Managing Stress and Emotional Health on Dialysis

The Emotional Impact of Kidney Disease

Being diagnosed with kidney disease and starting dialysis is a life-changing experience. It is completely normal to feel a range of emotions — grief for the life you had before, anxiety about the future, frustration with restrictions, or sadness about changes in your roles and relationships. These feelings are valid and you are not alone.

Common Emotional Challenges

• Grief and loss — mourning your previous lifestyle and independence
• Anxiety — worry about your health, finances, and family
• Depression — persistent sadness, loss of interest, changes in sleep or appetite
• Frustration — dealing with diet restrictions, time commitment, and fatigue
• Guilt — feeling like a burden on family members
• Isolation — missing social events due to treatment schedule

Coping Strategies That Help

Stay Connected

• Maintain relationships with family and friends — do not withdraw
• Join a dialysis support group (in-person or online)
• Talk openly about your feelings with people you trust
• Connect with fellow patients at the dialysis center — they understand

Build Healthy Routines

• Establish a consistent daily routine that includes pleasant activities
• Practice relaxation techniques: deep breathing, meditation, or prayer
• Stay as physically active as your health allows
• Get adequate sleep — aim for 7-8 hours per night
• Limit alcohol and avoid recreational drugs

When to Seek Professional Help

If you experience persistent sadness lasting more than two weeks, loss of interest in activities you used to enjoy, changes in appetite or sleep, feelings of hopelessness, or thoughts of self-harm, please reach out to our social work team immediately. Depression is treatable, and getting help is a sign of strength, not weakness.