That waiting room does sound a little anxiety-provoking.
I live in a wee little country town, so there was never anyone waiting when I got to T's office. Sometimes he would still be with another client, though. He had no receptionist. He also would personally take the co-pay. It was kind of this quiet moment where I said thank you with a $20.

In the beginning I did feel a lot of anxiety in the waiting room, but that eased as therapy went on. I kind of liked being there after a while, knowing that he decorated the place and often hearing his laugh from the other room. Kind of comforting in its own way. I don't think I would have liked having a lot of people around either.