My ex-wife had a real discomfort in being in pictures, so I get it.

Not wanting to give out your number to a random man? yeah, don’t need prior experience with anything to know how disconcerting that would be.

How you treat your patients is a personal thing. Some people take an approach that’s very personable, in which they probably wouldn’t see the harm in being taken out to a meal by their happy patient. Your approach is more professional, in which you’re there to care for them, and leave. That’s the way that helps you maintain your emotional well-being, being able to leave work at work. So in the future, I’d frame it in that way. You may acquiesce to taking a picture every so often, but when it comes to anything further, I’d tell them that you keep your professional and private life separate, and thank them for thinking of you.