Most people think that the term "boundary violation" refers only to sexual relationships between a psychiatrist and a patient, but this is not so. Boundary violations can result from numerous types of "multiple" or "dual" relationships. Such relationships can occur anytime that a psychiatrist relates to patients in more than one relationship, whether professional, social, or business, in addition to being in the treatment relationship. Multiple or dual relationships can lead to allegations of taking unfair advantage of the treatment relationship to exploit or otherwise further the psychiatrist’s personal, religious, political, or business interests. As a rule, once you are the patient’s psychiatrist, that is all you can be.