Question: I was considering getting some therapy for I guess what you could consider "impulse control" issues, but had a couple of concerns that i was hoping you could address.

A little bit of background. I've historically been considered a non-emotional "hyperational" person (as described by my childhood therapists/psychologists). I dont really have many feelings. I can be bummed out or angry if something bad happens to me, and sometimes feel what i think could be happiness, but mostly i just feel bored.

I guess I am also a misanthrope because generally speaking, people bug me. They can be useful and do have their purposes, but thats about it. I know that kind of sounds hypocritical since i too am a person, but thats just what i think.

Anyway, I tend to have murder fantasies at times. Not sure what else to call them. I imagine killing people (not anyone i know, just random strangers). I plan the whole thing out in my head, how i would lure them, kill them, dispose of the bodies, how it would feel, etc. Lately they have been increasing in frequency and intensity.

Im not particularly bothered by the fantasies (i.e. I dont feel bad or ashamed), but i would like to learn more impulse control so that i never act on them, especially given the increasing frequency/severity, as I greatly value my freedom and do not want to go to jail for the rest of my life and i doubt i posess the skill at this point to get away with such a crime.

My main concern with seeking out therapy is the confidentiality vs mandatory reporting. Considering the nature of my urges/fantasies, im worried i would end up getting involuntarily commited or having my reputation ruined. I put a lot of effort into appearing nice and courteous and i dont want all that effort and self-restraint wasted because a therapist panicked or overreacted.

Basically, my questions are as follows:
1. If i seek psychological treatment, is the therapist obligated to maintain confidentiality or is he allowed tell people what i say/said due to the content.
2. What kind of mental health professional would be best suited to help me with this issue?
3. What kind of treatment, if any even exists, will help with this issue anc will it get rid of the urges/impulses completely?
4. Are there any other tips or suggestions that you think can help me?

Thanks, and im sorry this is so long. I wanted to make sure you had enough background to be able to answer my questions.

Thank you for answering my questions. I have one more question. Does the confidentially extend to past crimes? Hypothetically speaking, if i confessed to commiting a murder in the past, would confidentiality still apply? Or could the psychologist/psychiatrist report me to law enforcement? Thanks.