Our digital era poses new and complicated problems for children, adolescents, and parents. Drs. Gorrindo, Fishel, and Beresin address the multifaceted problems in managing use and misuse of digital media in our children and teens, through an Eriksonian approach that considers the challenges for children at different developmental stages. By doing so, the review may help parents and clinicians understand the risks and benefits of these media in society. Not only are digital media used by youth, but adults have come to increasingly rely on digital media. Facebook, Twitter, and the Internet have become common means of our acquiring information and staying in contact with others. While many have found social media extremely valuable, it poses tremendous challenges to maintaining professionalism, boundaries, and maintaining our privacy as individuals and physicians. Dr. Stubbe complements this article in the Communication Column by providing guidelines for the professional use of electronic communications with patients.