Caregivers and providers are often working toward the same goal, yet many leave appointments feeling frustrated, misunderstood, or emotionally drained. Families may feel dismissed or unheard, while providers feel constrained by time, systems, and clinical limitations. This gap is not caused by a lack of care or competence. It is created by emotional load, systemic pressure, and mismatched expectations. Understanding why communication breaks down is the first step toward improving it.