
Estimated reading time: 6 minutes
Chronic Kidney Disease (CKD) is a progressive condition that affects millions of people around the world. As the kidneys gradually lose their ability to function effectively, managing CKD involves careful attention to diet, lifestyle, and medication.
Living with chronic kidney disease (CKD) can be difficult, and stress is something a lot of people with CKD deal with. While it’s essential to manage the physical side of things, it’s just as crucial to pay attention to the mental and emotional challenges that come with it. Stress can make things harder, not just by affecting how you feel day-to-day but also by speeding up the progression of CKD. In this article, we’ll go over some stress management tips for people with CKD and discuss why it’s so important to include mental health support in your care.

Stress management techniques
Managing stress is crucial for both your physical and mental health, especially for people with CKD. Stress can impact kidney function by raising blood pressure, messing with your sleep, and weakening your immune system, all of which can make kidney disease progress faster. Here are some simple but effective techniques to help you break the stress cycle and feel more in control.
Deep breathing for CKD stress
Deep breathing exercises are a simple yet powerful tool for reducing stress and promoting relaxation. By focusing on slow, deep breaths, patients can activate their body's natural relaxation response, lowering heart rate and blood pressure. A simple technique to try is the 4-7-8 method:
- Inhale through your nose for 4 seconds.
- Hold your breath for 7 seconds.
- Exhale slowly through your mouth for 8 seconds.
Practicing deep breathing for just 5-10 minutes a day can help calm the mind, reduce anxiety, and lower the physical symptoms of stress. Deep breathing exercises can be especially helpful when feeling overwhelmed or anxious, offering an immediate way to center the body and mind.
Progressive muscle relaxation
Progressive muscle relaxation (PMR) involves tensing and then relaxing different muscle groups in the body. This technique helps reduce physical tension that accumulates due to stress. It’s particularly useful for CKD patients who may experience muscle discomfort or cramps, which stress can worsen.
To practice PMR, follow these steps:
- Start with your feet. Tense the muscles as tightly as you can for a count of 5 seconds, then release and relax them for 10 seconds.
- Work your way up your body, tightening and relaxing each muscle group: calves, thighs, abdomen, arms, shoulders, and face.
- Focus on the sensation of relaxation as you release tension from each muscle group.
PMR helps to lower cortisol levels (the stress hormone) and promotes a calm and relaxed state. Over time, regular practice can improve the body’s ability to manage stress and reduce physical symptoms associated with CKD.
Meditation and mindfulness practices
Meditation and mindfulness practices are effective ways to train the mind to stay present and reduce the constant worry and anxiety that often accompany CKD. Focusing on the present moment can help people with CKD let go of negative thoughts and feel more in control of their emotions.
Mindfulness meditation encourages individuals to observe their thoughts without judgment. A simple practice involves sitting quietly for 5-10 minutes, focusing on your breath, and gently bringing your focus back to the breath whenever your mind wanders.
Support groups
Having a strong support network is important for anyone dealing with a chronic condition, and CKD patients are no different. Connecting with others who understand what you're going through can be really helpful. Support groups offer a safe space to share experiences, swap coping tips, and feel less isolated.
Online platforms like PatientsLikeMe (PLM) let people with CKD join communities where they can share their stories, track their health progress, and offer support to each other. Many find that talking to others facing similar challenges helps them feel less alone, normalize their experiences, and ease the emotional weight of living with CKD. These connections can also provide practical advice for managing the condition day-to-day. Creating an account on PLM is free! Join today.
Find a therapist
While self-guided stress management techniques are a great place to start, they are sometimes not enough for people facing emotional challenges such as anxiety, depression, or stress. This is especially true for those suffering from chronic illness, where professional support from a licensed therapist can be a valuable resource on their journey to wellness.
Alma, launched by Dr. Harry Ritter in 2018, makes mental health support more accessible to those managing various conditions, including chronic illness. By offering personalized therapy, Alma can help individuals address both the emotional and psychological aspects of living with CKD.
With a network of over 24,000 licensed therapists who accept insurance plans like Aetna, Cigna, and UnitedHealthcare, Alma connects patients with providers who can help them navigate the emotional stress and anxiety that often accompany kidney disease. By addressing these mental health aspects, Alma therapists can support CKD patients in building a more resilient mindset and improving overall well-being.

Stress implications for CKD
Stress can have a big impact on CKD, and it's not something to ignore. Chronic stress can raise blood pressure, mess with your sleep, and weaken your immune system, all of which are bad for your kidneys. Plus, stress can lead to unhealthy habits like overeating, smoking, or skipping exercise, which can make kidney disease worse.
Studies show that managing stress can boost the quality of life for CKD patients and may even help slow the progression of the disease. By finding ways to reduce stress, patients not only improve their mental health but also create a better environment for their kidneys to stay healthy.
Manage your CKD stress
Managing chronic kidney disease takes a well-rounded approach, and stress management is a key part of that. Techniques like deep breathing, muscle relaxation, meditation, and finding supportive communities can help CKD patients cope with the emotional challenges of the condition. By breaking the cycle of stress, CKD patients can improve both their mental and physical health, leading to a better overall quality of life.
If you're looking for a way to track your health, monitor treatment efficacy, and talk to people experiencing the same thing, join PatientsLikeMe. Creating an account is free! Join today.
