Working on misbehaviors

Question

Hi! I want to work on my 4.5 year olds screaming fits and hitting. It seems like the hitting is a good target behavior for the ticket system . It seems like screaming could be dealt with in tantrum place, doctor ordering more sleep, or tickets. Do I only pick one of these methods? Tickets for hitting and tantrum place for screaming? Or combine early bedtime with tantrum place? Or is that overkill? Thanks

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