g'day Cassandra from a fellow aussie. Hmm when I was at high school I had a crush on a cute girl named cassie... hehehe
It must be so difficult for you to play your role of mum to 4 kids (that would be tiring for ANYONE let alone someone on dialysis!) and perhaps working or whatever else you're doing apart from HD. I can understand being depressed. Have you spoken to anyone professionally about this? Have you discussed the issues with your neph and/or social worker to perhaps get referred to someone for some help?
If you go to 2x/week you'll only do yourself a disservice - you'll feel worse due to the fluids and toxins building up and not being cleared so much, and you may well be marked as being noncompliant. You didn't say if you're listed for a transplant, or how long you've been on D, but that decision could also impact that situation if you're on the list. It may feel better to not go so much, but you won't be doing your kids any favours either.
Please consider carefully and come here and vent if it helps! That's what we're for!!
RichardMEL, Moderator