Yes, I lay on the couch. My therapist offers a choice to sit face to face or lying down. For the first year or so we sat face to face. She never pushed me but every once in awhile we would talk about it. She feels a recline position frees up defenses so it's easier to talk about the harder "good" stuff.

One day as I left her office I announced, "Beginning next week I will lay down and give it a try for 3 weeks, then I'll decide if it works for me." The first time was extremely difficult. I think I was having an anxiety attack (or close to it) most of the session. My head was swirling with so many thoughts; it wasn't pleasant. But by the end of the three weeks, it was beginning to feel more comfortable. Especially silent moments were tolerated easier.

It is a different experience. Sometimes, although not very often, I will sit down. Now I find looking at her awkward. It's been three years and I go 2 - 3 times a week. My t is psychodynamic.