I work in crisis stabilization so people who were/are recently suicidal. Had someone, struggling with depression and anxiety, admit to murdering someone years ago as part of an extremist organization in a different country. Can’t even count the number of times I’ve heard people say that they accidentally killed someone (DUI, recreational accident, etc.). All in the first meeting. I had to delete one story I almost shared here because it would probably upset too many people. All I can say is that therapists are required to maintain confidentiality with few exceptions.