My T has a regular sofa. But then, he's a pain doctor... I have laid down on it and he has always asked me why I'm doing that.. it's always because the pain is too much to sit (sacrum.) He usually moves his chair a bit so we can see each other. Eye contact is very important for someone like me who likes to dissociate from the pain, who has no trouble with self-hypnosis to escape the pain. Plus, I'm working hard to keep the negative thinking (about what could have been, and the what-ifs) at bay, and he's best at picking up on that if he can look me in the eyes.