Effects of an ACT-based Psychological Treatment in Patients With Chronic Kidney Disease

This study tests whether Acceptance and Commitment Therapy (ACT) — a type of psychological counseling that helps people manage difficult emotions by accepting them rather than fighting them — reduces anxiety and depression in patients with chronic kidney disease who are on dialysis. **You may be eligible if...** - You have chronic kidney disease and are currently receiving hemodialysis (dialysis through the blood) - You are 18 or older and have been on dialysis for at least 3 months - You have significant emotional distress (a score of 14 or higher on a standard anxiety/depression scale) **You may NOT be eligible if...** - You have a severe or chronic mental health condition, intellectual disability, or significant cognitive impairment - You are currently taking antidepressant medications - You do not have sufficient understanding of Spanish - You are currently receiving other psychological therapy - You are in the Advanced Chronic Kidney Disease Unit (end-stage management) Talk to your doctor to see if this trial is right for you.