Of the millions of people who suffer from a depressive illness, few suffer in solitude. They draw the people they love - spouses, parents, children, lovers, friends - into their illness. In her first book, How You Can Survive When They're Depressed, Anne Sheffield coined the phrase 'depression fallout' to describe the emotional toll on the depressive's family and close friends who are unaware of their own stressful reactions and needs. She outlined the five stages of depression fallout (confusion, self-doubt, demoralisation, anger, and the need to escape) and explained that these reactions are a natural result of living with a depressed person.