My T's office is not that big. It is a front portion of his home that has been nicely set up so that you walk in the fron door to a foyer section that has french doors into his living area, a door into a bathroom for his patients use( I think that was thoughtful on his part) and then french doors into his office. His desk is also up against the wall with a desk chair. He has two other chairs,to me they look like jumbo baseball gloves, I don't really know how to explain them, but they are comfy and they swivel(thank god cuz I have to move) He sits in one, me the other facing each other maybe 3-4 feet apart. It works for the most part. It is very quiet with no distractions. That is good for me because when things are hard I lose focus very easily.