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Hi everyone,

I came across this site while doing a search about making a connection with my physical therapist. I've recently 'graduated'/ been released (2 weeks now) after 5 months and am having a tough time.

I’m looking for help in understanding / dealing with my feelings of loss, rejection, disappointed, hurt, etc. After 5 months of being in pt for a partial knee replacement, my pt and I made what felt like a friendship connection. We had great conversations and many common interests. Family, interests, personal things etc. were shared on both sides and we laughed a lot (even through my pain). I looked forward to going to pt twice a week. It really felt like a friendship was forming and more than a professional pt/patient relationship. She even made comments leading me to believe we could actually have a friendship post therapy. She recently said that things like… her daughter would have fun playing with my nieces, it’s going to be sad when you leave, etc. When she made the comment about her daughter, I said that we could probably work that out once you spring me so there won’t be any conflicts. Now, I couldn’t see her face since I was laying on my stomach at the time, but she never said anything to the contrary, like not crossing lines, etc. Nor did the tone of the conversation change.

So at my last session, after she gave me my departing exercises and instructions (and saying I could call with any questions, but that she knew I’d do fine as long as I didn’t overdo it), I asked if we could stay in touch on a friendship basis since I was no longer her patient. I was turned down. She said that she tries not to cross the professional lines. I said that I felt we had a connection and that I didn't plan on coming back to pt anytime soon. She said we did have fun, but made the same comment and then said that the bosses discourage it. Our normally very upbeat rapport instantly turned awkward. Wow, that was the last thing I wanted. So, the very nice thank you that I wanted to say didn’t happen. I really wanted to flee, but had already said I’d do my final exercises. I really just wanted to bury my head in the sand or do a rewind of the prior 10 minutes. Before I left, I tried to make things seem normal by just chatting a little. It wasn’t the same, plus another pt was still there, who is normally gone by then (hmmmm…. that was odd too). So my goodbye, was like…. Thank you and I guess I’m out. Not very personal or anything. I feel bad about the lame thank you and the awkwardness that resulted.

So, in an attempt to ‘right’ things, I emailed her with a very nice thank you, apology, an explanation, and an opening in case she ever wanted to grab a coffee or whatever. That was last Wednesday. I was hoping that she would reply with even just a quick email back (you’re welcome, my pleasure, no worries, whatever) indicating that she at least read the email. Now, I am stressing that she may not have even read the email.

I want to call her with a legitimate pt question and then ask if she read the email, but I don’t know if that’s the right thing to do. I hate the way the 5 month ‘relationship’ ended and just want to smooth things over and make it ‘right’.

Part of me feels stupid for feeling the way I do, but the feelings are just so real. I really like this person (not in any romantic way, totally platonic) and thought we had what seemed like a friendship. I envisioned us being friends and becoming part of each other’s circle of friends. I feel like I lost a friend and am confused, disappointed, sad, hurt, regretful, etc.

Help!!! What do I do??? Thank you!!!
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((RHC))

Firstly welcome to the community Hug two

I felt compelled to respond because I'm a physical therapist and I can really understand how difficult this situation was for you. Although PT isn't therapy, there is still an emotional closeness that occurs and the level of self disclosure on the PT's part can be quite high. Both of these factors can make the boundaries of the relationship a little unclear. Yet it sounds like your PT may have fostered the illusion that your professional relationship could become a personal friendship.

I don't know much about your history but I have found my patients have usually (but not always) sought friendship when they are very lonely. If that's the case, it makes the rejection even more painful and the situation very confusing.

PT's are bound to a code of ethics and here in Australia, we aren't allowed to engage socially with a patient until 2 years have passed since the last consultation. The main reason that dual relationships with patients are discouraged is because of the inherent power imbalance which puts the client at a disadvantage. Practitioners do get called up before professional boards for disciplinary action for breaching these ethics too.

I can't tell you how much I care about my patients, many of whom I have seen regularly over a 5+ year period. While my care is real, i would not risk my career and reputation by forming a friendship that didn't comply with the ethical code I am bound to as a practitioner as that is my first responsibility.

Im not sure why your PT didn't respond to your email, perhaps she was worried about hurting and confusing you further. but she may be willing to say something on the phone. If you have a legitimate question then call her about it.

