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4 year old twins - HELP

I've just had yet another bad day with my 4 year old twins. Finding it really hard to cope with them both, already on anti-depressants. I try to discipline them doing all the usual things time out, taking away treats etc explaining to them what they have done etc - none of it seems to make a difference. They are the naughtiest children at nursery and basically I feel such a failure. I dread days out and felt nervous before todays outing - for good reasons!! Does anyone have any advice on what I can do or who I can talk to?