Counseling does it matter if you lie on a couch or sit at a table with some cards?

If a person needs to talk just to get some perspective. I'm not talking mental illness just some help to get a handle on you life. Does it really matter if you are talking with a pastor, counselor or a card reader. I am a reverend and I have helped lots of people I just want to ask does it matter how the help was rendered. Sometimes people come to get readings just because they are lonely. I always provide some insight how to get more involved in their lives. I can "see" what they need to know. Many times people just need someone to help them get a perspective and already "knew" the answer they just need confirmation. Does it really matter how they get it? Also why do people call it fraud if everyone leaves the table happy. I don't always charge for my readings, very few professional counselors could say the same. Blessed be.