You are entitled to feel sad, hurt, rejected and confused. Sending hugs and thoughts your way xx
RHC - welcome! Welcome

this is what kills me. you form such a "meaningful" relationship that supposedly means SO much to both parties, and all along you're supposed to realize and accept that it's "only" a professional relationship and let all your defenses down and get attached to this person, and all the while you know this is happening and you LET it happen because you finally feel a connection, and then at the blink of an eye, they're gone, and presumably you're on your own and they're seemingly unscathed. maybe they're not unscathed, but you will never know whether they are or not.

why? (i guess i'm in one of my moods )
Thank you all for the warm welcome and for responding.

GreenEyes, wow it was great hearing from a pt. I'm not sure what the laws are in the US, but I read a posting that I found online (http://jobstr.com/threads/show/4368-physical-therapist#node-1816416) from a US pt that didn't make it sounds like it was a problem being friends, but I don't know for sure. If there are ethical boundaries, I would feel better if she would just say so. On reading your post, I'm not sure I understand the 'inherent power imbalance which puts the client at a disadvantage'.

As far as my history, I am single and not in a relationship right now, but I do have a lot of friends and am usually very busy. That is partly why I can't understand the reason this is bothering me so much. Why was this one potential friendship so important? Why did I picture our relationship evolving into a friendship. Maybe it's more the feeling of losing a 'friend'. We just clicked so well. I don't know. It hurts.

I think if she would respond to my email letter, it would help because then I would at least know that she read my email and didn't automatically delete it. It so bothers me the way the last session went and I feel such a strong need to 'make things right'. She probably isn't stressing over this the way I am, but I just can't get the whole thing out of my head/heart. The rational part of me says, move on. The emotional part is really torn up about it. If I end up going back there for any therapy, I don't want there to be any issues.

I'm trying to hold off contacting her with a legitimate question till I come back from the beach (7-24). At that point, do you think it would be okay to call with a pt related question and then ask about the email??? Or should I just call her now, next week and just ask about the email (thinking maybe not). Help!!!??? What should I do???

Thank you (for the hugs and thoughts too)!!!
Closed doors... Thank you. I hear you. She said it was sad and maybe it is affecting her, but probably not to the degree that it is me. This is probably wrong of me, but I hope that whoever took my normal spots, isn't nearly as fun and makes her think of her time with me.

I just hope to hear from her about the email, or talk to her one more time (when I'm not emotional) to smooth things over.

Helen Keller quote is quite true!
Thanks again Draggers. Are you in the therapy or medical profession or on the other side too? I like to know for sure if the states has the same ethics guidelines. You know that really kind of sucks. So, pt's (or other healthcare professional) could make a great connection with someone (who knows, someone that could change their life so positively)and laws state that they can't be friends. That sucks! I don't know if I could be in a profession like that. I guess I just get too emotionally connected to people for a job like that.

It wasn't easy sticking around. I'm just glad that I didn't cry after the rejection. It was really hard. She had even said there it was fun and there was a connection. How can people cut ties so easily? After asking and getting turned down, the tension and awkwardness were terrible. So unlike all of my other 5 months. I feel like that is what will be remembered and not our fun 5 months. Plus with the other pt there, I felt that I couldn't openly talk to her... that was a double whammy.

Now I am stressing over whether she read the email or just trashed it. With a subject line of Thank you and apology - please read, I personally would read it. But you're right, not getting a reply does feel like more of a rejection and compounds the hurt. If she would just reply!!!

Thank you for your kind words and sympathy.
Last edited by rejected-hurt-confused
RHC, I am sorry this happened to you. I so have been in a similar place. Sometimes you can meet someone you just really "click" with, and when it doesn't work out it can be really devastating and, well, confusing.

The fact here is you can't necessarily ever be sure WHY things didn't work out. For example, there are 100 reasons why she might not have responded to your email. Maybe it got caught in her spam folder. Maybe she wanted to respond but didn't know what to say. Maybe she thought it was better not to reply. Maybe her boss told her not to. You just can't know, which sucks. But it's better not to know why than to draw the WRONG conclusion...to think that she must have hated you or you must have said or done something wrong. I don't think that those are likely.

