friendship

Dear Cousin Sel,

It was so much fun chatting with your fourth-Thursday-of the-month book group over the squawk box last week. Every author is thrilled to be invited to talk to a book group even though we realize it's never just about our book. It's also an excuse for busy women to get together, relax, nosh, sip and befriend---and, as importantly, to think about an issue or idea collectively that might not have occurred to any one individual in the group if she hadn't been obliged to read a book that took her on that journey.

That your group has now been meeting for almost 15 years is impressive. You've seen each other through different phases of the life cycle including childrearing, adjusting to empty nests, becoming grandparents, and facing illness, divorce and death. The incredible bond of friendship you've forged over time is evident, even over the phone. Like sisters, you interrupt and finish each other's sentences and feel comfortable enough to challenge one another and disagree. The conversation, laughter, and questions flow fast and easy.

Although we started off with the standard greeting, "Can everyone hear me?" and you all chimed in "Yes," I knew that I could endear myself to your kindred spirits in Hollywood, Florida if I recounted a few details of the impressive snowstorm that promised to reach blizzard proportions here in New York later that day. Floridians (and Californians) always like to gloat about the misery they left behind and your group didn't disappoint me. (Next time we "chat." I hope we'll be videoconferencing on Skype so I can see them laughing at our dire winter weather forecasts)

Conference calls to reading groups always feel somewhat daunting to me. Give and take is never the same as it is in person and I can't see the facial expressions and body language that typically warn me that I'm talking too much and should move on to questions and answers, or should just move on. I tried to be sensitive, asking whether I should skip reading one of the three passages I had selected from my book---but your group seem so genuinely interested and encouraging that I continued.

I must admit, though, that before long I felt like I was sitting beside you at the sunny dining room table in Broward County-with the sliding glass door leading to the covered porch. Your group was so warm and welcoming to an outsider. Perhaps, it's because you introduced me as "My cousin, the author," although we aren't actually blood relatives but cousins through marriage.

I was delighted to tell real readers (rather than editors and other writers) my own story---about why and how I became an author---and why I chose to write a non-fiction book about female friendship. Like most women, from the time I was a very young girl, I was innately curious about friendship and how mine stacked up to other women's experiences.

The best part for me, however, was hearing about your own friendships---including the ones you had with your own mothers and daughters, the joys and challenges you experienced, and the lessons you learned. You spoke about how the Internet has enabled you to reach back into your past and connect with childhood friends from your schools or neighborhood who knew you then, before you became the person you are now. Many of you stressed how important it is for women to maintain friendships over the years because they form the scrapbooks of our lives.

I want you and your group to know that each time an author speaks to a book group, she receives so much more than she gives. Yes, it's hard to sell books these days and you rounded up a captive audience of book buyers. But reading groups offer other, more intangible opportunities for authors: to learn from our readers and to hone our craft so our writing is better. Foremost, they reaffirm why books and the relationships between authors and readers are so important.

The funny part, Selma, was that after I hung up the phone, I was a bit envious of your book club buddies' relationship with someone as special as you. Next time you invite me to speak to your group, I've decided I want to be there live so I can spend some girl-time with you before or after. I imagine there are book groups around my hamlet in Westchester that could offer the same sense of sisterhood and support your group gives you, but I guess I'll have to wait until the power is back on and the large snow banks have melted to look around and find one.

Love,
Cousin Irene

QUESTION

 

Dear Irene:

I am in my mid-thirties and have always made and had easy friendships. People really like me and I like them and being liked. All would be well except that I harbor a very strong and miserable envious streak. I cannot bear to see my friends be happy in their romantic relationships. This is the case no matter what my own romantic situation is at the time. It is no less painful for me to see them in love when I'm in a happy and loving relationship than it is when I am completely alone.

 

The very fact that they have "someone" eats me up inside. I find reasons to fight with my friends or be overly critical. I give them advice designed specifically to screw up their relationships. But, because I have such a strong history of being a "good" friend, no one would ever suspect my real motives.

 

I hate this about myself. I am a spiritual, introspective person. But when this envy problem flares up, I feel like a very mean child. Any insight or suggestions would be very welcome. Please know I am sincerely troubled by this condition. I love my friends and hate being this miserable person who wishes the worst for them.

