I have a PNP who I have seen 3 times. She sits behind a desk. It has not bothered me. Her office is tiny and there is no way both of us could fit in the room without one of us sitting behind the desk. I do consider our relationship to be different from that of a Therapist-Client. I tell her about my symptoms, we talk about meds, she advises on some possible behavioral solutions, etc. She is very nice and I like her and I do feel a connection. But it is not the same as my T. I have shared with her some embarrassing dysfunctionality to help her with diagnosis and meds recommendations, but I never share with her anything traumatic or soul-wrenching, like I do with my therapist. Also, I am not seeing her in her regular, large, comfy, inviting, private practice office at my choice. Her "public" location is more convenient for me, so she lets me see her there. So if I didn't want the desk barrier and teeny office, I could go to her regular practice location.

I would not want the desk barrier with my T, but with my PNP I am OK with it.

Pink, I wonder if many of your clients are used to seeing T's in hospitals (I think I remember you saying you are in a hospital)? The offices in hospitals tend to be small and not that nice, frequently. Good for you to come out from behind your desk. Such a simple thing could really make a difference.