Growing up with a sibling who has special needs is an experience that can profoundly shape a child's life. While it was always clear to me, as a parent, that this experience would impact everyone in my family in a variety of ways, I had an epiphany one day when my oldest child faked that his arm was hurting and asked if he could go to physical therapy for it. When I asked him why he wanted to go to physical therapy, he said he sees all the time that his sister gets to spend with me going to extra appointments every week, and he wants to do that too. I hugged him, which opened up a bigger and more important conversation about his feelings about our family and his role.
One of the most common struggles for siblings of children with special needs is feeling overlooked. Parents naturally dedicate significant time and energy to the child who requires more care, which can leave siblings feeling invisible or secondary.
While much attention is often focused on the child with special needs, siblings face unique challenges that can affect their emotional, social, and psychological well-being. These siblings may feel many emotions. They can feel pride and love but also frustration and resentment. These feelings can be complicated by responsibility, confusion, or loneliness. The impact on a sibling's life is complex, and it is essential to approach their experiences with empathy and understanding. A therapist can offer invaluable support to help these siblings navigate their emotions, find healthy coping skills, and build strong, resilient identities amidst their unique family dynamics.
The Overlooked Sibling: When Attention Feels Unequal
One of the most common struggles faced by siblings of children with special needs is feeling overlooked or neglected. Parents and caregivers often are understandably focused on the child with special needs due to the intensity of their care requirements, leaving the sibling to feel their own needs are less important. This can create feelings of invisibility or a sense that their emotional well-being is secondary. This seemed to be what my son was trying to communicate when he wanted to "also go to physical therapy" even when it was not necessary for him; through helping him create a safe space to voice his needs and feelings, we found the words to say I need more individualized attention right now or some one-on-one time just for me too.
A therapist can help siblings voice these feelings in a safe, non-judgmental space. Through open conversations, a therapist can help siblings understand that their emotions are valid and guide them in finding ways to communicate their needs with their parents. Additionally, a therapist can work with the family to foster a more inclusive environment where all children's needs are acknowledged, helping the sibling feel seen and valued.
Signs a sibling might be feeling overlooked:
- Seeking unnecessary medical attention or mimicking their sibling's experiences
- Expressing frustration or withdrawing emotionally
- Acting out to gain attention
How therapy can help:
- Providing a safe space to voice their feelings
- Helping them communicate their needs to parents
- Encouraging one-on-one bonding time within the family
Guilt & Responsibility: The Unspoken Emotional Weight
Siblings of children with special needs may also grapple with feelings of guilt, especially if they sense that their parents' attention is constantly focused on their siblings. Some may feel that they are being "selfish" for needing attention or care of their own or may feel responsible for the well-being of their sibling. This sense of duty can create an unhealthy burden, leading to stress, anxiety, and sometimes even resentment. These ambivalent feelings can be particularly challenging to navigate, especially when combined with parental expectations and the pressure to be a "good" sibling.
A therapist can provide tools to help siblings cope with these feelings of guilt and responsibility. By validating their emotions and helping them understand that they are not responsible for their sibling's condition or behavioral challenges, a therapist can ease the weight of these burdens. Therapists often use cognitive-behavioral techniques to challenge unhealthy thinking patterns, helping siblings release guilt and adopt healthier perspectives about their role within the family.
Common thoughts siblings might have:
- "I shouldn't complain because my problems aren't as important."
- "I feel bad when I'm annoyed with my sibling."
- "I have to help because my parents are overwhelmed."
How therapy can help:
- Teaching them to release guilt and prioritize their own needs
- Encouraging healthy boundaries and self-care
- Reframing their role in a way that doesn't feel like a burden
Managing Frustration & Understanding Sibling Rivalry
As much as siblings love their special needs siblings, they may also experience frustration. The constant caregiving needs of the child with special needs can create tensions, and siblings may feel that their desires—whether it's for attention, freedom, or special experiences—are routinely sacrificed. The idea of a "normal" childhood, with typical sibling interactions and experiences, can feel elusive. This frustration can sometimes manifest as sibling rivalry, making it difficult for siblings to connect with their special needs sibling in a positive, loving way.