Signed,
Donna

 

ANSWER

 

Dear Donna:

It's natural for even a very good friend to feel envious once in a while when a friend has something she doesn't. For example, a woman might wish she had one friend's good figure or another's quick sense of humor. But these are usually passing feelings that recede in the background because there is an overall sense of balance in the relationship. A friend may have some qualities or characteristics you admire and wish you had, and vice versa.

 

Because, the envy you describe seems to rear its head repeatedly and isn't specific to any one friend or situation, you need to consider the possibility that it stems from your own feelings of possessiveness and insecurity. Why else would you be wishing ill will for people you consider friends?

 

I must say that your problem is somewhat unusual because  it's obvious from your note that you are very uncomfortable, and even feel self-loathing, about feeling the way you do. Someone can't feel good about wishing the worst for her friends. Also, you have to feel ashamed, especially, about acting on your feelings by fighting, being critical, and purposely giving friends bad advice.

 

What doesn't make sense to me is how your friends can overlook this rather fatal flaw in your ability to be a good friend. I believe that it is more transparent than you realize and that it lessens the intimacy of your relationships. Close friendships are built on trust, honesty and respect.

 

If you want to salvage your existing friendships or develop new ones that are mutually satisfying, you need to change your behavior. The fact that you have some insight and are able to admit your peccadilloes to yourself and to me suggests there is hope for you to do so.

 

You might benefit from speaking to someone you trust----perhaps a counselor or mental health professional----to explore what's going on and find out what's making someone who isn't ordinarily a bad person act in ways that are destructive to her and to others.

 

I hope this is helpful.

Best,
Irene

 

 

Dawn Williams Bertuca and Tina VanZant Bishop are two talented women who juggle marriage, motherhood, and jobs. In the spare time they have left, they are virtual party planners extraordinaire. In 2005, they created www.GirlfriendCelebrations.com to foster female friendships on the internet, and to provide women with party ideas for girls' nights in and girls' nights out to help women get the most out of their relationships "one party at a time."

 

I love to watch the Oscar program each year and the fun is multiplied exponentially when I have the chance to share it with friends. So what better people to ask to write a guest post (pasted below) about how to throw an unforgettable Oscar party? Whatever the occasion or excuse for a party, you can get more party ideas from Dawn and Tina on their website: www.GirlfriendCelebrations.com.

_________________________________________

 

Girlfriends, it's time to roll out the red carpet--for yourselves and your best pals! Pour some bubbly and toast to your friendship during the 82nd Academy Awards (Oscars) telecast on Sunday, March 7. Award shows and other TV events offer an easy, inexpensive way to have a girls' night in with "built-in" entertainment. You can catch up on all that's going on with your girlfriends while the glitz and glamour provide great fodder for giggles and conversations. Here are our best tips for having a great award-show bash that's simple to plan and execute--even at the last minute.

Set the scene

You don't have to do a lot of prep work for this party. Just make sure the viewing area is tidied up (dusted and vacuumed to say the least). A key point to remember during clean-up time: Dust your television screen. Your friends will thank you! If you're pouring something special to drink, take the time to get out your good glassware. You'll feel more "glamorous" drinking your bubbly out of a champagne flute than a plastic tumbler.

Consider rolling out a real red carpet for your special attendees to walk down. You can purchase one online at  listed under "red carpet sidewalk runner." A 24-inch x 15-foot durable red cloth with underside adhesive is sold for only $8.99. Have a photo person stationed to take a picture of everyone's grand entrance. Other fun items might include a VIP entrance door banner for $2.50 and a "Celebrity Limo Parking" sign $7.99, just perfect for the big event.

One other setup item: Give your guests the chance to vote along with the Academy! Find printable ballots online. Along with the ballot; make sure you have pens readily available.


Do the casting

When inviting your pals, keep in perspective the size of the room and the size of the television screen on which you'll be viewing the show. If you have a 12-inch television screen, don't invite the whole softball team over. Put a limit on the number of people by the number of inches. For every 10 inches, invite one or two people. For example, if you have a 36-inch screen, limit your invitees to three to six people.

