I do a comfy chair often with a pillow in my lap. If I don't have the pillow, I have other little things my T provides. Just little things to hold onto--rocks and toys. Sometimes I focus on them and it helps to decrease some of my anxiety...they are kinda like a crutch. Really, I like to be sitting and I try to make eye contact with my T. I think it helps us work on things together--feels like we are a team or maybe we are working on a project together. I really don't think I could lie down on a couch. I think I would feel too far away.