Your daughter's best friend stopped texting three months ago. The play dates dried up after the second hospitalization. Birthday party invitations arrive less frequently now, and when they do, your child's name is on the list because parents feel obligated, not because kids asked. Chronic illness doesn't just change medical routines. It changes which families stay in touch and which quietly step back. Friendships fade when kids can't attend school regularly, when they miss soccer practice for treatments, when hospital stays erase entire weeks from the social calendar. Other families don't know how to handle the unpredictability. They stop inviting your child because they assume you'll say no. They don't reach out because they're worried about saying the wrong thing. Your child misses the inside jokes, the shared experiences that cement friendships at this age. They come back to school after an absence and the group has already formed around whatever happened while they were gone. Why Friendships Fade During Chronic Illness. The absences create distance that has nothing to do with affection. Kids forget to include someone who isn't physically present. They form new bonds with whoever is there consistently. Parents of healthy kids don't always understand what chronic illness looks like day to day. They see the hospital stays but not the fatigue that makes playtime exhausting afterward. They know about the diagnosis but not how to explain it to their own child, so they avoid the conversation entirely and withdraw instead. Scheduling becomes complicated. Your child's energy...

Hospital stays and missed activities strain friendships. How to keep connections intact when chronic illness changes everything.

Maintaining Friendships When Your Child Has Chronic Illness

A parent once described watching her son at a birthday party: he'd run up to a group of kids, say something funny, and then keep going, past the laughter, past the opening. He didn't stay long enough to see the invitation form. He wanted connection. He just couldn't slow down enough to step into it. This is what makes social skills work with ADHD children feel different from other kinds of support. The knowledge is often there. The want is there. What's missing is the pause: the moment between impulse and action where a child reads the room, adjusts, and meets the other person where they are. Social skills groups for elementary-age children create space to practice that pause, again and again, in a setting designed for exactly this kind of learning. What Happens in a Session. A typical group runs 45 to 60 minutes with four to eight children, grouped by age and developmental level. A facilitator guides activities built around specific skills: greeting someone, asking to join a game, handling disagreement, reading facial expressions. The structure is deliberate. A session might open with a check-in where each child shares something from their week, practicing turn-taking while they talk. The facilitator introduces the day's skill, like active listening, models it, and then the group practices through role-play. One child tells a story. Another listens and repeats back what they heard. The facilitator pauses the interaction. "I noticed you looked at the floor while Emma was talking. Let's try that...

Small-group instruction teaches turn-taking, active listening, and conflict resolution with structured practice and real-time feedback.

Social Skills Groups for Elementary-Age Children with ADHD

Your child doesn't understand why their friend is crying. They repeat the same story to the same person five times in an hour. They tell their teacher something private you shared at home, without any sense that this was a line they crossed. You've watched it happen, wondered what's going on, and maybe felt the ache of wanting to help without knowing where to begin. These aren't signs of a child who doesn't care. They're signs that theory of mind, the ability to understand that other people have different thoughts, feelings, and knowledge, is developing differently. For many autistic children, this skill doesn't arrive through observation the way it does for other kids. It needs to be taught explicitly, the way you'd teach reading or how to tell time. And when it's taught well, with tools that make the invisible visible, it can genuinely change how your child moves through their world. What Theory of Mind Means. Theory of mind is the understanding that your perspective isn't everyone else's perspective. You can know something another person doesn't. You can feel happy while they feel sad. You can want one thing while they want something entirely different. For most children, this realization emerges between ages three and five through thousands of small social experiences. They start to predict what others know, feel, or believe based on context. Autistic children often develop this understanding later, or in a way that needs more scaffolding. Research consistently shows differences in how autistic individuals interpret...

Theory of mind can be taught through social stories, role-play, and explicit instruction that make perspective-taking visible and concrete.

