I lay down on the couch every session - my T (should I call her an "A" - an analyst? ) has "a Freud looking couch". It took me a lot of courage to do so and at first it felt good. It still feels good when she is actually talking to me. And it does make me much more vulnerable because I have said so so many things I couldn't even imagine saying when we had face to face sessions. I guess in six months on the couch I have made more progress than in 2 previous years. It is not easy but it is definitely worth it.