If you have a little time before the star-studded event, you can find inexpensive black-and-gold "Hollywood Star Event" invitations online that would catch the eye of any starlet.

If you are a last-minute party thrower, don't hesitate to just call your friends on the telephone or use Evite them to let them know about the planned event. Don't forget, the most important part of an invitation is the gesture itself. Whether it's done with a gold glossy sheet of 4x6 paper or on the telephone, it makes no difference to your friends. As long as you let them know your intentions, it will warm their hearts to be included.

 

Set the table

The food for any awards party should be elegant yet simple. Try a cheese platter, grapes, and chocolate-covered strawberries to satisfy healthy cravings. If you need a little more, try adding a spinach quiche or veggie pate. Pair the food with a sparkling drink like the yummy Startini made with champagne, pomegranate juice and vodka, recipe here. For those with a non-alcoholic palate, you could serve sparkling juice with many flavors to choose from, available at your local Whole Foods or Target.

 

Prepare the script

In between host humor, commercials and acceptance speeches, you'll certainly be talking to your girlfriends to catch up on all the latest. But if you feel like there's a lull, try this activity to help you to learn more about your girlfriends and them to learn more about you. Before the party, create a list of awards-ceremony-inspired questions (see samples below). Write them on some pretty slips of paper and toss them in a fancy bowl. Keep the bowl within reach of all the guests during the awards show. Then at an opportune time, such as a commercial or acceptance speech, go clockwise around the room and have guests answer a question. Take your time answering the questions; they are designed to lead you into more discussions. There may not be time for each friend to answer each question during commercial breaks, but that's ok. Just start with the next person during the next break.

Sample Questions:

• Have you ever been told you look like a celebrity? Who?
• If someone were to make up a show about your life, what would it be called?
• If you were to make it big as a singer or actress, what would you want your stage name to be?
• If you were to present an award on the awards show, who would you most want to present with?
• Make up a stage name for the person on your right.
• If you were given two tickets to the awards show, whom would you ask to go with you?
• You are dressed and ready to go to the Oscars but your purse is so small you can only fit three items in it, what three items would you carry with you?
• Name one person you'd like to sit next to at the Oscars.
• Name one person you wouldn't like to sit next to at the Oscars.
• If you could have a gown designed for yourself for the awards ceremony, whose gown would it be like?
• If you were to design a gown for the person on your left, what color would you make the dress?
• You are the director of the awards ceremony and in this room is your only cast of presenters, who would you pair together and why?
• Which actor or actress would win the best-dressed category tonight?
• Which actor or actress would win the worst dressed category tonight?
• Which actor or actress do you most identify with?
• Party Favors
• For those who love to stay with the theme, you can get engravable awards online that look Oscar-like. An inexpensive alternative can also be to make up your own awards. At any local craft store, you can find lots of items to design your own award, either by printing or crafting. Or, browse the dollar store for party favor "awards" that speak to the particular friend that is receiving them: For the "most creative" friend, present her with a light bulb. For the "most social" friend, award a new mini-address book.
• After the party, don't forget to send each guest a list of movie want-to-sees along with a picture of herself on the red carpet.
• Finally, remember: Reconnecting with the important people in your life doesn't have to be a big production. It can be something as simple as watching a televised awards show with your friends. You can even throw something together at the last minute, and you'll still be glad you did. So don't delay, "award" yourself a night in with the girls!

 

Play a starring role as a humanitarian like Bono or Angela Jolie

As you gaze upon the designer fashions and celebrity excess on the red carpet, wouldn't it be nice to do something for those less fortunate? You could turn your Oscar gathering into a charitable event by collecting gently used career clothing for women in need of professional attire. The Women's Alliance, an organization whose tagline is "Someone's Future is Hanging in Your Closet," can direct you to local chapters that provide career clothing to low-income women.

 

 

QUESTION

Dear Irene,

I feel so hurt after being dumped by my friend of ten years. We met at the library when our children were two years old and had our second children together months apart. Two years ago she decided to go back and follow her Jewish religion. I am Christian and that is why she dumped me.

 

We no longer go out as families together with our husbands and children. My daughter is very upset and cannot understand why we do not go away with them anymore and why my friend is keeping her daughter away from her. We were always Christian and now her children say they are Jewish.

