insults, or devaluation often experience significant stress, elevating their risk for anxiety, depression, and panic disorder. Many bullied children suffer in silence, choosing not to confide in family or teachers, which allows their condition to worsen and negatively impact their overall health.

Signs of panic can be easily mistaken for typical psychological changes during puberty, such as insomnia, headaches, stomachaches, heart palpitations, and difficulty concentrating. Doctors advise parents to actively engage with their children, fostering open communication and listening carefully to identify any unusual changes. Early detection allows for timely medical intervention. Treatment approaches vary depending on the individual's condition.

Thanh Ba