It is a juggle that's for sure! Having a child with additional takes extra work in paperwork, finding therapies etc but gives you LESS time because you have high needs children! Starting some child care is a great idea. We have found Floortime OT to be fantastic for our whole family. We worked a lot on the sibling interaction and both my son's are equally welcome and neither would have any clue we are actually there just for one of them IYKWIM.