A trained nurse, counsellor and psychosexual counsellor (BAC, NACT) who offers a comprehensive counselling service to renal patients and others where appropriate.  The service is also offered to staff where appropriate.  Appointments are made following referral by medical, nursing, other professional staff, or self, and an assessment interview is always carried out.  Also runs a Stress Anxiety Management Group for renal patients and a Pre-Dialysis Support Group for patients and their families.  Also offers bereavement counselling.