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Abstract : Bipolar disorder is a disorder characterized by manic and depressive episodes. Bipolar disorder can interfere with social and occupational functioning as well as a person's quality of life. These findings highlight the importance of clinicians recognizing environmental risk factors such as childhood trauma that contribute to bipolar disorder. Bullying is a childhood trauma that can affect a child's mental condition. Both bullies and victims of bullying were found to be at increased risk of non-suicidal self-injury (NSSI) behavior. A female patient, 14 years old was taken to the Udayana University Hospital emergency room because the patient did cutting to her hands. The patient said it was because she felt lonely at home and uncomfortable at school, the patient had just broken up with her boyfriend and was teased by her classmates. The patient hears a voice in her ear and sees scary images, and she got insomnia and hypobulia. The patient was diagnosed with Bipolar Affective Disorder, Current episode Severe depression with Psychotic Symptoms (F31.5), and received medical therapy in the form of Valproate Acid 125 milligrams every 24 hours intraoral in the morning, Risperidone 1 milligram every 24 hours intraoral at night and Lorazepam 0.5 milligrams every 24 hours intraoral at night and non-medical therapy supportive psychotherapy, CBT, family therapy, and family psychoeducation.