Siblings
When a brother or sister is diagnosed with a chronic illness, has a brain injury, or faces cardiac surgery, the whole family is affected. But siblings often carry a unique and deeply personal burden that is rarely talked about. If you are a sibling navigating this experience, we see you — and this page is yours.
The Sibling Experience
Being the sibling of someone with a serious medical condition is a role that no one prepares you for. One moment your family life is familiar and predictable, and the next everything revolves around hospital visits, therapy schedules, and medical emergencies. The attention naturally shifts to the sibling who is ill or injured, and that shift — while completely understandable — can leave you feeling invisible, confused, and alone.
Research shows that siblings of chronically ill patients often experience a complex mix of emotions: love and loyalty alongside guilt, jealousy, anger, and grief. You may feel guilty for being healthy. You may feel angry that your life has been turned upside down. You may grieve the sibling you had before the injury or illness changed them. All of these feelings are valid, and none of them make you a bad person.
What Siblings Often Feel
Every sibling's experience is different, but many share common feelings that are worth naming out loud:
- Loneliness: When your parents are consumed with medical care, it can feel like no one has time for your problems, your milestones, or your daily life. Friends may not understand what you are going through, and it can be hard to explain.
- Pressure to be "the easy one": Many siblings feel an unspoken expectation to be independent, low-maintenance, and problem-free so they don't add to their parents' stress. This pressure can lead to bottling up your own needs and emotions.
- Guilt: Guilt shows up in many forms — guilt for being healthy, guilt for feeling resentful, guilt for wanting attention, guilt for living your own life. It is one of the most common and most painful emotions siblings describe.
- Fear and anxiety: Worrying about your sibling's health, about what the future looks like, about whether your family will ever feel "normal" again. These fears are real and heavy, especially for younger siblings who may not fully understand the medical situation.
- Pride and strength: Despite the hardship, many siblings discover remarkable resilience, empathy, and maturity. Studies show that siblings of chronically ill patients often develop stronger compassion, deeper patience, and a perspective on life that their peers simply do not have.
How to Take Care of Yourself
Your needs matter just as much as anyone else's in your family. Here are some ways to care for yourself during this journey:
- Talk about how you feel: Find someone you trust — a parent, a friend, a counselor, a teacher — and be honest about what you are going through. You do not have to carry this alone.
- Connect with other siblings: Programs like Sibshops and sibling support groups bring together young people who share your experience. Knowing you are not the only one who feels this way can be incredibly powerful.
- Keep doing things you love: Sports, art, music, hanging out with friends — these are not selfish activities. They are essential. You need spaces in your life that are just yours.
- Set boundaries: It is okay to say when you need a break from the medical world. It is okay to not want to talk about your sibling's condition every day. You are allowed to have your own life.
- Ask questions: If you are confused about your sibling's condition or treatment, ask. Understanding what is happening can reduce fear and help you feel more included in your family's journey.
A Message to Parents
If you are a parent reading this, know that your other children need you too — even when it feels impossible to spread yourself any thinner. Small gestures matter: a dedicated one-on-one conversation, acknowledging their feelings, asking about their day without it circling back to the medical situation. Consider connecting them with a sibling support program or a counselor who can give them a safe space to process their emotions. Siblings do not need perfection from you. They need to know they are seen and that their feelings are allowed.
You Are Part of the Story
The reBRAINed initiative understands the sibling experience because it is part of our story. Chronic illness and rehabilitation reshape the entire family, and siblings carry a weight that is often invisible to the outside world. We want you to know that your feelings are valid, your sacrifices are real, and your strength is extraordinary — even on the days when you do not feel strong at all.
Sources & Further Reading
- The Sibling Support Project — Sibshops — The leading national program for siblings of people with chronic illness and disabilities, offering peer support workshops (Sibshops) for ages 8-13 and teen groups.
- Siblings and Peers — Centre for Neuro Skills — Guidance for siblings on understanding brain injury changes, communicating with peers, and navigating hospital visits.
- Sibling Support Program — UMass Chan Medical School — Young sibling groups (ages 6-11) and teen groups (ages 12-18) with concurrent caregiver groups for families dealing with brain injury and other conditions.
- Family Support — Center for Brain Injury Research and Training — Educational materials and videos from rehabilitation experts on common challenges families and siblings face after brain injury.
- Child Life Services for Siblings of Chronically Ill Children — Journal of Child Life — Research on how sibling support programs help reduce isolation, improve coping, and build self-worth.
- Sibling Support Program: A Novel Peer Support Intervention (2022) — PMC — Published research on peer support interventions for siblings of youth experiencing illness, with evidence of improved emotional and behavioral outcomes.
- Family Caregiver Alliance — Resources for the entire family, including tools for supporting siblings and navigating the caregiving journey together.