Pain, Sexual Dysfunction, and Depression in Hemodialysis Patients

Inclusion Criteria: * Our target population is male and female hemodialysis patients age 18 years or greater who are English speakers. Exclusion Criteria: * We will exclude children because they comprise a minority of the dialysis population and their enrollment would require an adult decision maker's consent. * We will exclude patients who are significantly cognitively impaired and hence, unable to comprehend study surveys. * Cognitive function will be assessed at baseline using the mini-Cog, a validated measure of cognitive capacity that we have used previously, and patients with scores \<3 will be excluded. * Based on our prior studies, we estimate that approximately 5% of patients will be excluded based on this criterion. * Similarly, non-English speakers will be excluded. * Finally, patients undergoing active work-up for living donor kidney transplant, and/or considering transfer to peritoneal dialysis will be excluded as they are less likely to remain on hemodialysis for the duration of the study.