How do siblings react to the unusual play patterns of children with Autism?

PostedDecember 15, 2025

UpdatedDecember 15, 2025

ByMy Patient Advice

Author: Lucia Alvarez, MSc | Reviewed by: Dr. Rebecca Fernandez, MBBS

Siblings of autistic children often respond to unusual or repetitive play in a mix of ways, from empathy and curiosity to confusion and frustration. According to NICE guidance (CG170, 2025), sibling reactions depend largely on family communication, inclusion in play, and understanding of autism itself. When families are open about differences and invite siblings to join in, relationships become stronger and more resilient.

Common sibling reactions

Siblings may feel pride and protectiveness toward their autistic brother or sister but can also experience emotional strain or confusion when play patterns seem repetitive or unpredictable. Research in Frontiers in Psychology (2025), carried out by researchers from The Hebrew University of Jerusalem, Tel Aviv University, and affiliated autism and psychiatry centres across Israel, found that neurotypical siblings often act as role models and “play guides,” helping autistic children develop social and communication skills (Frontiers, 2025). However, without support, siblings may feel excluded or anxious when their efforts are misunderstood.

The National Autistic Society notes that these mixed feelings are normal; siblings may oscillate between affection, pride, irritation, and confusion. Open discussion about autism and the reasons behind repetitive play helps reduce misunderstanding and builds empathy.

Supporting positive sibling relationships

Professional guidance from the Royal College of Speech and Language Therapists recommends family-wide communication support, including visual aids and inclusive play strategies. Encouraging shared activities that accommodate both children’s interests, for example, turn-taking games or parallel play in a calm sensory environment, helps foster cooperation and reduces tension.

Parents play a vital role in modelling acceptance and patience. Research from PubMed (2024) found that when parents explain autism in age-appropriate terms and ensure each child feels valued, siblings develop stronger empathy and emotional resilience (PubMed, 2024).

If emotional strain persists, organisations like Sibs UK and Autism Speaks offer dedicated sibling support and peer networks for families.

For professional assessment or ongoing family support, Autism Detect provides CQC-rated “Good” online autism assessments and aftercare services for both children and adults.

Takeaway

Siblings often navigate a complex mix of emotions when playing with an autistic brother or sister. With honest communication, inclusive play, and family support, these relationships can become a source of deep empathy, patience, and lifelong connection.

Lucia Alvarez, MSc

Author

Lucia Alvarez is a clinical psychologist with a Master’s in Clinical Psychology and extensive experience providing evidence-based therapy and psychological assessment to children, adolescents, and adults. Skilled in CBT, DBT, and other therapeutic interventions, she has worked in hospital, community, and residential care settings. Her expertise includes grief counseling, anxiety management, and resilience-building, with a strong focus on creating safe, supportive environments to improve 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 author's privacy.

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.