I think if you have the money and time you should be able to just go there and sit if you want. Most don't have that luxury and insurance pushes for goals and endings and diagnoses and on and on. I don't know. I go back and forth on this issue. There are so many reasons people go to therapy. Some need/ want the relationship. Some need and want goals. Some want someone to listen to them. I don't know. It's confusing to me.