<p>The authors review the literature on the impact of autism in a child on parents, families and carers, and the stresses they face. Families who are resilient focus positively on autism as a new way of thinking and behaving that is not stigmatised as a destructive disorder. Children affected by it can sometimes be brilliant but difficult to cope with, and caring for them can bring about personal growth, strength and fulfilment in all concerned. On diagnosis, the children’s nurse’s role is crucial in providing caregivers with information about the autism, indicating coping strategies, sourcing numerous services and promoting acceptance of the condition.</p>