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Well, I would encourage my patient to moan if they need to.

Firstly, they are here for treatment and therapist shouldn’t be judge-mental about patients reaction to their treatment.

And lastly, therapists also have the responsibility to protect patients privacy including their reaction during the treatment as well as the conversation as this is part of the therapist professionalism. If you ever overheard from a therapist saying so and so behave funny or moaning, that therapist is not professional and should avoid visiting them as they can’t keep the mouth shut but creating stress to patients who visited them.