This chapter describes a consultancy project which involved the design and delivery of brief, accessible Cognitive Behaviour Therapy (CBT)-based teaching to nursing staff working on a haemodialysis unit. The aim of the teaching was to increase nurses’ knowledge of and confidence in identifying common psychological presentations experienced by patients undertaking kidney dialysis treatment. Dialysis is the highly invasive life-sustaining treatment required by patients when they experience kidney failure (Bártolo et al., 2021). There are two main types of dialysis treatment; peritoneal dialysis (carried out at home) and haemodialysis. Haemodialysis is the treatment undertaken by most patients and for the majority, involves attending a dialysis centre three times each week for treatment that takes several hours (Swift et al., 2019). Psychological difficulties are common in people undergoing haemodialysis (Monaro et al., 2014) and patients can experience a high symptom burden including poor sleep, fatigue, anxiety, and depression (Al Naamani et al., 2021). In-centre haemodialysis can be particularly time-consuming for those less mobile who, in addition to the treatment time, are dependent on hospital transport for travel to and from the dialysis centre. In-centre dialysis is associated with lower self-reported quality of life than home dialysis (Antoun et al., 2023), However, psychological therapies can help alleviate symptoms of distress in haemodialysis patients with varying effectiveness (Ling et al., 2020). A recent meta-analysis that included 15 studies of psychological interventions found significant improvements in mood, a reduction in anxiety, and improved quality of life following psychological interventions (Yan et al., 2025).

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Consultant-Client Relationships: Increasing Awareness and Detection of Psychological Difficulties in People Undertaking Haemodialysis

  • Sarah A. Afuwape

摘要

This chapter describes a consultancy project which involved the design and delivery of brief, accessible Cognitive Behaviour Therapy (CBT)-based teaching to nursing staff working on a haemodialysis unit. The aim of the teaching was to increase nurses’ knowledge of and confidence in identifying common psychological presentations experienced by patients undertaking kidney dialysis treatment. Dialysis is the highly invasive life-sustaining treatment required by patients when they experience kidney failure (Bártolo et al., 2021). There are two main types of dialysis treatment; peritoneal dialysis (carried out at home) and haemodialysis. Haemodialysis is the treatment undertaken by most patients and for the majority, involves attending a dialysis centre three times each week for treatment that takes several hours (Swift et al., 2019). Psychological difficulties are common in people undergoing haemodialysis (Monaro et al., 2014) and patients can experience a high symptom burden including poor sleep, fatigue, anxiety, and depression (Al Naamani et al., 2021). In-centre haemodialysis can be particularly time-consuming for those less mobile who, in addition to the treatment time, are dependent on hospital transport for travel to and from the dialysis centre. In-centre dialysis is associated with lower self-reported quality of life than home dialysis (Antoun et al., 2023), However, psychological therapies can help alleviate symptoms of distress in haemodialysis patients with varying effectiveness (Ling et al., 2020). A recent meta-analysis that included 15 studies of psychological interventions found significant improvements in mood, a reduction in anxiety, and improved quality of life following psychological interventions (Yan et al., 2025).