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Moderate Evidence

Supporting Siblings

How to support brothers and sisters of neurodivergent children - their needs matter too.

What siblings commonly experience
Mixed emotions

Love for their sibling alongside frustration, resentment, worry, guilt, and confusion. All of these are normal and valid.

Less attention

May feel they get less parental time and attention due to their sibling's needs.

Extra responsibilities

May take on caring roles, feel responsible for their sibling, or need to be "the easy one".

Confusion

May not understand their sibling's behaviour or why rules seem different for them.

Worry

May worry about their sibling's future, their parents' stress, or their own role.

Social challenges

May face questions from friends, feel embarrassed, or struggle with how to explain.

Positive experiences too

Siblings often develop empathy, tolerance, and strong bonds despite challenges.

What siblings need

Individual attention
They need one-on-one time that isn't interrupted or cut short.
  • Schedule regular individual time, even 15 minutes
  • Follow through consistently
  • Let them choose the activity
  • Put away phones, be fully present
Their own space
Physical and emotional space away from the demands of their sibling.
  • Their own room or dedicated space if possible
  • Locked box or drawer for treasured items
  • Respect their boundaries
  • Friends can visit without sibling involvement
To express feelings safely
They need to express negative feelings without guilt or judgement.
  • "It's okay to feel frustrated with your sibling"
  • Don't minimise their feelings
  • Listen without fixing
  • Separate feeling from behaving - angry feelings are okay, hurtful actions aren't
Age-appropriate information
Understanding helps them make sense of their sibling's behaviour.
  • Explain the diagnosis in terms they understand
  • Focus on how the brain works differently
  • Answer their questions honestly
  • Update as they get older
Fairness, not sameness
Different needs require different responses. Fairness doesn't mean identical treatment.
  • Explain that everyone gets what they need
  • "Your sister needs extra help with X, you need extra help with Y"
  • Ensure they get their own needs met
  • Don't always ask them to accommodate
Protection from aggression
They should not have to tolerate being hurt, even if the sibling struggles with regulation.
  • Safety is non-negotiable
  • Intervene in aggression immediately
  • Don't expect them to "understand" being hurt
  • Have a safety plan for dysregulated moments

Explaining to siblings

For younger children

"Everyone's brain is different. Your sister's brain works in a way that makes some things harder for her and some things easier."

"Sometimes she gets very upset because her feelings get really big really fast. That's hard for her too."

"She's not being naughty on purpose. Her brain just works differently."

"We love you both the same, even when we need to help her more with some things."

For older children

"Your brother has ADHD/autism. This means his brain processes things differently."

"The things that seem easy to you, like waiting or coping with changes, can be really hard for him."

"Different rules aren't because we love him more. It's because he needs different support to manage."

"Your feelings about this are valid. It's okay to feel frustrated sometimes."

Answering their questions

"Why does he get away with things?"

"He doesn't 'get away with' things - we address his behaviour differently because his brain works differently. Just like you might need different help with maths than he does, he needs different help learning to behave."

"Is it my fault?"

"No, absolutely not. Nothing you did caused this. It's just how his brain developed - nobody's fault."

"Will I get it too?"

"Brain differences can run in families, but every person is different. If you ever feel you're struggling, we'll always help you too."

"Why can't you make her stop?"

"We're trying to help her learn. It takes time because her brain has to work harder at this. We know it's hard for you too."

Protecting the sibling relationship

Don't make them a carer

They're a sibling, not a parent. Caring responsibilities should be age-appropriate and limited.

Don't expect them to always give in

"Let him have it, he'll have a meltdown otherwise" makes them feel their needs matter less.

Facilitate positive interactions

Help them find shared activities that work for both. Build positive memories together.

Acknowledge their losses

They may grieve not having the sibling relationship they expected. That's valid.

Celebrate their relationship

Notice and comment on positive moments between them.

Model acceptance

How you talk about the neurodivergent child shapes how siblings perceive them.

Common mistakes to avoid

Expecting them to always understand

Better: It's okay if they're frustrated. Understanding doesn't mean never being upset.

Making them responsible for sibling's behaviour

Better: Their sibling's regulation is not their job.

Dismissing their experience

Better: "I know it's hard for them" is true, but their experience is hard too.

Comparing them to the neurodivergent sibling

Better: Avoid "At least you don't have..." - their struggles are valid too.

Not celebrating their achievements

Better: Make sure their accomplishments get noticed, not overshadowed.

When siblings are struggling

Signs they may need extra support

  • Behaviour changes (acting out, withdrawal)
  • School difficulties
  • Sleep problems
  • Physical complaints
  • Excessive worry or anxiety
  • Anger or resentment
  • Taking on excessive caring role
  • Saying they wish they had a different sibling

Sources of support

Sibling support groups

Meeting others in similar situations helps them feel less alone.

Individual counselling

If they're struggling, professional support can help.

School awareness

Let school know they may need extra support.

Extended family

Grandparents or other relatives can provide special attention.

Respite time

Time away from their sibling, at grandparents or activities.

The positives
Research shows siblings of neurodivergent children often develop:
Greater empathy and understanding of difference
Patience and tolerance
Resilience and problem-solving skills
Strong sense of family loyalty
Maturity and perspective
Career interest in helping professions
Deep bond with their sibling
The key insight

Siblings don't need you to be perfect - they need you to see them. Regular, reliable attention and permission to have their own feelings goes a long way. Their needs are not in competition with their sibling's - both can be met.

  • Siblings' needs are not less important than the neurodivergent child's
  • Mixed feelings are normal and should be accepted
  • Individual attention, consistently given, makes a huge difference
  • Fairness means everyone getting what they need, not identical treatment
  • Siblings need information, support, and permission to have their own feelings