You've Tried Everything. Now What?

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I have four kids, ages 5, 4, 3, and 2. My 4 year old is having terrible fits. He is also regressing in his potty training and wets his pants several times a day. The things that he throws fits about are random and can be things that are a big deal and things that are not, like me not cutting his sandwiches the right way. He plays that game where he wants something, he gets it and then he says no, wait, I want it, no, yes, no...and on and on. Sometimes he can pull it together and not melt down, but other times he just loses it. He usually does this at least 2-3 times a day. We have done time outs, losing privileges, losing fun activities, time in his room, it feels like I have tried everything. He does not throw fits at school, and does not have accidents there either. Unfortunately, since I have four under 5, it is very difficult to focus just on him. I just need a sure fire strategy to help me and him deal with these fits so that they can stop. Help me!

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