Teaching Theory of Mind to Children with Autism

You need your older child's help. The real question is whether the help you're asking for has quietly become an expectation they can't refuse, and whether that expectation is costing them their childhood. Parentification happens when a child takes on caregiving or household management responsibilities that should belong to an adult. It's not the occasional request to watch a sibling for 20 minutes. It's the 10-year-old who knows the medication schedule better than you do. The teenager who stops making weekend plans because they assume they'll be needed at home. The young adult who doesn't apply to colleges outside commuting distance because leaving feels like abandonment. Most parents don't set out to overburden a typically developing sibling. But when one child has complex needs, the math feels simple: you need more hands, and your other child is right there. What starts as "Can you keep an eye on your brother while I make dinner?" becomes an unspoken family role that nobody questioned until it was already entrenched. Here's how to recognize when sibling help has crossed the line, and what to do about it. When Help Becomes Parentification. Appropriate sibling help is occasional, age-appropriate, and leaves room for the child to say no. Parentification is ongoing, emotionally burdensome, and carries the weight of family stability on a child's shoulders. Markers That Signal a Problem.  The sibling anticipates needs without being asked. If your typically developing child is checking blood sugar levels, prepping sensory tools, or redirecting behaviors before you've...

Practical markers for when sibling help crosses into parentification, and strategies to protect development while maintaining support.

How Much Caregiving Responsibility Is Too Much for a Sibling

Nearly half of autistic young adults report having no peer relationships outside structured settings. For parents watching their child navigate school socially, this statistic lands hard. Friendships do not come together by accident for many autistic children. The unstructured chaos of recess or lunchtime can be overwhelming, and the unspoken rules of peer interaction are often genuinely opaque. Structured peer programs offer something different: intentional connection with the support to make it work. Programs like Friendship Circle and Peer Buddy systems create supervised, purpose-driven settings where autistic students are matched with neurotypical peers for activities, projects, and social time. The structure is the scaffolding, not the ceiling. What Structured Peer Programs Are. Friendship Circle, Peer Buddy programs, and Circle of Friends models share a common design: they pair autistic students with neurotypical peers in settings where support and guidance are built in. The neurotypical peer is not a tutor or a teacher. They are a companion, trained to facilitate connection through shared activities rather than forced conversation.  Friendship Circle programs typically operate through community organizations or schools. Volunteers, most often middle or high school students, are matched with an autistic child or teen for weekly activities. These might be one-on-one sessions or group events: art projects, cooking classes, outings to parks or museums. The activities create shared experience, which is often a more natural pathway to friendship than sitting face-to-face and trying to talk.  Peer Buddy programs function within the school day. A neurotypically developing student volunteers to...

Structured peer programs match autistic students with neurotypical peers for supported social interaction and skill-building.

Friendship Circles and Peer Buddy Programs for Autism

Your daughter asks why her brother gets to skip family dinners when he's overstimulated, but she doesn't. Your son tells his teacher he doesn't want to talk about his sister at school anymore. These aren't complaints about fairness: they're signals that your typically developing child is navigating feelings most of their peers can't understand. Sibshops are designed for exactly this. They're structured peer support programs where siblings of children with disabilities connect through recreational activities, facilitated discussions, and shared experiences. The focus is validation, not therapy. Kids meet others who already know what it's like. What Sibshops Are and How They Work. Sibshops were developed in the 1980s by Don Meyer at the Sibling Support Project, a program of the Arc of the United States. The model centers on peer connection in a recreational setting. Sessions typically run 2-3 hours monthly or quarterly, led by trained facilitators who guide activities designed to normalize sibling experiences. The structure blends games, discussion activities, and creative projects. A session might include icebreakers like "Two Truths and a Lie," where kids share facts about their families without having to explain the context. Discussion prompts might ask, "What's something your sibling does that drives you crazy?" or "What's something only you understand about your family?" These conversations happen organically. Kids aren't forced to share, but the environment makes it safe to do so. Sibshops aren't therapy groups. There's no formal counseling or clinical intervention. The goal is connection and validation through shared experience, delivered in...

Sibshops offer peer connection, validation, and coping strategies for siblings in structured recreational settings nationwide.

Sibshops: Support Programs for Siblings of Children with Disabilities

You're standing in your parents' kitchen. The medication schedule is still taped to the fridge. Therapy appointment cards are lined up on the counter. Your mother's handwriting is on all of them. She can't do this anymore. Or she's gone. And now it's yours. You've been the sibling: the one who helped, who visited, who stepped in when needed. You were never the primary caregiver. That was always your parents' role. Now it's not. The question isn't whether you'll take this on. The question is how. What This Transition Looks Like. When parents age, become ill, or die, someone has to become the primary decision-maker and caregiver for an adult with a disability who can't fully manage independently. Sometimes that person is a spouse or another family member. Often, it's a sibling. This isn't a temporary arrangement. It's a permanent shift in responsibility, legal authority, and daily life. You're not babysitting. You're not filling in. You're taking over a caregiving system your parents built over decades, and you're doing it without their institutional memory, their relationships with providers, or their decades of learning what works. The transition doesn't come with a manual. It comes with a pile of legal paperwork you don't understand, financial accounts you didn't know existed, and sibling dynamics that were never addressed when your parents were alive. Legal Decisions You Can't Delay. The first question is who has legal authority to make decisions. If your sibling is over 18 and your parents didn't establish guardianship before...

