There are a couple of somewhat amusing / interesting posts by T's about kleenex, if anyone is interested:

The Tissue Issue

Kleenex in Psychotherapy

Sometimes in my T's office there is a kleenex lying on the table, apparently virtually untouched, but not in the box anymore. I never know if I should use it or not because maybe someone else was handling it and that wouldn't be sanitary, but it looks totally pristine and I don't want to be wasteful. Do some clients pull out a kleenex and place it close by just in case? That would be fine but I kind of wish my T would just dispose of it after a client so that the next one is not sitting there befuddled.