Sibling relationships are hugely important to a child’s development, and strains in these relationships, whether due to mental health challenges or substance use, can pose unique challenges for siblings. Some youth respond by overachieving or perfectionism; others may feel resentful, and some may experience behavioral issues themselves. I understand the complicated way that family dynamics can shift when one sibling is experiencing a crisis, and enjoy helping to support the family system.
While some children may present with challenging “attention-seeking” behavioral responses to their sibling’s issues, others may internalize their worries. Sometimes, my work with these children/ teens simply involves having a safe space to express their fear or confusion, whether through play or talk. With other children, I collaborate with parents to ensure that their child is educated in an age-appropriate way about what is happening in regards to his/ her sibling’s experience. When children are worried about a loved one, often, their imagination “fills in the blanks.” Their version of events may actually be worse or more frightening than reality, so I find it is often extremely helpful to provide age-appropriate psychoeducation.
For more information on the importance and possible implications of sibling relationships, you may find this article useful: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3288255/
Feel free to contact me here to chat further!
It can be difficult to know when a sibling needs extra support, especially if they’re trying to hide their feelings. Therapy may be helpful if your child seems unusually worried, withdrawn, anxious, angry, or is taking on responsibilities beyond what is appropriate for their age. Having a safe space to express their emotions can help them better understand what’s happening within the family and build healthy ways to cope.
If you’re also looking for guidance on supporting your family at home, our resource on parent coaching for child behavior may be helpful.
Therapy provides a safe, supportive space where siblings can express their emotions, ask questions, and better understand their experiences. It also helps children develop healthy coping skills and feel heard during times of family stress.
Some children become withdrawn, anxious, or unusually quiet, while others may act out, become overly responsible, or strive for perfection. If you’ve noticed lasting changes in your child’s emotions or behavior, therapy may provide valuable support.
When appropriate, therapy can include age-appropriate psychoeducation to help children better understand their sibling’s diagnosis or circumstances. This often reduces confusion and helps children replace fears or misconceptions with a clearer understanding.
Yes. Parents are an important part of the therapeutic process. Sessions may include parent guidance and practical strategies to help support every member of the family while strengthening communication at home.
Yes. Many siblings experience complicated emotions, including guilt, frustration, jealousy, sadness, or worry. Therapy provides a safe place to explore these feelings without judgment while helping children develop healthy ways to express them.
Every child and family is different. The length of therapy depends on your child’s needs, goals, and progress over time. Together, we’ll determine an approach that best supports your family.
Yes. Therapy sessions are confidential, while recognizing the important role caregivers play in treatment. We’ll discuss how information is shared in ways that best support your child’s care and well-being.