That would send me into a tailspin too. Your T uses language that is way too casual/familiar, not professional. I'm not trying to criticize him but you should know that you're not really misinterpreting anything- his boundaries seem shakey. I don't know if he's inexperienced or just unaware of how this sounds or just doesn't have strict boundaries. Either way, I think he's making the situation harder for you. Especially by communicating through email. Like you said it is very easy to misiniterpret emails, and I don't think it's wise for T's and patients to communicate this way enless it's really necessary. My pdoc is in a mid size practice with very defined policies in place. You can email, but it goes through a server before getting to the providers. You also can't call any providers directly. Calls are answered by receptionists and if he isn't there they take a message. My pdoc has always called me on the phone in response to the few emails I've sent him. This is his own choice as I've been emailed by other providers (for my son) in the practice. It could be a time issue but it could also be to avoid potentially sticky situations. Some people wouldn't like this approach but ultimately I think it is for the patient's benefit as well as the provider's. It makes it harder for T's and patients to cross boundaries - you'd have to really make an effort. Some people have written reviews online describing him as aloof, but he is kind and very friendly with me. He'll shares information if asked, but doesn't offer up details of his personal life. I also know he sincerely cares, I never feel like a number. I think he is just smart and knows that by not keeping strict boundaries in place, he is doing me (and his other patients) a lot more harm than good.