Direct messaging (DM) via social media has become a common way for RMTs/MTs and patients to communicate. While these tools can offer convenience, they can also create challenges when it comes to maintaining professional boundaries.

The use of humour, slang, GIFs, memes, or emojis can lead to blurring of professional boundaries because they may be interpreted differently than intended. For example, an emoji intended to be friendly may be perceived by a patient as overly personal or inappropriate. While a message may seem harmless when sent, tone and meaning can be difficult to convey through digital platforms.

Before sending a message, consider:

• Would I be comfortable if this communication were viewed by a patient, employer or colleague?
• Does the tone reflect a professional therapeutic relationship?
• Could the message be misunderstood or interpreted in a way that was not intended?
• Is this communication necessary and appropriate for patient care or practice management purposes?

Before pressing send, consider how the message may be perceived. This can help support clear, respectful communication and helps maintain professional boundaries.

For more information about appropriate communication and professional boundaries, RMTs/MTs can review the Standard of Practice: Professional Boundaries and the Standard of Practice: Communication or contact CMTO’s Practice Specialist: practicespecialist@cmto.com.