Add these lines to your my.cnf (usually in /etc/my.cnf)
log-slow-queries = slow.log long_query_time = 20
This logs any queries that take longer than 20 seconds to a file called "slow.log" in your data directory. Your data directory should be in /var/db/mysql, or /var/lib/mysql on a unix system.
NOTE: You need to restart mysql to have these changes take effect - usually run this command:
/etc/init.d/mysql restart
Anyway the logs generated here should help you pinpoint any queries that are really bogging down.
AFAIK, this setting doesn't slow down the server much, unless a lot of queries are getting logged. But if you are not actively checking for slow queries, you should probably turn this off.