Oppositional behavior at odds with self and environment Ritualistic in nature Nose picking, nail biting and thumb sucking may increase Sibling rivalry becomes dominant Child is becoming more of a worrier Hesitant dawdling indecisive Over demanding and explosive Emotions are in a constant state of tension More susceptiable to cold, headaches, earaches and stomach aches Less motor control and awkwad pencil grip Frequently loses visual orientation reversals become common