As a trauma survivor, it terrifies me to think that something as simple as tissue placement could be a ploy at client manipulation. Purposefully forcing a client to ‘ask’ for tissues or positioning them in a place where the therapist must be the one to ‘gift’ them to a client seems creepy. My therapist had a few easy-to-access boxes placed around her office, and that worked for me.

That said, it wouldn’t dawn on me to read so much into tissue placement. Perhaps that left me more vulnerable to my therapist’s own machinations?