Thanks for all the info. Her labs are little off but not alot. Her pressure is still on the high side but the question I guess is is the cah or something else going on like pain issues. She has complained of her tummy hurting on and off for a few months. The work up showed a uti which we have treated. Sara has always seemed a little high strung but it has been magnified the past few weeks. She does have a very bubbly personality and is very outgoing for a 3 year old. Given her high energy level she is involved in a few activitie sto burn off the excess energy. She is incredibly sweet and thoughtful but watch out when she goes into a rage there is no stopping her. I come from a special ed backround so I am constantly looking for common demoninators when she has these issues. The time frame of the afternoon seemed to fit but this week she had to good afternoons followed by very trying mornings. We have set up postiive reinforcers when appropriate. I am begginging to wonder if she may have an adhd component going on?I am just worried about making her responsible for behavior that she may indeed not have the ability to control due to underlying undaignosed factors. We are taking it step by step I learned many years ago the it is our children’s job to bring challenges with the joys.