It has been argued that a secure and comfortable atmosphere is essential in order for a therapeutic or learning environment to be beneficial (Bakken 1998). In Functionally Oriented Music Therapy (FMT) there are arguably certain elements that help create this kind of atmosphere. By looking at the nature of FMT, what these elements might be, and FMT with two different clients, this paper tries to obtain a clearer idea of what creates a secure and comfortable atmosphere in FMT.