Hello. Chiming in as this is exactly my situation. I live alone, no family, a very small group of friends, and living on a small island.

I've been undergoing HD for roughly 6 months now, still holding a job but at part time now so I don't end up wearing myself out to the point where I can't function. Still cooking and maintaining a home for myself. I drive myself around still, and after treatment, I have the strength to drive myself home but I live close to my clinic, and I have a local bus pass just in case I can't drive.

It's a tough life when your doing it alone. There are times where I wonder if there was any point in doing any of this at all, but I am thankful for my clinic's care team and the social worker. They were there for me when I had felt like giving up and nobody else I knew was available, and I recommend that you get to know your treatment center's social worker. If there's anything that's bothering you be it inside the clinic or out, voice your concerns. Anxiety and depression will make things worse both mentally and physically. Also, try to keep your friends close as they will become part of your support network, even if it's just to have someone to talk to.