Experience uncertainty, anger, depression or isolation arising from the sense that no-one else understands what they are going through• Have feelings associated with guilt, blame, or reduced self-esteem• Divert attention from other aspects of family functioning• Affect their parenting practices• Lack confidence in abilities to meet the child’s special needs• Children may be bullied by others at school•Experience sheer exhaustion from going the rounds of many professionals• Affect decisions about having additional children•Affect their expectations of healthy siblings in terms of achievement, responsibility, and short- and long-term contributions to the household