I think that part of the reason it bothered me was because it was different. All of my past t's and pdoc's have had very clean organized offices, and so it just felt very odd. I didn't realize it would bother me until I experienced it. My own disorganization and piles of stuff don't bother me but theirs did. I did feel a bit clostrophobic in my group t's office which made it really hard to concentrate and answer his questions. It also just could be me giving myself an excuse to be distracted and not engage in therapy.