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Resources

Supporting Siblings: Helping brothers and sisters cope with childhood cancer

For children, it can be scary and upsetting watching the effects of cancer treatment for their sibling and seeing them in pain and in and out of hospital.  

A cancer diagnosis causes big changes in the lives of children.

When a child is diagnosed with cancer, there is added pressure put on parents, which often has a significant impact on siblings. They may feel scared or alone, and it can be hard for them, depending on their age, to understand what their sibling with cancer is going through.

For children, it can be scary and upsetting watching the effects of cancer treatment for their sibling and seeing them in pain and in and out of hospital.  During treatment, parents can become busy at the hospital or preoccupied with other responsibilities, and siblings may miss out on scheduled activities or be passed around to extended family or friends. Their structure and routine is often greatly disrupted as well.

It can be challenging for parents to find the energy to be there for their other children. Some children will try to hide their feelings to protect parents, while others may seem to be coping at first but will show signs of grief later. Siblings’ grief can show in ways like difficult behaviour or struggling at school.

Siblings can react in different ways when feeling stressed or anxious.

  • Wanting to be alone and becoming withdrawn or becoming less interested in activities that were once a favourite or becoming quieter and connecting less
  • Acting out in an attention seeking manner at home or school, or displaying negative behaviour and throwing temper tantrums
  • Separation anxiety; not wanting to be away from their parents or their sibling with cancer
  • Anxiety in the form of stomach and head aches, vomiting, bed-wetting, or trouble sleeping or nightmares
  • They might be scared because they think they can ‘catch’ cancer
  • Putting them at ease by spending some quality time with them and doing the things they enjoy
  • Listen to and validate their feelings
  • Listening to their words and looking for body language and other non-verbal signs. This can also show you how and what they’re feeling
  • Checking in consistently and building the relationship with them so they’re comfortable with you. This may give them an opportunity to express their feelings more
  • With guidance from the family, giving them age-appropriate information about their sibling’s cancer and reassure them their sibling is getting the best care possible
  • When possible, allowing them to spend quality time with their sibling with cancer can help strengthen their relationship
  • Some children might be scared they will catch cancer so assure it is not contagious
  • Drive the sibling to and from extra-curricular activities
  • Play games with them or read them a story before bed
  • Help them continue any family traditions that may be important to them
  • Ask family or close friends to spend extra time with them
  • Give them information and access to counselling and support groups if they’re interested
  • Showing your own feelings of sadness can validate to the young person that it’s okay to be sad. You can follow up by letting them know that you’ll be okay

Boundaries are still important – keeping family rules as close to normal as possible can help with stability.

The Kite for Kids group is a chance for siblings of a child who has been diagnosed with cancer to meet each other, play fun games, share their experiences, and talk about the big feelings that can come up when you’re facing lots of change.  The group includes four 60-minute sessions held on Wednesdays. Each session is filled with activities for them to have fun, share their ideas, and learn new skills.

Some of the activities include:

  • Games and puzzles
  • Drawing
  • Active games like “I Spy” and charades
  • Meditation and mindfulness exercises

And lots more!

Your social worker and the Redkite support team can also provide support for siblings.

Redkite provides counselling for children aged 0-18 years who have been affected by cancer. This includes the diagnosed child, their brothers and sisters, friends and relatives.

Redkite’s children’s counselling is free and available for all children affected by childhood cancer.

Learn more

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