May is Mental Health Awareness Month.
Living with chronic kidney disease (CKD) affects not only your body but also your emotions and mental well-being. If you or a loved one are managing kidney disease, you may already know how heavy the mental and emotional toll can be. This Mental Health Awareness Month, we want to shine a light on the importance of caring for your mental health, just like you care for your physical health.
The Strong Link Between Kidney Disease and Mental Health
CKD changes many parts of a person’s life. From strict diet plans to regular medications, and for some, undergoing hemodialysis several times a week, it can all feel overwhelming. On top of these physical demands, feelings of anxiety, depression, stress, and even fear are very common.
Research indicates that individuals with CKD or kidney failure are three to four times more likely to suffer from depression compared to the general population. Among those undergoing dialysis, as many as 50% report experiencing symptoms of depression or anxiety.
These emotions are not a sign of weakness, they are a real part of living with a serious health condition.
Why Mental Health Matters
Mental health is just as important as physical health. If you are feeling emotionally drained or overwhelmed, it can affect how you manage your kidney disease. Studies have shown that untreated mental health issues like depression can lead to missed dialysis sessions, skipped medications, or unhealthy food choices—all of which can make your physical health worse.
Common Emotional Challenges in CKD
A lot of individuals living with CKD or undergoing hemodialysis often experience:
- Tiredness or low energy
- Worry about being a burden to family or caregivers
- Fear of the future or losing control
- Sadness or hopelessness because kidney disease has no cure
- Trouble sleeping or concentrating
- Frustration about lifestyle changes, like diet or dialysis schedules
- Anxiety in social situations or about being dependent on a machine
These feelings are normal, but if they stick around for more than a couple of weeks, it’s time to talk to someone.
Understanding Depression and Anxiety
Depression
Depression is more than just feeling “down” for a short time — it can affect your mood, energy, sleep, and even how you think. Common signs include:
- No longer enjoying activities you used to find fun or fulfilling
- Trouble sleeping or sleeping too much
- Feeling hopeless, worthless, or guilty
- Lack of energy
- Changes in appetite or weight
- Difficulty concentrating or making decisions
Anxiety
Anxiety often feels like constant worry or fear. Some people may also experience panic attacks. Common symptoms include:
- Feeling restless or tense
- Racing heart or shortness of breath
- Trouble sleeping
- Fear of social interactions or going outside
- Avoiding places or people
What You Can Do
If you or someone you care about is experiencing these symptoms, remember that support is available. Here are a few easy ways to support your mental well-being:
- Talk to Your Care Team
Talk to your nephrologist, nurse, or social worker about how you are feeling. They can refer you to a mental health professional who understands the unique challenges of CKD.
- Join a Support Group
Talking to others who are also living with kidney disease can help you feel less alone. Sharing experiences and learning from others can be a great source of comfort for many people.
- Focus on Self-Care
Taking small steps every day to care for yourself can make a big difference. Try:
- Light exercise (like walking)
- Eating kidney-friendly meals
- Keeping a regular sleep schedule
- Writing in a journal or talking to someone you trust
- Practicing deep breathing or relaxation techniques
- Explore Therapy or Medication
Treatments like talk therapy (such as Cognitive Behavioral Therapy) or medications can be very effective. Your doctor can help you choose the option that’s best suited to your needs.
You Are Not Alone
Mental health struggles can happen at any stage of kidney disease, even early on. Studies show that one in five individuals with early-stage CKD also suffer from depression. Whether you are newly diagnosed, managing diabetes along with CKD, or on hemodialysis, it’s important to check in with your emotional well-being just as often as your labs or medications.
Final Thoughts
Looking after your mental health isn’t selfish — it’s essential. You are doing so much to manage your health already. Taking steps to support your emotional well-being can make your journey with kidney disease a little lighter.
If you are struggling, don’t wait. Reach out for help. Talk to your doctor, ask about speaking with a social worker, or connect with a mental health counselor. Remember: caring for your mental health is part of caring for your kidneys, too.