Dialysis patients are more likely to develop mental health problems as a consequence of the profound burdens associated with managing their illness. They experience constant lifestyle disruptions on account of needing to endure painful and time-consuming treatment sessions 3x/week; adhering to strict dietary and fluid restrictions; and, experiencing a constant state of dependence on a machine. Dialysis patients endure uremic symptoms, sleep disorders, poor appetite, fatigue, infertility, sexual dysfunction, problems with bones, anemia, cardiovascular and gastrointestinal disorders, anger, discouragement, dissatisfaction and disappointment, all of which can lead to poor treatment compliance if psychologically neglected.