What adult siblings need to know when they become the primary caregiver for a brother or sister with a disability.

When Parents Can No Longer Be There: A Guide for Adult Siblings Who Become Primary Caregivers

You've been on the dating app carousel before. You've swiped past profiles that look nothing like your life. You've tried to figure out how to fit your experience into a bio box that wasn't designed with you in mind. At some point, you probably asked yourself whether there was a better way, or whether dating apps were even worth the effort. The short answer: yes, there are platforms built specifically for people with disabilities. The longer answer involves deciding which type of platform makes sense for you, what to include in your profile, and when (or if) to disclose your disability. None of these decisions are simple, but they're all yours to make. Disability-Specific vs. Mainstream Dating Apps. Disability-focused dating apps exist because mainstream platforms often don't account for accessibility needs or the specific questions people with disabilities face when dating. That doesn't mean you have to use them, but it's worth knowing what's out there. Disability-Focused Platforms.  Dateability is designed for people with physical, intellectual, and psychiatric disabilities. The app includes fields for accessibility needs, mobility devices, and support requirements, so you're not trying to retrofit your life into a profile template built for someone else.  Special Bridge serves a similar audience and has been around longer. It's web-based rather than app-based, which makes it accessible on a range of devices but less mobile-friendly than Dateability.  Hiki is autism-focused. It's built for neurodivergent communication styles: direct language, specific interests, less emphasis on small talk. If you're...

Guide to dating with disabilities: platforms, profiles, disclosure decisions, and building healthy relationships.

Dating and Relationships for Adults With Disabilities: Finding Connection and Building Confidence

Try this: explain to a child what a friend is. Not what they do, but what they are. For most of us, friendship was never explained. It unfolded. We absorbed it on playgrounds, through sleepovers and arguments and making up. We didn't learn it so much as catch it. Autistic children often don't catch it that way. The implicit rules, the unspoken turn-taking, the subtle shift when someone moves from acquaintance to actual friend: these patterns don't become obvious through repetition alone. They stay invisible. Autistic children are not short on warmth or the desire to connect. Research is consistent on that. The gap isn't motivation. It's that friendship runs on a set of unwritten rules no one ever bothered to write down. Nearly half of autistic young adults report no peer relationships outside structured settings like school or work. It's not inevitable. It reflects how little targeted support most families receive, and how much difference specific, early strategies can make. What Friendship Means. Before you can help your child make a friend, you may need to teach them what a friend is. Friendship is built on reciprocity: you share, I share. You listen, I listen. You remember I like trains, I remember you're afraid of the fire drill. Autistic children often understand loyalty and kindness deeply but miss the smaller exchange: friendship isn't just someone you're nice to, it's someone you stay curious about over time. Spelling it out plainly works: "A friend is someone you like spending time...

How to help autistic children make and keep friends, from social stories and role-play to peer-mediated programs and structured playdates.

How to Help Your Child With Autism Build and Keep Friendships

When holiday season rolls around, we all want to be able to sit around the dinner table and experience something reminiscent of a Norman Rockwell painting. Unfortunately, the holidays tend to bring out the worst in some families. Dr. Travis Bradberry, co-author of the bestselling Emotional Intelligence 2.0, shares some insight on how to repair relationships between family members by focusing on the manner in which conflict is handled.  SN: Can you explain the idea of "repair" and how it can be possible to show respect for someone who is not extending you the same courtesy?   Dr. Bradberry: Repair is the single greatest technique that defines the quality of relationships in terms of how they deal with conflict. It's about working with the other person to resolve the situation, rather than trying to win. People tend to try to win the battle but lose the war because they get mired in trying to prove their point and arguing their side of things. In reality the war that's lost is the quality of the relationship as a whole. Repair is about trying to resolve things and move forward together.  SN: In a recent article you wrote titled "How to Repair a Damaged Relationship," you talk about taking your emotions out of the driver's seat. For most of us, that is a very difficult thing to do.  Dr. Bradberry: In a situation where emotions are running high, you really have to try to find the frame of...

