I basically started on the couch. We had first few introductory sessions face to face and after that I went straight to couch. We have had periods when I've been sitting up (I got very dysregulated but because I couldn't express feelings verbally I started to act out heavily and then my T forbid me to lie down) but it wasn't better for me, I think this way it was just easier for my T to understand what was going on with me. When he allowed me (i.e. he thought I would be better able to control myself) then I went immediately back to couch.

But as I said, I'm probably quite different than "normal" people because I find no value in eye contact and looking at facial expressions.