I'm not really sure I understand the divide between 'just having someone to talk to' and more 'worthy' work. Isn't this a matter of semantics? The issues are the things you bring to the room when you go, situations in your life you want to heal if you have been traumatized, or refine if you have got the basics down but want to become more skilled? Am I missing something?

Or do you mean, going in and talking about tv or sports or something - small talk?