More Than a Couch: The Not-So Hidden Influence of the Therapeutic Setting

By Nicole Houck

Furniture and decoration may not seem like important factors in the efficacy of therapy, but research points out that interior design shouldn’t be ignored. Decoration might be an afterthought to the counselors, who are likely to focus more on therapeutic technique and education. However, for new clients, the first impression is crucial and might be the difference between whether or not they believe therapy is right for them.

The American Psychological Association agrees with this, referencing past surveys and experiments involving impacts of office-design on individual perceptions. For example, a study by The Ohio State University found that respondents felt more positive toward offices and the therapists who work there if the interior design included elements of softness, such as pillows and comfortable seating. Cleanliness and organization also seem to positively impact the therapeutic experience.

But why are these things so impactful? Research has found that our brains do three things subconsciously when we walk into a new or changed space: identification, mapping, and association. When we walk into a space, we identify objects and where they are, and then make associations based on this information. For example, a vase of dying flowers may be associated with neglect.

Even easily overlooked details, such as the type and location of the client’s chair, can be influential on the emotional state, according to the APA. Chairs that can be easily repositioned provide clients with a sense of control, allowing them to control the distance between themselves and the therapist. On the other hand, certain individuals may be more comfortable with sturdier, immobile seats, which can be grounding and provide a comforting sense of familiarity and routine. There is also evidence to suggest that higher-backed chairs feel like a shield of sorts, increasing client comfort and security.

Some research also suggests that a bigger office space is better, generally speaking. Small offices can feel claustrophobic and trapping, which can damage the therapeutic experience. A bigger space with high ceilings seems to encourage emotional exploration, allowing for more impactful sessions. Plus, a bigger room allows for more attention to detail, such as rugs in soothing colors or artwork to bring the space to life. You can read more about these details here.

Specifically, the most beneficial designs have these features:

• Using light, natural colors to promote relaxation

• Big windows that let natural light in (without compromising feelings of privacy!)

• Natural elements, like plants or a fish tank

• Wood tables or floors, rather than non-wood surfaces or glass tables

At Authentic, we want our clients to feel safe and secure when they come in for sessions. We have rooms in various styles, with different types of decoration, to cater to different personal styles. If you’ve never visited us, here is a quick glimpse into our space:

We took care to make this space belong to our clients just as much as it belongs to us. Research has shown time and time again that interior design can’t be an afterthought. In order for our clients to have the best therapeutic journey possible, nothing so influential should be haphazard. We are very proud of our office and hope that everyone who comes in feels as at home as we do.