I move the pillow away from the far left corner of the couch so I am sitting as far away as possible from my t. I move it back at the end of my session. The only other item I have touched is the magic wand sitting on her table. Sometimes I need the fidget. I have taken her kleenexes but never touched the box so I don't count that as touch. I did touch her doorknob once when she couldn't get up to open the door for me herself.