Home haemodialysis (HHD) is one of the treatment options for patients requiring life long dialysis treatment. According to ANZDATA 2007 there has been a slow increase in the number of patients undertaking dialysis at home- with a stable total of only 9 % undertaking home haemodialysis of recent times. St. Vincent's health has an active home therapy and to continually develop and enhance the program the home therapy team actively recruit interested and suitable patients to either home haemodialysis or peritoneal dialysis. What happens when an interested patient has a diagnosed mental illness and what are the challenges to manage to train them to be saft at home? This case presentation will explore the modality choice: individualized learning needs established; strategies implemented; resources ulilised and multidisciplinary team involvment with training a person with Attention Deficit Disorder who was desperate to dialyse at home. Did we succeed ?