 

When she had no one and no friends, we were there for her but now that she has Jewish friends, we are not good enough for her anymore. I am so glad I am Christian and not Jewish. Christians are much nicer and do not dump people. They get along with all religions. I now feel sorry for her because I would have done anything for her and her family if she needed me. She will someday see it as her loss.

Signed,
Faith

 

ANSWER

Dear Faith,

You are making a huge assumption that may or may not be correct: That your friend decided to dump you because she turned back to Judaism. It is painful to be dumped by a close friend, and in your case, it also represents an inexplicable loss for your family. But you are making a grave mistake in thinking that any one religion has a monopoly over another in terms of kindness, friendship, and forgiveness---and that one individual's actions define the attitudes of a group. (I might also add that believers aren't always as charitable as those who are not.)

 

It is true that differences in religion, politics and values can create wedges between people who were once close friends---but this generally doesn't happen when friendships are otherwise solid. People accept the differences and agree to disagree so the differences don't interfere with the relationship. My guess is that there is some other reason(s) why your friend has decided to cut you off.

 

Did the split occur right after her decision to change religions (two years ago) or has it been more recent? Right now you sound very hurt and angry but when you are able to, you need to speak to your once-friend to find out what happened from her perspective. Either it will help you understand what went wrong so you can rectify the misunderstanding or disagreement, or it will help you get a better sense of closure so you can move forward. In my book, Best Friends Forever: Surviving a Breakup with Your Best Friend, I write about the many reasons why friendships change over time.

 

I hope this is helpful and you can work things out with your friend.

Best,
Irene

As soon as my brother-in-law learned that my mother's health was declining, Don responded by putting her on his Saturday morning "call list." Every weekend, Don places calls to a growing list of friends and relatives who are housebound, lonely, and/or ill. His uplifting phone calls aren't obligatory. He calls because he cares and is genuinely interested in listening to people and helping them solve or better cope with their problems.

 

Some people live very lonely lives. Last week a 78-year-old retired New York City schoolteacher, named Jane Wild, who lived in a white Cape Cod in my own hamlet (Chappaqua, New York) was found dead in her second-floor bathroom. The local newspaper reported that Wild was a recluse with few friends and no family except for a sister who lived with her, until she died in 1985. Since then, Jane was only known to have received occasional visits from a male friend, who died last summer. What made the story all the more remarkable was that Jane Wild had been dead for at least six months before anyone even noticed---this, despite the fact that her utilities had been turned off and mail had accumulated to the point where her mailbox was so stuffed that the mailman stopped delivering. No neighbors had thought to check on her.

 

Like hand-penned letters, the number of phone calls being made is decreasing relative to other types of electronic communications. There was a time---before email and faxes---when many workers had long "call lists" on their desks with the names of colleagues they planned to contact the next morning. Now people are more likely to text, IM, tweet, or use email, depending on their age and personal preference. The contact may take place while they are walking down a city street, or riding in a car or train. People tend to multi-task rather than listen to the person at the other end of the phone with full attention.

 

Phone calls, even perfunctory ones, may have already become altogether passé. My twenty-something son, like a growing number of Americans doesn't own a landline. He recently told me that he rarely initiates cell phone calls (yes, he still gets them from me!) except when there's a problem with his bank account or cable TV.

 

Yet a simple phone call with a warm voice at the other hand can change a person's day. I'm amazed at how Don's phone calls can perk up my mom's spirits, albeit for a short time. It makes you wonder if each of us should have a Saturday morning "call list" to express our affection for the people we truly care about.

Whether it's an ex-girlfriend, ex-wife, or ex-lover, most women would immediately dismiss the possibility of negotiating a real friendship with a living apparition from their partner's past. Admittedly, these relationships are thorny but they can have some upsides. My friend, life coach Lauree Ostrofsky of the Washington, DC area, offered to pen (keyboard) a guest post on the topic of befriending an ex- and here it is:

 

Not a topic often discussed, being friends with your partner's ex. But I am. She's really nice. The X factor is a challenge to navigate in any relationship. Most people I spoke to have a strict policy on the subject. "I never speak to ex's" was the most common. Followed by: "We're amicable and that's it."

