Ask Dr. E

Answers to your questions about self-esteem, nymphomania,parenting and more.

Dear Dr. E,

What are some of the things I can do to build the self-esteem of my 11-year-old son?

L, Detroit, MI

Dear L,

Many parents try so hard to boost "self-esteem" that they forget where it comes from. We feel good about ourselves when we're effective in the world. Help your son acquire the skills and knowledge he needs to succeed: As your resources allow, get him tutors and extracurricular classes to build both his intellectual and physical abilities. If his school is second-rate, consider switching. An inflated sense of self-worth without underlying abilities is useless, if not dangerous.

Dear Dr. E,

I'm always suspicious of my partner. Is there anything wrong with me?

S, Corowa, Australia

Dear S,

There's a fine line between paranoia and caution. If your partner behaves suspiciously, then you probably have good reason to be suspicious. I sense, however, that you're afraid you may be misinterpreting harmless behavior. If so, that is indeed your problem--one that's important for you to address. Almost any behavior--coming home late, for example--can be interpreted in multiple ways. Your partner may have had a tryst (negative interpretation) or, perhaps, a car problem (positive interpretation).With counseling, you can learn to be more flexible in your thinking, and you can also learn to turn negative interpretations into positive ones.

Dear Dr. E,

My two-year-old child insists on sleeping with my wife and me. What are the possible psychological impacts of this on my baby?

L, San Diego, CA

Dear L,

I know of no evidence that suggests your child will be harmed by sleeping with you. In some cultures, it's quite common for children to sleep with their parents. A few experts in the United States even advocate this practice, suggesting that the sense of security a child gets from sleeping with parents is more important than the sense of independence he or she might get from sleeping alone. Author Jean Leidloff discusses this issue in an intriguing way in her classic book, The Continuum Concept. But you'll also need to ask whether your marriage is suffering because your child is in bed with you. Life is full of trade-offs.

Dear Dr. E,

I'm 22 and almost always unhappy. For one thing, I'm happier thinking about my boyfriend than being with him. What's my problem?

M, Newport News, VA

Dear M,

You might be clinically depressed. Taking a simple online quiz can help you determine the severity of your condition (see www.depression-screening.org). If severe, it's important that you get professional help. If you're depressed, that might account for your relationship problem, but it's also possible that you have the wrong mate. Fantasy is almost always better than reality, but it's not a good basis for a relationship.

Dear Dr. E,

When is someone considered a nymphomaniac? I don't think that frequent sex should be the only criterion.

V, Philippines

Dear V,

Contrary to popular belief, "nymphomania" is not a valid diagnostic category. In fact, the official manual used in mental health does not label any level of sexual activity excessive. Some therapists now speak of "sexual addiction" but this term is in dispute, and it's not in the official index of disorders. The only legitimate labels we have for abnormal sexual activity speak of "hypoactive" conditions, meaning low sexual desire. That's usually what brings people in for therapy.

Dear Dr. E,

I suffer severely from stage fright. What can I do? I tried medication, but it just makes me drowsy.

M, New York, NY

Dear M,

For onstage situations, I'd avoid medication. You'll probably want all your marbles if you're acting or speaking. In an acting workshop I took in high school, I learned some simple breathing techniques that relax the body and improve focus before a performance. Since then I've found--and regularly practice--dozens of powerful techniques of this sort. You can learn a variety of stress-management techniques from a qualified counselor (see left) or from books such as my Big Book of Stress-Relief Games (McGraw-Hill, 2000).

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