I've noticed that our two CAH children have more of a temper than the two non-CAH, but I also notice that it's nothing that they can't learn to control. Our fifve year old used to throw lengthy tantrums, now htey rarely last more than a few minutes. Our two year old (well she'll be two at the end of January) has learned a lot earlier that tantrum do not produce results, and doesn't throw them as long as she used to. I look at it like ADHD. There's a saying that goes, "What doesn't kill me, makes me stronger." The emotional changes produced by either the CAH or the medicine can be controlled, and the process of learning to control it makes them stronger. If you've got a wild stallion running around causing trouble you have two choices: you can shoot it, or learn to ride it. Strong emotions, like a wild stallion can be a powerful tool if a person learns how to harness them.