 

So how did I get myself into this? Well for one, I'm new in town having just moved to Washington, DC from Manhattan six months ago. I was looking for female friends who like things I do -- art, eating out, talking about life. The guy I'm dating knew just the person: his ex-girlfriend.

 

Hold on, I thought, this can't be good. Love me, love my ex? None of my friends were keen on it either. But I figured, I should at least meet her before making a judgment...Right? I'm glad I did. She does like many of the same things I do. She has a boyfriend, and we've even double-dated.

 

Sometimes though, if I'm being completely truthful, it also feels really weird. For one, my relationship is still new. These two have known each other for a decade, share private jokes, and, I'll say it, have seen each other naked. I'd be lying if I said I didn't once in awhile feel like this was a contest I might lose.

 

I don't normally shy away from tough topics as readers of my blog know well - surgery and divorce are just two examples - but this one has nearly got me beat. I think it's hard to write about it because I'm owning up to a weakness of mine. For all my life coach-y ways, I'm human after all and it is maddening.

 

To get out of my own head I spoke to another friend, Linda, who has some wisdom on the subject. She is friendly with her ex-husband's new wife. Her thoughts helped me see the following options:

 

* Separate your feelings

Whether it is your ex's new wife, or your partner's ex, it helps to separate your feelings for one person from your possible feelings for this new person. In my case, I'm glad I did because I gained a good friend out of it.

 

* Get to know this person directly

My first conversation with my partner's ex was alone at an art festival. We met each other in the lobby having never seen one another before. Talk about a "first date"!

 

* Be inclusive

This is especially important where, in Linda's case, there are children or pets involved. If she hosts a birthday party, for example, they get an invite and they do the same in return. She said it's helped everyone feel more comfortable.

 

* Focus on what really matters

Like the previous point, with children or pets in the picture it's about priorities. Those aren't factors for me, but my feelings are just as important. It means doing what feels right instead of being a martyr about it.

 

Am I missing other options for navigating these X-factor relationships? Or, do you have your own experiences to share? I'm all ears (and eyes)!

 
Lauree Ostrofsky helps clients get clear and creative about they really want and how to go after it --- whether it's launching a new business; improving their relationships; or living each day more fully awake. Check out Lauree's website, and follow her on Twitter @simplyleapcoach.

 

QUESTION

Dear Dr. Levine,

For the past six to eight months I've had two friendships deteriorate. Jillian had been my friend for about 15 years. We never partied or saw much of each other due to distance and her ten-year relationship with a guy yet we always kept in touch. When her relationship was over, we began to spend lots of time together.

 

Our relationship went into a tailspin when she questioned my character. She asked me to give her ex-boyfriend (whom she hadn't seen in 15 years) a ride home because she was leaving with her new love interest. After the ride, he invited me in for a drink. Of course, I declined and later called both him (he gave me his number to make sure I got home safely) and her. That was where all the confusion began.

 

The next day Jillian called asking if I'd "done" anything crazy with him. I was offended since I only provided the ride to do her a favor. Over the next few months, she began dating this guy again. I know this guy was interested in me, but that was a line I would not cross. The relationship with her has suffered since. She would make us all hang out together. The guy is very cool and we have a very good rapport; I have plenty of male friends and am comfortable with males on a friendship level. She is aware of the many strictly platonic male relationships that I've had all my life. However, she is always trying to compete with me about every single thing or tarnish my character. I've tried to hang on to the friendship for more than 6 months and it's been hard.

 

I've also recently broken up with Lexi. We had been friends for 20 years (we are in our 30's) and she is/was like a sister to me. I invited both Jillian and Lexi out to celebrate my promotion and Jillian came with the guy. Lexi had been secluded after a recent break-up with a guy so to come out and interact with my friends was a big deal for her. Eventually, Lexi ended up chatting with a guy I've been seeing on and off for the past 6 months. Although I was a bit leery of him and his intentions when Lexi told me he was nice and was interested, I blew up. I could not believe, that Lexi, my sister, my longest friend would hit on a guy I was sort of dating for 6 months. She had never met him before, but had heard stories about him.

