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How can siblings of children with ADHD Combined Type be supported? 

Living alongside a sibling with ADHD Combined Type can be confusing, frustrating, or even isolating, especially when their needs dominate family dynamics. Siblings may struggle to understand disruptive behaviour, feel pressure to be “the easy one,” or quietly absorb the emotional distress.

Supportive strategies that recognise their experience are key. By focusing on open communication, emotional education, and equal attention, families can foster resilience and balance. This also strengthens overall ADHD management for the diagnosed child. 

Supporting Siblings Effectively 

Helping siblings navigate the challenges of ADHD Combined Type means addressing both emotional and practical needs. Here is how to begin: 

Educate with empathy 

Teach siblings about executive function and how it affects behaviour not to excuse, but to explain. Understanding the difference between choice and neurological challenges can reduce resentment. 

Create dedicated time 

One-on-one moments with parents help siblings feel valued. It is a simple way to counterbalance attention imbalances and reinforce their place in the family. 

Encourage emotional expression 

Siblings often suppress feelings to avoid “causing more trouble.” Promote emotional regulation through journalling, shared conversations, or creative outlets. 

Involve them in solutions 

Ask for their input on routines, rewards, or how school support can be improved. This helps them feel involved and shows that their voice truly matters. 

Consider family therapy 

Professional support can mediate sibling tensions, validate everyone’s experience, and model conflict resolution. 

Healthy sibling relationships do not happen by accident; they grow through intentional support. Visit providers like ADHD Certify for personal consultations and family-based management plans.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Combined ADHD.

Victoria Rowe, MSc, author for my patient advice - mypatientadvice.co.uk

Victoria Rowe, MSc

Author

Victoria Rowe is a health psychologist with a Master’s in Health Psychology and a BS in Applied Psychology. She has experience as a school psychologist, conducting behavioural assessments, developing individualized education plans (IEPs), and supporting children’s mental health. Dr. Rowe has contributed to peer-reviewed research on mental health, including studies on anxiety disorders and the impact of COVID-19 on healthcare systems. Skilled in SPSS, Minitab, and academic writing, she is committed to advancing psychological knowledge and promoting well-being through evidence-based practice.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy. 

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Reviewer

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the reviewer's privacy.