Dr. Bradberry advises using emotional intelligence to repair family relationships during holidays, focusing on conflict resolution.

Holiday Relationship Repair for Families

 Compromise. Commitment. Patience. My 20 years of marriage have taught me many things. One of the most important was how to read. Sure, I knew how to read before I got married. For example, I was a voracious reader of the tabloids in the lines at the supermarket. I could pretty much tell you, which stars were secretly aliens set to take over the world. But it really wasn't until I married my husband and realized that our TV viewing habits weren't compatible (For example, I dislike the Rocky channel) that I truly discovered the world of reading. On a good week, I read at least two books a week (some don't even have pictures).    The books I read vary. As a speaker about special needs parenting, I'll often read self-help, psychology, or parenting books, though sometimes I need a break. "This depression book made me depressed." On those occasions, I seek out fiction novels that usually involve suspense or legal dramas. Unlike a lot of women, I'm not usually a big fan of romance or Harlequin novels, as evidenced by my lack of knowledge about them.    "Hey why is the I Can't Believe It's Not Butter commercial guy on the cover of that book?"   Since I started reading electronically, I find books to read fairly easily. Often this involves just reading the best sellers. A few months ago, I did this when I downloaded a #1 book that I had...

After 20 years of marriage, a woman learns to love reading, mistakenly dives into 'Fifty Shades of Grey,' and shares humorous takeaways.

Fifty Shades of Embarrassment

My name is Xiomara Montes, I am 35 years old, born on the island of Puerto Rico. I have 5 years of marriage, and my husband served in the U.S. Armed Forces. We have 3 beautiful children, two girls and one boy. Our first daughter is 10 years, a very intelligent girl and academically excels in school. Our boy, who is 2 years old, is the baby of the house, happy, always smiling and very active. Our second daughter is 4 years. Her name is Xaymara. She was born on December 28, 2007 at 2:00 a.m. in San Juan, Puerto Rico, only 29 weeks old. She weighed 3 pounds 10 ounces and measured 16 inches. It was unexpected, given the fact that during pregnancy there were no problems. She was quickly taken to the intensive care unit and stayed there 37 days, battling for her life. When discharged from the hospital, we took our home a healthy baby at first, but it was very difficult to handle. She was crying all the time; only me or my husband managed to calm her. At night she slept with me because there was no other way to get to sleep.    In the next six months, we went from appointment to appointment with specialists, pediatricians, but neither said anything. After six months of doubts and questions, we made an appointment with a pediatrician, a specialist in development. She did some tests and decided to send her to do an MRI....

Xiomara Montes, a military wife, shares her journey of raising a child with special needs and the support provided by the military.

On Being a Military Wife and Mother

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Special Needs
Articles

Maintaining Friendships When Your Child Has Chronic Illness

Social Skills Groups for Elementary-Age Children with ADHD

Teaching Theory of Mind to Children with Autism

How Much Caregiving Responsibility Is Too Much for a Sibling

Friendship Circles and Peer Buddy Programs for Autism

Sibshops: Support Programs for Siblings of Children with Disabilities

When Parents Can No Longer Be There: A Guide for Adult Siblings Who Become Primary Caregivers

Dating and Relationships for Adults With Disabilities: Finding Connection and Building Confidence

How to Help Your Child With Autism Build and Keep Friendships

Holiday Relationship Repair for Families

Fifty Shades of Embarrassment

On Being a Military Wife and Mother

Find Providers Near You

Special Needs Articles

Maintaining Friendships When Your Child Has Chronic Illness

Social Skills Groups for Elementary-Age Children with ADHD

Teaching Theory of Mind to Children with Autism

How Much Caregiving Responsibility Is Too Much for a Sibling

Friendship Circles and Peer Buddy Programs for Autism

Sibshops: Support Programs for Siblings of Children with Disabilities

When Parents Can No Longer Be There: A Guide for Adult Siblings Who Become Primary Caregivers

Dating and Relationships for Adults With Disabilities: Finding Connection and Building Confidence

How to Help Your Child With Autism Build and Keep Friendships

Holiday Relationship Repair for Families

Fifty Shades of Embarrassment

On Being a Military Wife and Mother

Find Providers Near You

Special Needs
Articles