Physicians encounter patients from time to time with whom we cannot establish a rapport. We may remind them of someone unpleasant in their past, we may trigger them in some way, or we may be unwilling to grant a request they have. Pay attention to your tension when you become aware you are disappointing a patient. If you sense inordinate dread or unbearable anxiety, you may have a history of someone close to you who wanted you to be a different sort of person than you actually are. Delve into that old story, for many of us have people-pleasing tendencies from which we need to be freed in order to authentically and unapologetically be ourselves and to practice medicine without undue social anxiety.