"Doctor" Makes House Call for 5 YO Preschooler

Question

My 5 year old girl is strong willed, defiant and disobedient. She throws frequent tantrums when not getting her way. At school she is fine but anywhere else she acts out (screams, rages, scowls, doesn't listen etc).

We have tried reward based systems, timeouts and take-aways of items she values. Although these techniques provide temporary results there has not been a consistent method that has led to transformation in her behavior.

What would you recommend?

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