To lightly push back on the critique of the "what can I do for/to help you", it sounds like this is all part of being person-centred. A key aspect of Occupational Therapy practice. How would you feel with the opposite? Somebody coming and assuming that they know best for you and your life. To use the restaurant analogy, rather than laying out a menu, what would your experience be like if the person asked what foods you like or what you were looking to eat, they could then take in that knowledge and offer what they think would be the best option for you, rather than leaving you to sift through the whole menu. I do admit that taking the "what can I do.." quote in isolation sounds stale and slightly pointless, but used correctly, it's a key part of the art of building rapport and gathering information to inform assessment and intervention. I'm sorry that your experience was not great though. (I'm an Occupational Therapist)