This article alerts professionals to sibling death as a possible reaso
n for behaviors exhibited by young clients. Aside from their own grief
, children are affected by parental mourning over a child's death and
accompanying changes in the family environment, Children show their di
stress in a variety of behaviors, some of which appear to be unrelated
to the loss. Four areas of concern are presented with case illustrati
ons: cognitive distortions, reactions to parents' distress and preoccu
pation with the loss, being a replacement child and effects of parents
' failure to work through their grief. Suggestions for helping childre
n and parents include using a genogram for identifying loss, helping t
he family talk about the death, and providing a support group for chil
dren.