11/07/2025
Interesting points.
Lying down on the couch during therapy might sound antiquated, but itâs worth a try, Shayla Love wrote in 2024. https://theatln.tc/qkmzTDuv
Most therapists these days donât ask their clients to lie down. âThe first time mine did, I resisted,â Love writes. âI didnât want to be on display or unable to see her reactions.â Sigmund Freud was inspired to use the couch more than a century ago because he thought a therapist being out of view would help people access emotions or memories that might be repressed. And though âmany of Freudâs ideas about the unconscious havenât held up,â Love continues, âhe may have been onto something with the couch.â
âResearch on instances when [the couch] is and isnât helpful is limited. Some patients in case studies report that theyâve missed seeing their therapistsâ face when they lie down, while others have used the couch to avoid direct face-to-face communication,â Love writes. âBut for meâand, I suspect, many othersâoccasionally lying down might provide some relief from the social aspects of talking with a therapist.â
âMany therapy clients place too much emphasis on interpersonal dynamics. On social media, people make jokes about how much they want to get an A+ in therapy or make a therapist laugh; Iâve felt the same pressures myself,â Love writes. âThat stress could be reduced when youâre lying down and physically incapable of scanning your therapistâs face for signs of approval or displeasure. And in a time when many people have switched to teletherapy, staring at your therapistâs face (or your own) over Zoom can feel like a work meeting gone wrong.â
âIn the modern world, lying down signifies that the conversation youâre about to have in therapy is a different kind of interaction than those you have with family or friends. Itâs a time to confront difficult thoughts, admit shortcomings, or explore desires without the relational obligations to those we know in our ârealâ life,â Love continues. âWhen I started to lie down, I felt that I was choosing to make space for reflection, grief, processing, and developing intimacy with my own mind in a world where such acts are not usually prioritized.â
đ¸: Found Image Holdings / Getty