A woman with lower back and groin pain was so desperate for treatment she continued seeing a Sydney chiropractor who was allegedly sexually abusing her, a jury has heard.
Psychotherapist Kaoru Sato had sessions with a Japanese patient in 2019 who appeared tearful and distressed when discussing her alleged abuse, she told the NSW Supreme Court on Monday.
Ms Sato recalled the woman, now 32, saying she had been instructed to take her underpants off by Riaz Behi which she initially found strange because this was not customary in Japan.
Behi, 45, has pleaded not guilty to five counts of aggravated sexual assault and eight counts of aggravated sexual touching of the woman in the treatment rooms of The Back Guys practice in Sydney's CBD.
Over 17 appointments, the practitioner allegedly massaged the woman around her groin area, brushed his hands by her genitals, penetrated her anus with his finger, and performed oral sex.
Ms Sato said she initially queried why the woman would return for 17 sessions despite the ongoing alleged assault.
The woman said she had paid up-front for a package deal of 20 sessions which was a considerable amount of money for her.
She was also "so desperate" for effective pain-relief, and some of Behi's treatment was working.
"For a long time, she was unsure ... 'Is this normal, is this right, am I overreacting?" the woman told her psychotherapist.
"If you see a gynecologist and refuse to take your underwear off you seem stupid."
Early on she felt Behi was kind, and warm-hearted, as he was happy to communicate with her using Google Translate given the language barrier.
After the alleged abuse the woman was scared to tell the police given her poor English, and went back to Japan to consider her options but eventually penned a statement with the help of Ms Sato, she said.
It outlines how she initially jumped up when he touched her inappropriately, frozen in fear.
After Behi inserted his finger into her "as if to press on a pressure point", again the woman remained frozen unable to do anything.
"My previous doubts that his treatment was in fact sexual assault grew more intensely after this treatment," she wrote in her police statement.
The 32-year-old woman earlier gave evidence using a Japanese interpreter, saying Behi had apologised through Google Translate for sexually assaulting her, and said he would never do it again.
But Behi's defence barrister William Brewer dismissed the allegations as absolute nonsense and questioned how such opportunistic acts could occur in a busy practice where the door was frequently opened and shut.
The trial before Judge Donna Woodburne and a jury of five women and seven men continues.