I am only a mother (and not a professional in any way), but my guess is that your daughter is acting out against her disease. I don't know about her health befor her diagnoses, but it must have been quite a shock to suddenly (at the age of five) have to start dealing with doctors, enzymes, chest therapy treatments, and medicine treatments. I can't imagine how hard it must be for a 5 year old to suddenly have to cope with all the issues that come with CF. Children show stress in so many different way because they don't have the maturity and capacity to effectively communicate all that they feel. I have a 4 1/2 year old son (he will actually be 5 in May) who was diagnosed with CF at the age of 2. This year especially has been a very difficult one for him - he has had a lot of control issues. I think it is because he is finally realizing how different things are for him. He knows that his friends are outside playing when he is doing treatments and he knows no one else at his school needs enzymes before eating. Eventhough we don't treat him differently, he know that he is different from his sisters and even his friends. Recently he has been throwing a lot of tantrums (more than normal) and last week (after another tantrum over his percussions) he told my husband that he didn't like CF and wanted to know "why God made him with CF." My heart still aches when I think of it.What we have been doing for him is to sit down and talk with him as much as possible. (Your CF clinic should have some age appropriate books that you can read to your daughter. I also have found some books at the library and book stores about children being "special and different." I think it is healthy for them to know that there are others issues and things that make us different besides just CF.) When he is really having a hard time, we tell our son that there are a lot of hard things about CF, but there also are some good things - like eating as much ice cream, etc. as they want. We also tell him that he was born with CF and no one can change that. However he does have two choices as to how he deals with CF. He can either "not like his treatments" and be sad and make others sad. Or he can find a way to like his treatments (like watching his favorite videos or coloring) and be happy. (This helps a lot because at least he feels that he has a little choice in the matter.) Finally, we also try to make a point of sitting down with him during his treatments from time to time - even if he is perfectly happy watching his favorite Peter Pan video, it is always nice to have company and not feel all alone.A friend of mine suggested that maybe if my son could talk to someone with CF (or some other disease that requires the same amount of time and effort), he would not feel so alone. I know even if we lived in the same town, it is not healthy for two CF children to be together due to cross contamination. However, if your daughter wants an email pal - maybe we could help them "write" to each other. Our email is robertnkatrina@attbi.com. Also if I can help in any way, please feel free to email me yourself. As parents, we feel so much of their pain on so many different levels. I know that not only am I scared for his future and what might be, but I also am worried about the present - I want so badly to help Sean deal with his disease in a healthy, productive way and one day grow up to be a happy, well adjusted (and hopefully very old

person.Hope this helps. Hang in there.KatrinaP.S. To JoAnn - I also would love to hear about the magic 1-2-3