beginnerboundary violationboundary crossingsocial mediaborderline personality disordertherapeutic relationshipdigital professionalism
A PMHNP who treats a 26-year-old woman with borderline personality disorder and a history of unstable attachments receives a friend request from the patient on a personal social media account. The patient also sends a direct message saying, 'I feel like we really connect — I'd love to hang out outside of appointments.' The PMHNP considers how to handle this situation and whether it constitutes a boundary crossing or a boundary violation. Which of the following is the most appropriate response?