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How Can Siblings Be Managed in ADHD–ODD Families? 

PostedSeptember 9, 2025
UpdatedSeptember 10, 2025
ByMy Patient Advice
Author: Avery Lombardi, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Managing siblings of ADHD and ODD children requires careful attention to family dynamics so that all children feel supported and valued. When one child has both ADHD and ODD, the emotional and behavioural challenges can affect the entire household, sometimes creating tension or rivalry among siblings. Parents need strategies that balance individual needs with family unity. 

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ADHD Sibling Management 

ADHD sibling management begins with open communication. Siblings should have age-appropriate explanations of ADHD and ODD so they can better understand their brother or sister’s behaviour. This helps reduce misunderstandings and resentment. Parents should also set aside one-on-one time with each child to ensure that the sibling without ADHD and ODD does not feel overlooked. Encouraging shared activities can help strengthen bonds, but these should be structured to minimise opportunities for conflict. 

ODD Family Strategies 

ODD family strategies focus on creating consistent rules for everyone in the household. This prevents siblings from feeling there are “special” rules for one child, which can fuel resentment. For conflicts between siblings, parents should step in early to prevent escalation but also teach problem-solving and negotiation skills. Recognising and rewarding positive sibling interactions can reinforce cooperation and respect. 

Balancing Support and Fairness 

Balancing fairness while meeting the needs of a child with ADHD and ODD can be challenging. Providing equal attention, maintaining consistent expectations, and fostering empathy among siblings can help maintain harmony.  

In conclusion, while managing siblings of ADHD and ODD children parents should also be mindful of modelling calm, respectful communication, as children often mirror these behaviours. 

Visit providers like ADHD Certify for personal consultations and expert guidance tailored to your unique situation. 

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Oppositional Defiant Disorder. 

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Avery Lombardi, MSc, author for my patient advice - mypatientadvice.co.uk
Avery Lombardi, MSc
Author

Avery Lombardi is a clinical psychologist with a Master’s in Clinical Psychology and a Bachelor’s in Psychology. She has professional experience in psychological assessment, evidence-based therapy, and research, working with both child and adult populations. Avery has provided clinical services in hospital, educational, and community settings, delivering interventions such as CBT, DBT, and tailored treatment plans for conditions including anxiety, depression, and developmental disorders. She has also contributed to research on self-stigma, self-esteem, and medication adherence in psychotic patients, and has created educational content on ADHD, treatment options, and daily coping strategies.

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.