Tough Love refers to how Buffy treats Dawn. As in; she's being a (bit of) 'tough love' disciplinarian to her little sister so Dawn doesn't get taken away. The title also refers to the idea that love...is tough, I guess? That loving somebody and fighting with them or them getting hurt are risks to the heart. Referencing Willow and Tara.
It's a bit trite but I think it works in both ways.
Cohenyes i think they were going for the double entendre here
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