I prefer to work on quilting with the long arm machine without patterns - just drawing and doodling on the fabric. I like the organic designs that appear. I feel I have been practicing this method long enough to trust the overall design will work well in the end.
Here is a video of me drawing with the sewing machine. I didn't add music or words. Sometimes I put on music (usually with headphones) while I work. Sometimes the work is all I need.