 

My trust with both friends has been broken. Is there a way to mend both relationships? Do you think that Lexi's actions are from her recent break-up or just who she has always been? I've talked to several of my friends about Jillian. Most think Jillian has always been a bit competitive and a user. I never saw this side before and am now afraid of all my relationships. Help.

Thanks,
Risa

ANSWER

Dear Risa

The issue of trust is fundamental to any healthy relationship. So I can understand how you must be reeling after two long-standing relationships unraveled over the same issue.

 

In the case of Jillian, if you knew that her guy was interested in you, she probably knew too. Instead of her confronting him about his trustworthiness, it sounds like you were an easier target. If it were this incident alone, you could talk to Jillian and, perhaps, get over it but it sounds like she is constantly competing with you. That makes me think that perhaps the women you both were 15 years ago have grown in different directions and that your relationship is really based primarily on shared history. While this is nothing to give up lightly, is Jillian the kind of friend you want in your life now or is she a frenemy, who tries to put you down whenever she has the opportunity?

 

In the case of Lexi, it sounds like she picked up on your ambivalence about the guy you were "sort-of-dating" and moved in to make the catch---perhaps innocently, but not very sensitively. I'm not sure from your letter if Lexi is still seeing this guy but I think you need to express your hurt feelings to her.

 

Your dilemma really has to do with your feelings about friendship and its boundaries and the men just happen to be red herrings that make things more confusing. Maintaining trust is the thread that runs thought both these painful situations. It can only help for you to speak with Lexi, and perhaps with Jillian too (if you feel so inclined) about mutual expectations of a trusting friendship, which often vary from person to person.

I hope this is helpful.

Best,
Irene

Having a close friend or two to talk to---someone on whom you can depend for emotional support---can be great when little things accumulate or you temporarily feel down in the dumps. But can a friend talk you out of depression or lessen its pernicious effects? A study recently published in the British Journal of Psychiatry examined the viability of "befriending" as a tool in the treatment of emotional distress and depressive symptoms. The findings suggest that friendships, even therapeutic ones, aren't necessarily substitutes for good treatment.

 

Keep in mind the researchers weren't talking either about the garden variety of befriending (a term that has become common parlance among Facebook or Twitter users) or about a mild case of the blues. For the purposes of their study, the team of primary care researchers at the University of Manchester, Manchester, UK defined "befriending" as social support that was "initiated, supported and monitored by an agency" expressly for one or more parties to benefit. It was, by definition, a treatment for depression or emotional distress that was "non-judgmental, mutual and purposeful."

 

The meta-analysis (a systematic statistical analysis) looked at more than 24 studies that covered a wide range of depressed populations, including caregivers of individuals with dementia, adolescents, lonely widows, men with prostate cancer, and pregnant women. The frequency of befriending varied among the studies as well as the ways in which the befriending took place. Some contacts were made face-to-face, others were by telephone, and some were a combination of both. Befriending was delivered both by trained and untrained volunteers.

 

The researchers found that the befriending intervention was less effective than cognitive behavioral therapy (CBT) in adolescents with depression and in medication-resistant individuals with schizophrenia. It was also less effective than nurse cognitive-behavioral problem solving in caregivers of people with dementia. It was similar in effectiveness to a nurse education and self-efficacy intervention in older adults recovering from myocardial infarction, to local community support groups for new inner-city mothers, and to systemic family therapy in depressed adolescents.

 

Based on their data, the researchers were unable to conclude that "befriending" is an effective, evidence-based treatment. Instead, they suggested that more rigorous study was needed to compare "befriending" head-to-head with standard treatments (such as CBT and medication), and that individual preferences should be considered in determining what works, for whom, and under what circumstances. This study relied on meta-analytic techniques to look at the friendship question but it would be worthwhile for researchers to design more large studies that look closely at whether and how friendships can alter the course and outcomes of various types of depression.

 

The conventional wisdom is that the presence of social supports can serve as a buffer against depression. Sounds logical enough: Friendships offer an outlet for people to express their emotions, to put things into perspective, to feel less alone, to reduce stress, and to encourage someone who's feeling distressed to seek out professional help when needed. But people with severe depression often have a hard time reaching out to anyone and it is often equally difficult for friends, even very good ones, to know what to do to help them recover. There's a lot more to learn.