True story, a couple years ago I met a friend who I really clicked with. We did lots of things together and after a year of knowing each other, she was even in my wedding! Then suddenly, with no warning or explanation she stopped returning my calls and emails. I didn't hear from her for months. I was so confused, and I was convinced I must have done something to hurt her feelings.

6 months later, I found out she stopped speaking to me because she was having a mental health crisis which completely derailed her life. She still isn't in contact with me much because she just isn't reliable in that way, but I am lucky to at least know the reason. But it's just to say that this person really did like me, but let me out of her life for reasons that had nothing to do with me. People let potential friendships go for all kinds of reasons...ethics, too busy, not sure the friendship would work in a different context, already having enough friends, shyness, mental health issues, controlling significant others... In your case it seems like your PT felt comfortable working and talking to you, but hadn't thought too seriously about the friendship issue until closer to the end when she realized there were ethical or other problems. I am sorry she led you on in the way she did.

What's important for you to know is you have faced a hard loss that you have a right to grieve for, but that it wasn't your fault and doesn't mean there's anything wrong with you.

Hi BLT (I do love those sandwiches ...LOL Smiler )...

Thank you!!! I think not knowing whether she read my email is what's really bothering me. I want her to read the thank you that I wanted to say, and to understand why I thought the friendship was possibly, and to smooth over any awkwardness. I'd feel better if I know she read it and just didn't automatically delete it or whatever. Not knowing the why (we can't continue as friends) is really hard also. If I knew the reason, I could process it and deal with it better. I've had rejections from guys on the dating scene, but never from just wanting to be friends with anyone. And I have lots of friends, so why is this so damn hard? What is it about this woman and her friendship that means so much?

She said that I could call if I have any questions, but I'm trying to hold off contacting her with a legitimate question till I come back from the beach (7-24). At that point, do you think it would be okay to call with a pt related question and then ask about the email??? Or should I just call her this week and just ask about the email (thinking maybe not). Help!!!??? What should I do??? Looking for suggestions/advice!!!

GreenEyes... if you read this, being that you are a pt, could you chime in again too? Your original post from the pt perspective was very helpful!!!

Thanks BLT...have a great day!!! I'm going to go hang with a couple friends to keep my mind on other things.

I'm really appreciating finding this community!!!
Hi Draggers,

Just curious, where are you located? I see there is a big time difference (maybe 8 hours).

I asked one of my friends who is in pt (at a different facility) to see if she can find out from her pt if there are similar laws in the states prohibiting interacting socially for a specified time frame.

Am I less emotional now? Somewhat I suppose; not totally. I just don't want to get emotional and break down crying or have my voice crack on the phone. I'd like to talk to her in person, but I don't want her to think I'm stalking her or anything if I waited outside the pt facility. Figured the phone would be less invasive.

If I just knew whether she read my email and the why of not continuing what seemed like a friendship, I think it would help me process it, understand, and find peace/closure with it. I have a lot of friends, which is partly why I don't understand why this one friendship means so much to me. I truly feel like I lost a friend Frowner

I'm hoping that if I go to the beach for a few days on a mini vacation with the nieces, brother, and his gf, that it will put be in a better frame of mind.

Thank you and big hugs back

RHC
Hi RHC.

I'm not sure if this will be helpful--and I hope it's not unwelcome--but I couldn't help thinking of this article while reading your thread:

The Myth of Closure

I have struggled with "closure" issues too, so please don't take my post as any sort of judgment or critique. I just wanted to share something that helped me a little, though letting go of unanswered questions regarding relationships is really, really hard.

(((RHC)))

RabbitEars
Hi RHC

As far as contacting your PT, perhaps begin the phone call by saying you have a PT related question and explain the specifics. And perhaps ask if she read yor email and say that you didnt realise a friendship wasn't possible and you don't want there to be any lingering awkwardness and you appreciate the help she's given.

I don't know much about your history but is it possible the relationship you formed with your PT is triggering unresolved issues from the past? You said you have been ok handling the inevitable (but not so nice) rejection on the dating scene. I guess you worked with her for so long that a bond formed where you felt cared about and it is confusing and hurtful for that relationship to suddenly end. I have found that relationships where people initially seem interested and then disengaged drove me crazy becuase I felt like the disengagement was my fault and I was determined to pursue and "win back their love" so to speak to avoid confronting the shame and loss of self-esteem it had brought on.

Let us know how you go

Hugs xx

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