James Donaldson on Mental Health - Problematic Sexual Behavior in Children
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James Donaldson on Mental Health - Problematic Sexual Behavior in Children

10 min readBy James Donaldson

Sexual behavior at different ages Being interested in the body is part of normal development in kids, but sexual behavior can be linked to other concerns.

Sexual behavior at different ages Being interested in the body is part of normal development in kids, but sexual behavior can be linked to other concerns.

Parents sometimes worry that their child’s behavior can impact them socially — that they’ll get teased by other kids or won’t get invited over to play by other kids’ parents.

Or they worry that sexual behavior is a sign the child has been molested.

Before jumping to conclusions, it’s important to listen to kids, says Dr.

“I’m always on the side of being curious with kids, asking them questions in a nonreactive way in order to understand what’s driving the behavior.” Their answer may show that the behavior is innocuous, and you don’t need to get them evaluated.

Or it may indicate that the behavior is a sign of a different issue than you originally suspected: “Some kids say inappropriate stuff or draw penises on the walls just to get a reaction,” she says.

But you also might uncover information that makes you think the behavior is concerning or problematic, and then you’ll want to consult a mental health professional.

Here are some examples of sexual behavior at different developmental ages , from healthy to concerning to problematic.

Ages 2–5 Healthy: Touches their own genitals during diaper changes, when going to sleep, or feeling afraid.

Curious about watching other people going to the bathroom.

988 Suicide & Crisis Lifeline — National Suicide Prevention Lifeline 1-800-273-TALK (8255)

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James Donaldson

James Donaldson

Author, Speaker & Mental Health Advocate · Standing Above the Crowd

James Donaldson is a former NBA All-Star (1988, Dallas Mavericks) who played 20 years of professional basketball with the Seattle SuperSonics, L.A. Clippers, Dallas Mavericks, New York Knicks, Utah Jazz, and teams across Europe, before touring with the Harlem Globetrotters. A Washington State University graduate inducted into both the Pac-10 and WSU Athletic Halls of Fame, James went on to found The Donaldson Clinic, an outpatient physical therapy practice he operated for nearly three decades. Today he devotes his time to mental health awareness and suicide prevention — speaking to organizations, schools, and youth groups — and is the author of Standing Above the Crowd and Celebrating Your Gift of Life (2021). James recently relocated to the Dallas, TX area and believes deeply in being a role model of success and professionalism for the young people he serves.

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