Friendships are valuable relationships we hold onto strongly. Good friends support us in good and bad times, and we do the same for them. When we feel alone, when we are at our lowest, or when we suffer a loss, a good friend is at our side. When we are happy, when we accomplish something, or when we start new beginnings, our friend celebrates with us.

But how can we be friends with someone who may not be able to give back, who has an illness we don’t understand, and who is negative and sad? How can we be friends with someone who has mental illness?

For many with mental illness, it’s hard to find a friend who will not run from you, use you, or judge you. Friendships are very hard to come by because many do not know how to be a friend to someone who is sick. I was lucky that when I was in the darkest, part of my hole, I had a very good friend who stuck at my side. She knew what to do without me telling her. Not so many are that lucky.

I have a few tips on how to be a good friend to someone struggling with mental illness. Here are my tips:

• Be willing to listen. A person with mental illness is struggling with thoughts and emotions that are overpowering. He or she often needs to express what is happening inside and all he or she needs from you is for you to listen. Let your friend talk and get his or her feelings out without interruptions.
• Educate yourself about your friend’s illness. Find out what kind of illness your friend suffers with and research it. If possible, go to a few therapy sessions with him or her. By learning as much as you can about your friend’s illness, you will know how to help him or her better and you will understand some of his or her symptoms. You will also learn what the signs are when he or she is in crisis and needs serious help.
• Don’t lecture your friend. If your friend is sad and doesn’t know why or if your friend lies in bed all day don’t lecture him or her. He or she doesn’t need lectures for his or her action; instead your friend needs positivity and encouragement. Lectures only make him or her feel more alone and misunderstood, sending him or her deeper into his or her hole.
• Ask your friend what he or she needs from you. Your friend may have special needs that you’re not aware of, like having someone to just sit with him or her, needing to get out of the house, or needing help with meals. If he or she doesn’t know what he or she needs, then don’t push. Simple things are helpful when a person is struggling with mental illness like a hug, a shoulder to cry on, and a warm smile.
• Be available when your friend needs support. Part of being a good friend to someone with mental illness is becoming part of his or her support team. By doing this, you must be available for him or her to turn to when he or she is really struggling. If your friend calls you late at night crying or in the middle of the afternoon because he or she feels like giving up, be available. Of course, you can’t be available twenty-four hours a day, but be available as much as you can. Don’t avoid your friend’s calls because you don’t want to bother with him or her. If you can’t handle his or her illness, tell him or her before you commit to being a friend and a part of their support team. It may hurt him or her, but being ignored hurts even more.
• Be understanding. Your friend might sleep a lot, may say things he or she doesn’t mean, may not be comfortable in social settings, and may not be able to give back to the friendship. Don’t get mad at him or her. Understand that this person is just trying to make it from day to day. If your friend tells you he or she is sad and doesn’t know why, understand it’s part of the illness. If your friend cancels plans or wants to leave a social event, be understanding. If the person doesn’t talk to your other friends or family and only you, be understanding that it is a symptom of his or her illness.
• Be positive even when your friend is not. Many who struggle with mental illness can only see the worst side of life and the things around them. They need to be reminded that there are still positive things in their lives. When your friend is being negative, remind him or her of the positive things. Don’t tell him or her about negative things in your own life. He or she is unable to handle it unless in recovery.

Being a friend to someone who is struggling with mental illness is not easy, but it is worth it. Cheryl was my friend when I was at my worst, and she was there for me when I could not give back to her. She listened to me cry my eyes out at two a.m. and stayed on the phone until she got me laughing. She pulled me out of the road when I wanted to die. Now that I’m in recovery, I am strong enough to give back to her. Now we are at each other’s sides.

If you can’t handle mental illnesses or you are struggling with your own illness and problems, let your friend know. Let him or her down kindly. It may hurt him or her deeply, but you must take care of yourself. Know your own boundaries before you enter the friendship.

Cheryl and I are soul friends and sisters at heart. Because of her support when I was at my lowest, I am here today to share my story. Now she often uses these blog posts to help me when I am having a hard time. With her help I stay strong in the light of recovery.