Are you trying to ask someone specific these questions? Might be best to be direct.

Or do you mean hypothetically?

Hypothetically, I could imagine someone might be ambivalent about the individual one goes to for therapy, or be not attached or in love with them. I don't even think that's unusual, or that it would necessarily stop them from being useful. Paying them money isn't really an optional part of the deal - you engage them, you pay. And I complain about a lot of people. My landscaper for example- he sucks, but I continue to pay him money as he does a job that I don't feel like doing myself, but I wish he would do it better.