Objective: studying the relationship between the psychiatric diseases and renal impairment (clinically 
and laboratory). Patients and Methods: we collected patients diagnosed with chronic kidney diseases 
and end-stage renal disease from patients attended dialysis unit in Minia health insurance hospital and 
outpatient internal medicine clinic in Minia health insurance hospital. Results: This study was 
concluded 123 patients who attended dialysis unit in Minia health insurance hospital and outpatient 
internal medicine clinic in Minia health insurance hospital. Conclusion: Depression and anxiety 
presented in various degrees in most of our patients according to the used psychological tools in our 
study.