**4. Conclusion**

Psychological intervention in several forms also positively changes the HD experience for ESRD patients. Social activity, for instance, participating in theater play reduces depression and improves self-esteem among HD patients [117]. Motivational interviewing can improve the well-being of ESRD patients undergoing HD [32]. Counseling of ESRD patients undergoing HD can improve their quality of life [118]. Guided imagery has the potential to influence the psychological and physical health of hemodialysis patients [119]. These non-pharmacological psychological interventions are extremely important and should be part of the health care for ESRD patients undergoing HD [15] because HD is not merely a treatment procedure for ESRD it actually leads to the major lifestyle change that challenges patients' mental health [19].
