How do we stand facing silence, as human beings before therapists? A look at the silence in music and in the therapeutic field to focus attention to silence as tool for Music Therapy. In Latin Language we have two words to define silence, tacere and silere and the nuances between their meanings arise clearly; recognize them in our daily life and in the therapeutic relationship can be a source to achieve an authentic listening and a greater awareness of the time of return to the sound gesture. Moreover, looking for pauses in therapeutic listening, open to stimulating field of research on the bodily effects caused not only by the peculiarities of the musical (melody, harmony, rhythm, timbre), but also by the different balances between sound and silence.