School-age children, and even teenagers, have a limited range of behaviors available to let the adults in their lives know that something is wrong.  AD/HD, anxiety, depression, and learning difficulties often look the same behaviorally.  A full evaluation identifies the underlying issues causing the distress so that effective interventions can be implemented.

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Entries in self esteem (1)


Self-Esteem Is Not a Gift

Parenting in 2009 is really hard – even my mother says so. Every decision is scrutinized and “what’s best” for the child seems to always be the goal. What ever happened to Winnicott’s notion of a “good-enough mother”? I ask this because there is so much angst in parenting today. What are we worrying about? Why are we trying to make all of the “best” decisions?

It’s all about “self-esteem.” Seems like a good goal, but people are going about it in really strange ways. All too often I hear things like:

  • Too much competition can hurt self-esteem.
  • Being the youngest in a class can be hard for him.
  • Being the oldest/biggest/strongest boy will make him more confident.
  • Taking “enrichment” classes after school will make her feel smarter.


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