For me personally, I need the touch, the acceptance of gifts, and a way to feel connected inbtwn sessions. But I can understand how for some people stricter boundaries might be want or even needed.
I had a college counselor refuse to be my counselor because I reminded her of another student who stalked her. I convinced her to give me a chance, but she put up strong boundaries...for her protection. Once she got to know me, the boundaries became the same as other students and we actually developed a very close/connected professional relationship.
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"Odium became your opium..." ~Epica
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