I'm have no doubt it does wander a bit, of course, being human. But not much, the conversation always makes sense And crucially in my opinion, any time I've been speaking about something desperately painful she has been right there with me, steadily connected. Mine doesn't take the dead-quiet blank slate approach, she interacts and contributes and seems fully engaged. I consider us to have good rapport so I don't worry about holding her attention. If the talking felt stiff and halting I'd get a new therapist - it would frustrate me beyond belief if I felt we were on two completely different planets for that therapy hour!