Therapists can offer a safe space for siblings to process these emotions. Through therapeutic techniques, siblings can learn to identify and express their feelings of anger and frustration in healthy ways. By exploring these feelings with the guidance of a therapist, siblings can also work on fostering empathy toward their siblings, helping them understand the challenges their siblings face and how their sibling's needs might not be under their control. This can lead to healthier family dynamics and a more positive sibling relationship in the long run.
Ways frustration may manifest:
- Outbursts of anger or jealousy
- Avoidance or withdrawal from the sibling
- Increased tension or sibling rivalry
✅ How therapy can help:
- Teaching healthy ways to express frustration
- Fostering empathy and understanding toward their sibling's challenges
- Strengthening communication for healthier sibling relationships
Social Isolation: Feeling Different from Peers
Siblings of children with special needs may sometimes feel isolated from their peers. Their experiences are unique, and they may struggle to explain their family situation to friends who don't understand. Because of the additional caretaker role at home, they might miss out on social opportunities, such as playdates or extracurricular activities. The fear of being judged or misunderstood can also create a barrier to making new friends or forming close relationships.
Therapists can help siblings build coping strategies for social isolation, encouraging them to express themselves. They can also provide information about peer support networks and sibling support groups. These groups allow siblings to connect with others going through similar experiences, helping them feel less alone and more understood. A therapist can also teach siblings how to set healthy boundaries with friends to maintain relationships while respecting the family dynamic at home.
Challenges they might face:
- Difficulty making or maintaining friendships
- Feeling like their experiences are misunderstood
- Struggling to set boundaries with their time and emotional energy
How therapy can help:
- Connecting them with sibling support groups to find peers with similar experiences
- Teaching strategies to balance social life with family life
- Encouraging them to embrace their unique family dynamic with confidence
Building a Strong, Independent Identity
One of the most positive impacts a therapist can have is helping siblings of special needs children develop a strong and positive sense of identity. While growing up in such a unique family dynamic can be challenging, it can also foster deep empathy, patience, and resilience. A therapist can help siblings recognize their strengths—whether it's their ability to empathize with others, manage difficult emotions, or advocate for their sibling—and guide them toward building confidence and self-compassion.
A therapist can also work with the sibling to ensure they're not defining themselves solely through their relationship with their special needs sibling. These siblings must develop their interests, friendships, and talents outside the caregiving role.
Through therapy, a child can gain a deeper sense of autonomy, helping them feel empowered while still being a loving and supportive sibling. This process can also contribute to developing an inclusive worldview that values diversity and understands the importance of disability awareness.
How therapy can help:
- Encouraging personal interests outside of family responsibilities
- Helping them develop self-confidence and autonomy
- Teaching them to value their unique perspective while carving their path
A therapist can play a pivotal role in improving family communication, ensuring that every family member—parents, siblings, and the child with special needs—feels heard and supported. Family therapy can offer a platform for siblings to express their feelings in front of their parents, which may open up valuable conversations about balancing the needs of everyone in the family. By addressing the challenges openly, the entire family can work together to create a more inclusive and supportive environment for all members, fostering greater family unity.
Benefits of family therapy:
- Provides a structured space for difficult conversations
- Helps parents recognize and meet the needs of all their children
- Creates a more unified and supportive family dynamic
The impact of growing up with a sibling who has special needs is multifaceted. While it can be a deeply rewarding and enriching experience, it can also have unique challenges for the sibling. A therapist can help siblings of children with special needs navigate these complex feelings, offering support to foster healthy emotional expression, resilience, and understanding. With proper guidance, siblings can not only thrive but also build lasting, positive relationships with their families and siblings and develop a strong sense of self in the process. Siblings can navigate their unique journey with confidence and compassion by focusing on self-care, developing coping skills, and participating in support networks.
Final Thoughts: Supporting Siblings for a Stronger Family
Growing up with a sibling with special needs is rewarding and challenging. With the proper guidance and support, siblings can develop resilience, emotional intelligence, and a deep sense of empathy. Therapy provides a safe space to navigate emotions, strengthen family bonds, and ensure that every child—special needs or not—feels valued and supported.
If your child struggles with their role as a sibling of a child with special needs, therapy can help. Contact Stacey at Shoreside Therapies today to learn more about support options.
Contact Stacey
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Stacey Glasenapp, MS, LPC
4530 N Oakland Avenue
Whitefish Bay, WI 53211