Patient Confidentiality Breach?

As a doctor who has found myself deeply entangled in the world of DDLG for over two years now, I must admit that my professional detachment often falters when I step into the role of caregiver. Last night, however, was particularly intense as my partner, whom I will refer to simply as 'S', pushed me further than ever before. The scenario involved a level of discipline and physical intimacy that went beyond what I am used to in a therapeutic context. We were very clear about boundaries from day one but the reality of the experience still felt like a delicate balance between consensual play and something more raw, perhaps even crossing into the realm of actual healing or therapy for S. Physically speaking, it was intense: marks left by belts and canes, deep breaths interrupted by sharp gasps as I administered 'medicinal' treatments that blurred the lines between pain and pleasure. It's a strange place to be in professionally but the consensual nature of our dynamic means I must respect the trust placed in me, even if it occasionally challenges my usual ethical framework. This isn't meant to provoke any commentary or judgment, just an acknowledgment of where these private sessions have taken us both.