Dr. Miriam Kirmayer says there are plenty of practical ways someone can show up for a friend who is going through infertility treatments.

“Reestablishing norms in our friendships will be challenging and confusing and uncomfortable and that is just the reality of what this is,” says Dr. Miriam Kirmayer.

The majority of friendships don’t necessarily end because of conflict, according to Dr. Miriam Kirmayer, an expert on adult friendships. More often, it’s a result of gradual distancing.