A mom is at her wit's end and describes a series of challenging family separations and transitions, including the birth of a sibling. Now one of her twins yells and screams from morning until night. The other twin is defiant and “is always telling me ‘no’ and doing things he knows he’s not supposed to be doing.” This mom says their behavior is so extreme she spends most of the day in tears and then ends up yelling. She’s looking for Janet’s advice how she might deal with her twins’ behavior.

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