14 | Supporting Siblings of Autistic Children | Brian Keene

When families are supporting a neurodivergent child, it is easy for the needs of siblings to unintentionally get pushed into the background. Siblings may feel confused, left out, overwhelmed, or unsure how to express what they are experiencing.

In this solo episode of the Autism Family Toolkit Podcast, occupational therapist Brian Keene discusses the emotional experiences siblings of autistic and special needs children may face and offers practical ways parents can support all children within the family dynamic.

Brian shares common themes he has observed throughout his work with families, including siblings feeling overlooked, taking on caregiver roles too early, or struggling to express emotions like frustration, guilt, embarrassment, or sadness.

This conversation reminds families that supporting siblings matters too.

Listen to the Full Episode

This episode offers practical, realistic ideas for helping siblings feel included, emotionally supported, and connected while navigating life in a neurodivergent family.

Memorable Quote

“That one-on-one time is going to be huge.”

In This Episode We Discuss

• Common emotional experiences siblings may face
• Feeling left out or overlooked within the family
• Caregiver roles and sibling burnout
• Why communication about autism matters
• Creating one-on-one connection time
• Helping siblings express emotions safely
• Clarifying expectations and responsibilities
• Support groups and sibling resources

Key Themes From the Conversation

Siblings Often Need Support Too

One of the biggest themes throughout this episode is that siblings may quietly carry emotions that are difficult to express openly.

Some children may feel:

• Left out
• Confused
• Frustrated
• Embarrassed
• Protective
• Overwhelmed
• Guilty for having difficult emotions

Brian explains that these feelings are more common than many families realize.

One-on-One Time Matters

Even short moments of connection can make a meaningful difference for siblings.

Brian encourages parents to create regular one-on-one time where the focus is completely on that child. This does not need to be elaborate. A short walk, trip to the park, grocery store outing, or simple conversation can help children feel seen and valued.

Clear Communication Helps Reduce Confusion

Children benefit from age-appropriate conversations about autism and neurodiversity.

Helping siblings understand why certain supports, therapies, routines, or accommodations exist can reduce confusion and help children process family dynamics more openly.

Common Questions Parents Ask

Is it normal for siblings to feel frustrated sometimes?

Yes. Siblings may experience many emotions, including frustration, sadness, jealousy, confusion, or guilt. Creating safe opportunities for honest communication is important.

How can I help my other children feel included?

Regular one-on-one time, open communication, and involving siblings appropriately in family routines can help children feel valued and connected.

Should siblings help care for their autistic brother or sister?

Many siblings naturally want to help, but it is important to make sure responsibilities remain age-appropriate and balanced so children do not become emotionally overwhelmed.

Why This Conversation Matters for Families

Supporting a neurodivergent child often requires significant emotional, physical, and logistical energy from families. During that process, siblings may quietly carry emotional experiences that deserve attention too.

This episode encourages families to create space for all children to feel heard, supported, and connected without shame or pressure.

Resources Mentioned

Sibshops by Arizona Autism United

Arizona Autism United

About the Host

Brian Keene is a pediatric occupational therapist and founder of Pure Hearts Therapy. Through his work with families, he regularly supports children navigating emotional regulation, sensory differences, and family dynamics within neurodivergent households.

Related Resources for Parents

If you found this episode helpful, you may also enjoy these resources:

• Caring for the Caregiver: Self-Care Tips for Parents of Kids with Special Needs
• Just Diagnosed? A Guide for Arizona Parents Starting the Autism Journey
• Positive Behavior Strategies for Neurodivergent Children at Home and School
• Neurodiversity-Affirming Therapy: Supporting Your Child’s Unique Strengths

Explore more parent resources at:
https://pureheartstherapy.com/blog