Hi Casey.
I'm learning English and I like to speak and listen to only English without my native language, Japanese.
I have nice American friends on italki and we've been keeping our Skype talking for three years for now. I love our sessions but still, I take lessons with English speakers who never speak Japanese, too. I mean, I'd like to speak and listen to only English without any exchange languages even if it is just for an hour.
I'd like to put myself in only English circumstances. If there is Japanese help, I can't help using it, then I try to get English nuance in Japanese. I don't think it is good, ultimately, you won't be able to feel real nuance in a different language anyway, I think. I live in Japan but I immersing myself only in the target language as Miriam does. I love doing it and it is my hobby.
If I watch an English movie in Japanese dub accidentally, I feel it is very awkward and switch it to English instantly. Then I check some words that I can't catch. with the English subtitles, not the Japanese ones.
My teachers never stop asking questions to let me speak. Some teachers like to explain a lot, but these days, the students can get explains and answers on many websites (italki, too), so I think the teachers who get the students to speak are more likable.