In New Zealand, there has been limited enquiry into the experiences of dialysis patients and the health professionals who work with these patients. The number of people requiring dialysis is increasing every year and the support they require to manage end stage kidney disease is complex. It involves the invasive physical intervention of dialysis, as well as psychological support to cope with the significant life changes and social support to help patients to manage this disease. The purpose of this research is to explore the nature of psychological well-being of patients under the care of the Waikato Regional Renal Unit. The level of psychological support that the patients have access to is investigated and suggested improvements rationalised against prior research findings are presented. The intent of this research is to create an awareness of the psychological needs of dialysis patients. It aims to give insight into the participants’ lived experience as they openly describe their lives as dialysis patients, and endeavours to open up discussion for change. Two data gathering approaches were used to engage with patients and health professional. I completed interviews with 11 renal patients and 14 health professionals, and administered a mail out questionnaire to 197 patient respondents. Thematic analysis of the interview data identified the following themes; the impacts of end stage kidney disease on the psychological well-being of renal patients, the need for psychological support for patients with end stage kidney disease, and the need for improved communication between and across all parties; the support people, the health professionals and the renal patient.