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Just being bound can be it's own torture. It may be too tight, or it may be in a position that is painful, or it could simply be so frustrating that it taxes her mental capacity. Panic may ensue. Which only makes it worse. She could injure herself from the struggles. Keep this in mind when binding her. And if she is gagged and can't communicate, be aware of this danger, anticipate it, and act before it gets dangerous.