Here's a little background on our family. My husband and I have been married 21 years, we have three daughters. Our oldest is 20 yrs old with a diagnosis of fibromyalgia diagnosed during adolescence. Our middle daughter is 10 years old and has an extensive medical history. She was born with Biliary atresia, polysplenia syndrome. She's had multiple surgeries, including a liver transplant at 7 months old. She is a very active, happy go lucky kid. *Our youngest is 4 years old, she has been a difficult child from the beginning. Constant crying from the time we brought her home from the hospital. We thought it was acid reflux/colicky baby. Acid reflux medications, change of formula, etc... didn't seem to help much, if any at all. Over the years her behavior seems to get worse and worse. Our home is just pure chaos anymore. She is extremely bossy, mean, demanding, and throws fits about anything and everything, very moody. Everything is a fight. It's a fight to get her to follow the rules, to get dressed, to do anything. I am at my wits end. It is to the point that I don't even like to take her out into public because she now also misbehaves there too. She also is very shy, and acts oddly when in social situations. It takes a very long time for her to warm up to people, even family members. We can see the same people weekly, and she won't talk to them, if they talk to her she gets angry, and uncomfortable. She has her 4 yr old well child check up next week and I plan to talk to the pediatrician about her behavior. My motherly instinct is telling me this has to be more than just being spoiled. Any advice? Suggestions? I suspect she has oppositional defiant disorder, but I am at a loss, I just don't know how to help her, or how to parent her.