T's couch is too low - I'd replace it because its embarrassing to practically be struggling to stand up while she's already standing and is waiting to open the door at the end of session.

There is an interestingly patterned rug and a painting that I've come to find so comforting to look at, that it is sometimes hard to concentrate on therapy. I've thought about getting the painting for home and see how it feels to look at it here.