 

Source:

Effects of befriending on depressive symptoms and distress: systematic review and meta-analysis

Nicola Mead, PhD, Helen Lester, MB, ChB, MD, FRCGP, Carolyn Chew-Graham, MB, ChB, MD, FRCGP and Linda Gask, PhD, FRCPsych, NIHR School for Primary Care Research, University of Manchester
Peter Bower, PhD, National Primary Care Research and Development Centre, University of Manchester, Manchester, UK

The British Journal of Psychiatry (2010) 196: 96-101. doi: 10.1192/bjp.bp.109.064089

----------------------------------------------------

How to Help a Friend or Relative Who is Depressed (From the NIMH)

If you know someone who is depressed, it affects you too. The first and most important thing you can do to help a friend or relative who has depression is to help him or her get an appropriate diagnosis and treatment. You may need to make an appointment on behalf of your friend or relative and go with him or her to see the doctor. Encourage him or her to stay in treatment, or to seek different treatment if no improvement occurs after six to eight weeks.

To help a friend or relative:

• Offer emotional support, understanding, patience and encouragement.
• Engage your friend or relative in conversation, and listen carefully.
• Never disparage feelings your friend or relative expresses, but point out realities and offer hope.
• Never ignore comments about suicide, and report them to your friend's or relative's therapist or doctor.
• Invite your friend or relative out for walks, outings and other activities. Keep trying if he or she declines, but don't push him or her to take on too much too soon. Although diversions and company are needed, too many demands may increase feelings of failure.
• Remind your friend or relative that with time and treatment, the depression will lift.

Facts about Major Depression

According to the National Institute of Mental Health (NIMH), major depression is characterized by a combination of symptoms that interfere with a person's ability to work, sleep, study, eat, and enjoy once-pleasurable activities. An episode may occur only once in a person's lifetime, but more often, it recurs throughout a person's life. , It is estimated to affect 14.8 million American adults, or about 6.7 percent of the U.S. population age 18 and older in a given year.

 

When Amanda Blain, now 29, graduated and moved from Toronto to Ottawa, Canada, she began working in a series of male-dominated technical IT careers. Although she considers herself outgoing, she found it difficult to find and make new friends with each new situation or life change. So three years ago, she decided to tackle the problem head-on---for herself and other women. She created a new start-up, Girlfriend Social, to harness the power of the internet to help women make new girlfriends. Since its official launch about one year ago, more than 1800 women have signed up for the site from all over Canada, the USA, the UK and even Australia.

 

"I saw a need for a place where women could go and connect, and knew that I had the ability to create it," says Blain, who has a background in web design and internet marketing. Women pair up with new friends based on the information they post. "With a few simple clicks, you can match with other women in your local area who have kids the same age as yours or who love the twilight book series as much as you do," she says. After women connect online, Girlfriend Social creates opportunities for them to meet face-to-face in safe, friendly event settings that are designed to bridge the connection from online to the real world.

 

According to Blain, the primary target audience for the new social media site is women who fall in the "M3" category. They include women who have Moved, Married, or are Mothers---but the site attracts women of all different backgrounds and situations who, for whatever reason, feel like they want to have more friends or want to find a new best gal pal. The sponsored monthly events held so far have included pub nights, dog walks, scrapbooking get-togethers, bowling nights, rock climbing, movie nights, and a lobster dinner. "This makes meeting several people at once easier and more relaxed if you're a little shy," she says.

 

"Although there are many social networks online, most are designed to deal with business networking, dating, or connecting with people you already know," says Blain. "There are very few sites that connect new friends or that are for trying out new hobbies." Use of the site is free, with the costs underwritten by event and webpage sponsors. Blain recently moved to southern California from Canada and is working on expanding the site to major cities in the U.S.

 

P.S. In addition to GirlfriendSocial.com, several other social media sites that encourage and facilitate platonic friendships among women include GirlfriendCelebrations.com, Girlfriendology.com, GirlfriendCircles.com, GirlfriendsCafe.com and SocialJane.com. Each site has different features.

