No way in H*ll would my T get me to lie down for therapy. She's actually suggested it before...wishing I would. I didn't make a big deal out of it (just said no, I'm fine,) but I would definitely not feel comfortable lying down during a session. It's not so much the safety aspect of it, it's more the self consciousness. Nope, I sit. In many different positions (thoroughout one session) but I still just sit. The floor has looked appealing to me, but I think T would find it odd.