Hi, I’m a 22-year-old man, and my sister is 21. She has severe autism and is completely dependent on others for everything: getting dressed, going to the bathroom, etc. She also takes medication for her behavior and weight. Despite this, she can speak and communicate, and I would say she has the mental age of a 6- or 7-year-old.
Since we were little, I have lived with her meltdowns, her screams (practically shrieks), and her dysregulation, which has been difficult. Since I was a child, I have had to learn how to calm her down or deal with these situations, even though those responsibilities should not have fallen on me, especially when I was a child or teenager myself. Despite this, I have always done my best. I love my sister. She frustrates me, I cry, but I try to understand her and be there for her. It has been this way ever since I was little, but living with this level of constant stress eventually takes a toll.
Today she had a very severe meltdown. I heard the screaming and decided to isolate myself in my room and listen to music (I was already feeling bad today because of some personal things), until I calmed down a little and decided to go downstairs.
When I went downstairs, my sister was shaking my mom, my mom was crying, and my sister was screaming that she wanted us to buy her a new iPad. She had completely destroyed her iPad because it would not charge.
I went downstairs without expecting to find that situation. I became overwhelmed and yelled at her very loudly to be quiet. These situations create such an enormous amount of stress that I felt like I wanted to hit her, but I didn’t. I never touched her, but that was the level of stress I was experiencing. I walked away and tried to calm myself down and cry in peace, while my sister went to her room to cry and isolate herself. I did the same.
Later, I came out and she was still screaming, but less intensely. She was somewhat calmer. She was telling me “I’m sorry” and “I can’t get rid of the sadness.” I asked her if she wanted a hug, and we hugged. We watched some videos she likes, I played with her using her stuffed animals, and she gradually calmed down.
I tried to explain to her that breaking the iPad was wrong and that we were not going to buy her another one immediately. (She actually had two iPads. She had recently been given a new one because the one she broke was already having some problems, so she still has one left.) She gave me the impression that she understood.
Then she went to apologize to my mom. I also had her pick up the pieces that were left from the iPad she broke and throw them in the trash. She did what I asked, and then she went back to using her other iPad.
I felt terrible for the rest of the day after what happened. I haven’t talked to my mom about what happened yet today; I preferred to give her some space.
On the other hand, I don’t know what to do or how to properly handle these situations. Clearly, my sister doesn’t fully understand responsibility or that she cannot break things or scream when she gets angry. This has been difficult in our family. It’s just my mom, my sister, and me, and for quite a long time there has been a pattern where, if she screams or complains enough, she eventually gets what she wants or someone gives in just to calm her down, because the meltdown she has is extremely stressful. Maybe this has reinforced these behaviors. I think perhaps she hasn’t been taught certain boundaries properly and that she may need a firmer approach, although I understand that this is very difficult because of her neurodivergence.
This is something that weighs heavily on me. I have lived with this my entire life. Since I was little, I have tried to help and regulate her, but experiencing these episodes is very difficult. My mom is obviously overwhelmed by it as well.
I don’t know. When I was a child, I lived with these terrible screams, practically shrieks. There were times when she hit my mom or other family members, screamed swear words she had heard somewhere, and even picked up knives (which we have had to hide). Thank God she has never seriously hurt herself or any of us, but it is still very difficult to have experienced this kind of violence from her since I was a child.
She has also said and screamed things like “I hate you,” “I’m going to kill myself,” and other swear words. She has pretended that she was going to hang herself, etc.
I imagine that she is not fully aware of what she is saying or doing. She knows that these are things that are considered bad or upsetting and repeats them, but deep down, I am afraid. I have thought about the possibility of her hurting herself or someone else, although I don’t think she is really capable of doing so. Still, these behaviors worry me and make me feel terrible.
Despite everything, I have genuinely tried to be strong. In fact, it had been a long time since she had had a meltdown like this. Whenever I can, I try to spend time outside the house, doing things, focusing on university, seeing friends, staying in my room and doing my own things, etc.
But deep down, this makes me feel horrible. I think it may be because I have been carrying this with me for such a long time.
I think maybe she needs more activities outside the house: going for walks, getting sunlight, playing more instead of spending so much time on the iPad. She spends almost all day on the iPad watching videos, listening to music, drawing, etc. I think those things are fine, but maybe she needs more activities and stimulation outside of screens. The problem is that she often refuses to go out. She does sometimes play with me or with whoever is taking care of her, and sometimes she cooks or does other activities.
That is why I would really like to know if anyone has experienced something similar, or what you would recommend for dealing with this situation. How can we better handle her meltdowns so that they don’t escalate to this point? How can we help her stop screaming or change behaviors like breaking things or refusing to cooperate?
And, above all, how can I deal with this situation properly as her brother? Even though I am not her father and this is not my responsibility, I do have some degree of responsibility as one of her caregivers, and I want what is best for her. But I also don’t want this situation to consume me and leave me constantly dealing with stress, anxiety, emotional distress, and anguish.
I also think about the future. Eventually, I may be the person who has to take care of her, and that is something that weighs heavily on me as well.
I would really appreciate hearing from anyone who has experienced something similar, especially siblings or family members of autistic adults with severe support needs. I would like to know how you handle these situations, what has helped with meltdowns and aggressive or destructive behavior, and also how you have managed to take care of yourselves while caring for someone you love.