People have described having a mental health condition as living in a bubble that isolates them from the rest of the world.

In reality, these illnesses never occur in a vacuum. Symptoms like fatigue, irritability, and mood swings can create ripple effects that lead to conflict and frustration for loved ones, making it hard for them to have empathy, says Leslie Becker-Phelps, Ph.D., a clinical psychologist in Basking Ridge, New Jersey.

Let’s be real: It can be frustrating if a friend’s condition leads her to constantly cancel on happy hours or brunch. But staying supportive can benefit you both.

Here’s how these women navigated the darkness.

Read the full story in Women’s Health.