
Friendship matters
What are they, how do we make them, what do they bring and why can they go wrong?
Authored by Thomas Andrew Porteus, MBCSOriginally published 15 May 2026
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Friends - those people we collect through life often taken for granted but can be so important to us. In this episode Clare and Aileen turn their attention to friendships. What are they, how do we make them, what do they bring and where they can go wrong?
So, if you’ve ever felt guilty for neglecting a friendship, been baffled by a falling out or wondered why some friends bring out the best in you and others don’t. This one is for you.
Friendships can be some of the most important relationships in our lives. They can give us acceptance, companionship, laughter and somewhere to turn when life gets difficult. But friendships aren't always straightforward. In this episode, Clare and Aileen explore the different kinds of friendships we have, the roles they play and how we can navigate the moments when they become “glitchy” or difficult.
What makes someone a friend?
There isn't one way to define friendship. We might have friends from school or university, colleagues who become friends, or people we meet through hobbies, sport, community groups or shared interests. As our lives change, so can our friendship circles.
Some friendships last for decades, while others belong to particular periods of our lives. We may lose touch with someone for years and then reconnect as though we saw them yesterday. Others may naturally fade as our circumstances, interests and priorities change.
There's no such thing as the perfect friendship group
Television and films can give us an idealised picture of friendship – from Friends to Sex and the City. When our own friendships don't look like those on screen, it's easy to compare ourselves negatively or feel that we're doing friendship “wrong”.
Clare and Aileen consider another way of looking at friendship: we don't necessarily need one person to meet every need. Different friends can bring out different parts of us, whether that's a shared interest, intellectual conversation, laughter, spirituality or simply somewhere to talk about sex.
Rather than creating a hierarchy of “best” and “lesser” friends, seeing our relationships as a wider network can take some of the pressure off.
When life gets in the way
Friendships can become harder to maintain at different stages of life. Parenting, caring for ageing parents, work and other responsibilities can leave very little time or energy for friends. The episode explores the “sandwich generation”, where people may find themselves squeezed between caring responsibilities in different directions.
That doesn't necessarily mean a friendship has ended. Sometimes people simply aren't in each other's orbit for a while. Making space for a phone call, a message or something to look forward to together can help maintain those connections when time is limited.
When friendships become difficult
Friendships can change when people's lives change. One friend may have children while another doesn't. Someone may stop drinking. A friend may enter a relationship and suddenly spend almost all their time with their partner. Or you may simply discover that your values and interests have moved in different directions.
These changes can bring difficult feelings – including disappointment, jealousy, loneliness or a sense of being left behind. The challenge is finding space for both people's experiences rather than assuming that one person's needs automatically matter more.
Do we need to end a friendship?
Some people believe in consciously ending friendships when they have run their course. Others prefer to leave the door open, recognising that people and circumstances change.
The episode considers both approaches, including Aileen's experience of ending a long friendship and later reconnecting after many years. The friendship looked different when they came back together because both people had changed – but that didn't necessarily make the reconnection less meaningful.
Friendship needs honesty
Like other relationships, friendships can develop patterns that become almost invisible. One person may always talk while the other listens. One might constantly give advice. One may be doing most of the emotional work.
Clare and Aileen discuss the value of making these patterns visible and having the difficult conversations that can help rebalance a friendship. Sometimes simply being able to say “I need this support today” can change the dynamic.
They also explore the difference between advice and challenge. A friend doesn't always need to tell us what to do. Sometimes the more useful role is to listen, reflect back what they've heard and gently challenge us when necessary – while still allowing us to make our own choices.
The friends who see us at our worst
Perhaps one of the most valuable things about a close friendship is knowing that someone will still be there when we've made a mistake, experienced heartbreak or simply aren't coping very well.
The episode explores the importance of having friends who can listen without adding to our shame, while still being honest with us about what happened. A resilient friendship can hold both things: “That wasn't okay” and “I still love you and I'm here.”
Friendships can also provide a safe place for grief and vulnerability. Sometimes we don't need someone to fix anything; we simply need someone who knows us, loves us and can sit alongside us when life is difficult.
Cultivating our friendships
Friendships can be easy to overlook when life gets busy. But Clare describes them as relationships that need to be cultivated – given attention, curiosity and time.
That doesn't necessarily mean spending huge amounts of time together. It can mean deliberately making space in the diary, checking in with someone or creating something you can both look forward to. Those relationships can become nourishing and restorative parts of our lives.
And friendships don't take away from our romantic relationships. Having a wider network of people who bring out different parts of us can enrich our lives and, as Clare suggests, can even strengthen our significant relationships.
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About the authorView full bio

Thomas Andrew Porteus, MBCS
HealthTech
MBCS
Thomas writes to inform, inspire, and equip practice leaders and health professionals navigating change, drawing on two decades of hands-on work across the UK health system.
Article history
The information on this page is peer reviewed by qualified clinicians.
Article also available in English, German, Spanish, French, Italian, Portuguese, Hindi, Hebrew, Arabic, and Swedish.
15 May 2026 | Originally published
Authored by:
Thomas Andrew Porteus, MBCS
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