The framing is what really makes me feel it's deliberate, as Liam pointed out. The shirted arm leaves the frame, then shirtless arms enter the frame. Then it seemed like he was telling her things that Shirt Doctor was too busy to reinforce, like how she needs to trust him. The bit about how she needs to remember something seemed significant too -- it wasn't about comforting her with something he once told her, it was about the importance of remembering something, which doesn't fit with everything else Shirt Doctor was doing up to that point ...