Personal Story

Impact Feature Issue on Siblings of People with Intellectual, Developmental, and Other Disabilities

Too Many Losses


Nora Fox Handler is a committed sister to her three brothers with intellectual disabilities and serves on multiple governing boards, including the National Sibling Leadership Network and the Arc of Illinois. She may be reached at

I was 17 when my dad passed away at age 46. Seven of us siblings were still living at home, including my three brothers on the autism spectrum. My mom soldiered on for 25 years as a single parent until she passed away at 68. My brothers were all living with my mom when she passed away. Mom had not included us in future planning and would not consider putting our brothers on a waiting list to live in group homes or any setting away from the family home. My older sister and I were devastated by the loss of our mother, but we did not have the luxury of spending time on our own grief. We had to become the primary caregivers and advocates for our brothers. My sister Margaret, as the oldest sister, ended up with most of the caregiving. This profoundly impacted her career and her retirement.   

The author, Nora, sits in a cafe after a casual meal with her brother Patrick. Both are looking at the camera and smiling. Patrick wears a vest and green shirt. Nora is wearing a head covering and a black t-shirt, and leans into her brother’s shoulder.

Nora and brother Patrick.

Losing parents is always hard, but adding on a huge new responsibility makes the situation so much worse. I would encourage siblings and parents to do some serious future planning, and it is not just trusts and waiting lists that would help. A letter of intent or at least a detailed file with important information would be helpful. Future planning should be a team effort that includes the sibling with a disability. Even if parents are not willing to include their children in future planning, there are ways siblings can prepare on their own. My sister and I wish we had educated ourselves in advance rather than waiting for the time we knew would come. I recommend the book, The Sibling Survival Guide, to all siblings; it is what I wish had when my last parent passed away.

In addition to the loss of my parents, I have also lost three of my siblings: my younger two brothers Patrick and Michael, who were on the autism spectrum, and my typical sister Mary. All of these losses were sudden and unexpected and occurred in the last three years. The most recent loss of my sister was less than six months ago. My remaining siblings and myself are still reeling from these losses and feel that we had not processed one before the next one occurred.

I lost my brother Patrick in 2016, the day before my birthday and a week before Christmas. He was living happily in an apartment building where all the tenants were people with intellectual disabilities, except for one couple who provided support and guidance as needed. He loved living there and had many friends and a job as a bagger at a grocery store. He had a terrible fall that took his life and shocked his family and his community. Patrick loved the holidays and brought joy to everyone with the way he embraced everything Christmas. Some members of his community made our family bracelets that say “Live Like Patrick” because he never met a person who he did not think was beautiful. Patrick was a master of flattery; he loved to compliment people. I miss being his beautiful sister.

Michael passed away a year-and-a-half ago. In addition to his autism he had schizoaffective disorder. His mental illness required a cocktail of heavy psych drugs. Those meds wreaked havoc on his body, but he needed them to stay stable. Michael suffered from both visual and auditory hallucinations, but he was the sweetest man and the beloved boy of the family. As siblings we all felt protective of all of our brothers, but especially Michael. His death, less than a year after losing Patrick, was profoundly painful for his sisters.

Nora and her brother Michael sit close to each other at a white-tablecloth banquet. Nora is wearing glasses and Michael wears a plaid t-shirt with suspenders.

Nora and brother Michael.

Our typical sister Mary was our most recent loss. Mary was the keeper of family tradition and replicated our mother’s Christmas Eve party. Our brothers very much looked forward to it and enjoyed the big party as did we all. We have a large extended family and they were all welcome. At our largest I think there were 50 people. Mary had no warning symptoms and died in her sleep; she was only 59. Since her passing, we siblings approach Christmas every year with new dread. We do our best to step up for it, but we know we can’t fill her shoes.

As would be expected, all the siblings have dealt with this trifecta of loss in different and unique ways. I can’t speak for my other sisters, but I felt these losses so profoundly that I felt physically ill enough to go to the doctor. The stress and grief gave me palpitations and chest pain. Due to our family history, I underwent testing twice to check out my heart. I felt better after the results came out normal, but it took awhile for the symptoms to go away.

I personally found it helpful to turn to my fellow siblings, both through S.I.B.S. , our Illinois chapter of The Sibling Leadership Network (SLN), and through SibNet on Facebook. Between my own losses and those of other siblings that I know, we realized that there are very limited grief supports for ourselves and our siblings with disabilities. Last June, there were two breakout sessions on grief at the SLN conference. Each session was packed and it was obvious that there is a need out there for this kind of support. It is a goal of both the SLN and S.I.B.S. to help fill this need and provide more resources on grief and loss for siblings of people with disabilities.