You can treat somebody as if they matter to you and then sadly, one day they matter less. Most of make it through that. But you can't treat somebody as if they matter and then reduce them to a clinical entity without destroying them.
Theres no mistake in caring and giving to this person or in not wanting to give as much as she needs. The mistake, if there is one, is thinking of her as a case.
She may have lost the comfort of calling you at will but don't take away one of the most precious things each of us has, our personhood in the eyes of others.
Abuse in childhood causes so many awful things, but one of the worst is the doubt one feels about his perceptions. This woman feels you are distancing yourself from her and you are. Don't try to call it something else just because you can.
If you haven't already, it would seem that saying I'm sorry might help her retain some feeling of worth in the situation and make the distancing easier to bear.
If she dissociates, each person or whatever you think of them as, probably needs a different explanation and apology
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