When all a patient kneads is love, that's what you should give them

'Perhaps I crossed a boundary,' admits Dr Pam Rachootin, 'but I would do it again'

Maria was widowed and her children and grandchildren had moved away. Her loneliness was palpable.

Over a number of consultations, I had tried to encourage her to get involved in new activities and to re-engage with previous passions.

She seemed agreeable to my ideas, but she wasn’t sufficiently motivated to take action after she left.