 

Caveat: Always check out any site on the internet before you sign up and be cautious in providing personal information to people whom you don't know.

QUESTION

Dear Dr. Levine,

I am reeling from the awareness that certain friends who meant a great deal to me have abruptly turned their back on me now that I have revealed and declared my struggle with mental illness. I was diagnosed with a form of bipolar disorder after weathering several years of depression alongside "up" periods. When it was just garden-variety depression, I believe the problem had been more acceptable to these individuals, who are mostly male.

 

Now, having spent almost two weeks in hospital, the tables have turned and folks have run for the hills. I mean nothing: No phone calls, no cards, unreturned e-mails. These relationships, mind you, go back almost 20 years. I've spent most of my time being the "counselor" to these folks. Still, for the most part, I gained a lot from the relationships: mentoring, laughter, contacts, learning, etc.

 

So I'm not sure how to proceed from here. My self-esteem is shot-to-be-damned, and I really haven't much patience right now for the childish ways of grown people. Over the years, I've observed that people who "hide" from others' adversity find some way to wheedle back in after it seems like the coast is clear. I'm pretty clear about cutting these folks off, since there's really nothing to be salvaged except my self-worth. I am angry, and I can't guarantee that I still won't be angry when they inevitably return to my world. How would you suggest I handle this?

Signed,
Alone

 

ANSWER

Dear Alone:

When someone has a serious medical condition, deciding whether or not to tell others is never straightforward. This is compounded when it comes to disclosing mental or emotional disorders because of the pervasive misunderstanding, stigma and discrimination commonly associated with disorders of the brain. As you found out, there is even a pecking order among mental illnesses. People are generally more understanding and accepting of depression and anxiety disorders than they are of bipolar disorder, schizophrenia, or schizoaffective disorder. This is simply because of the dismal lack of mental health literacy among the general public.

 

In considering whether or not to tell, it's important for someone to think through whom to tell (the answer might be different for different family members, friends, employers and acquaintances) and how much information and detail to provide (e.g. the name of the disorder, the nature of the treatment, specific vs. general information, etc.). Decisions like this are deeply personal. Ultimately, individuals need to make decisions that feel comfortable to them! There is no right or wrong.

 

Getting back to your specific situation: You made the decision to be candid with friends whom you trusted, hoping they would understand and rally around you. This wasn't the case so I understand your disappointment. But consider the possibility that these friends weren't ill-intentioned. They may simply have felt uncomfortable and didn't know exactly how to react or what to say---because they don't understand bipolar disorder, its course, or its treatment.

 

Perhaps, you could seize this as a teachable moment, focusing on one or two of the individuals with whom you feel closest, and helping them better understand your experience. After you speak, you could also direct them to online resources for information such as one of the booklets made available from the National Institute of Mental Health  or from the National Alliance on Mental Illness.

 

Being hospitalized for a mental disorder often feels like a setback to that individual (although it shouldn't be that way!). Admittedly, it is an unplanned disruption to work, study, and/or friendships. You say your self-confidence is shattered-so give yourself the gift of time and allow yourself to slowly get back into a normal routine. Try to hold back your anger towards your friends, which may turn out to be misplaced. You may find that some of these friendships were tenuous and aren't worth resurrecting but I sincerely hope that at least a few of them will be recoverable.

 

You signed your letter "lonely." Simultaneous with working on your old friendships, you may want to get involved in a support group such as those sponsored by the Depression and Bipolar Support Alliance. This will allow you to meet other people who have struggled with similar issues and who can support you as you get back on your feet. I hope you also have the benefit of a relationship with a mental health professional who can help you get over this trauma.

 

Remember that lifting the veil of secrecy and shame that shrouds brain disorders can only be accomplished one person at a time. I applaud your honesty as well as your posting this letter.

 

Warm wishes for your recovery,
Irene

 

 

P.S. In my book (co-authored with Jerome Levine, MD), Schizophrenia for Dummies (Wiley, 2009), on P. 216-222, there is an extensive section on "Breaking the News," the pros and cons of disclosing mental disorders. Since it provides far more detailed advice than I could post here, you may want to glance at the book in the library. Although my comments in the book are focused on schizophrenia, they are just as pertinent to bipolar disorder.