Intervention for Improving Psychological Distress in Dialysis

Inclusion Criteria: 1. Aged 18 years or over and receive hospital haemodialysis three-times weekly 2. Presence of mild to moderately severe depressive symptoms (based on PHQ-9 scores of 5 to 19 in range; a self-report measure of depression) and/or presence of mild to moderate anxiety symptoms (based on GAD-7 scores of 5-14) 3. Speak English sufficiently well to engage with screening tools 4. Have a basic understanding of how to use the Internet and an email address 5. Have a minimum dialysis vintage of ≥3 months (electronic patient record) Exclusion Criteria: 1. Hospitalised at the time of assessment or within 1 month prior to the assessment 2. Currently receiving active treatment for depression and/or anxiety. We consider active treatment to be any current psychological treatments (talking therapies) or receipt of a new anti-depressant and/or anti-anxiety medication. A medication is considered new if it is commenced three months prior to the completion of the depression and anxiety screening questionnaire 3. Severe mental health disorders, for example, psychosis, bi-polar disorder 4. Active suicidal thoughts-any participant that scores greater than one on the depression PHQ-9 item "Thoughts that you would be better off dead, or of hurting yourself" will be excluded from the study. 5. Evidence of addiction to alcohol or drugs