The only suggestion I can give you is to keep at it with the discipline and talking to her. There is a book out called "1,2,3 Magic" by a doctor. If you email, I will look for info and send it to you. He also has a video tape which was very helpful. I do sometimes fall into my old ways instead of staying firm. My husband is very firm and I believe she has a healthy fear of him. She knows he means business. Time-outs don't seem to affect her anymore. What I do now, is take her away from her friends. That really bothers her and I believe is effective. The secret it seems is to hold firm and consistent. I believe it's a battle we are always going to be fighting. Her l7OHP levels were high along with a growth spurt for the last 6-9 months. Levels jumped to 900. She had her cortef increased and amazingly l7OHP dropped to l24. She just turned 4. Alice