Are you sure it is your T's office? We used another T's office (which was pretty small and messy) and since it was the same office each week, I just assumed it was my T's.

I would comment on the clutter :-) It might make an interesting bit of conversation about order and disorder and which you prefer, etc.

In the other T's office, my T would look through the other T's stuff to find a random piece of paper or magazine and use it to put her feet on on the second chair she used as a foot rest (so she wasn't putting her shoes/feet where someone else would sit later) and I asked her about how she knew the piece of paper she chose of someone else's was not important? It was a fun discussion.