I have 4 children 9, 5, 21 months and 5 months. When my 21 month old was younger(about 10-12 months ago) she got angry, held her breath and passed out. We went to the hospital, had every test we could, and all checked out fine. She recently did it again and our PCP recomended a Behavioral Health Specialist citing her lack of/underdeveloped coping mechanism and the tempertantrums/screaming he has witnessed in the office. Granted the child can be a handful, screams a lot and is very demanding. If you do not give her what she wants she will throw a fit and scream until she gets it but I am not so sure that someone like a Behavioral Health Specialist needs to be involved. Her speech is pretty much where it should be, she plays with other children and is sweet to them. She understands what we are saying most of the time and is usually able to get across what she is asking for. She is on a normal schedule and will nap and go to bed fine. When I think of Behavioral Health Specialist I think of ADHD and Autism whereas this seems like a combination of middle child, lots of upheaval in the house (we had to move out of our house to do work on it and just moved back after five months, and the begining of terrible twos. How do you see this and can you expand a little on the role of Behavioral Health Specialists in the development of children? I do not want to hinder the development of my child but at the sametime this is the 3rd child I have seen two other children at this point and they were pretty similar.