Supporting siblings

When a child has a health condition, it can affect the whole family - including brothers and sisters. Siblings may experience a wide range of thoughts and feelings. They may need their own support to understand and adjust to what is happening.

Siblings often notice changes in family routines, attention, and emotions. They may feel:

  • Confused about what is happening

  • Worried about their sibling’s health

  • Left out or less important

  • Jealous of the attention their sibling receives

  • Guilty for having these feelings

These reactions are common and understandable. Supporting siblings helps them feel included, reassured and valued.

If you have noticed that a siblings is struggling, please get in touch to speak to a member of our team who would be happy to work with your family to ensure they are receiving the right support.

  • Children often pick up on more than adults realise. Giving them clear, age-appropriate information about their sibling’s condition can:

    • Reduce misunderstandings and fears

    • Help them feel more prepared

    • Help them to feel more included

    • Allow them to ask questions and express feelings

    Be honest and open, and check what they already know. Like all children, siblings may need information repeated and built on over time.

  • Create regular opportunities for siblings to talk about how they feel. Let them know that all emotions are valid - even difficult ones like anger or jealousy. Try to listen without judgement.

    Some children may not want to talk directly, so starting these conversations during shared activities (like when drawing or playing) can help them express themselves. We know that for some children, conversations can be easier when side-by-side, for example when in the car or on a walk, rather than when facing each other which can feel more intense.

  • Keeping familiar routines (such as school, hobbies and family activities) can provide stability and reassurance. Where possible, try to protect time for siblings to enjoy their usual activities and interests.

  • Siblings can benefit from having individual attention from a parent or carer. Even small amounts of one-to-one time can help them feel important and valued.

  • Including siblings in small, appropriate ways can help them feel connected rather than excluded. This might involve:

    • Helping with simple tasks

    • Visiting the hospital (if appropriate)

    • Learning about the condition together

    Be mindful not to give them too much responsibility, and reassure them that caring for their sibling is not their job.

  • Let your child’s school know about the situation so they can offer additional support if needed. Be sure to emphasise how, or whether, you want information shared to other children or year groups.

    Friends and family members can also provide valuable understanding and reassurance for siblings, especially if you are having to split your time between siblings or locations.

  • Supporting children with different needs can be challenging. Taking care of your own wellbeing - and asking for help when needed - will help you to support your children more effectively.