My pdoc who I;ve had feelings for responded that it's best not to dig deep into the issue unless you want something to change in the relationship - like it's too painful to talk anymore. Even though I didn't say it was him directly, I'm sure he knows it is. I didn't let on about the amount of distress I sometimes feel. Sometimes it's minimal, once in a while it is tough and I obsess. But as many others have said, unfortunately if feelings were to become so unbearable, I would probably have find a new doctor. I don't think I'd ever take the initiative though, it would be too hard for me. I don't think this is very helpful, but I understand how you feel.