This is an issue you need to discuss with your therapist. Most psychologists keep separate records. The insurance companies don't need to have all the information your doctor does. What the doctor gives them is usually pretty flat and only answers their questions about course of treatment and progress.

IF any more in-depth records are requested, it would take a supoena (court ordered) and for good reason, not just interest of insurance company. Even with that, often a doctor keeps personal information out of those records, and sticks to, again, course of treatment and progress. Personal notes owned by the doctor are NOT open to supoena, and most doctors don't admit to keeping such records anyway.

You can expect any acknowledgement of atrocious illegal behavior(such as murder) might have different guidelines... and that is why you really need to ask these questions of your doctor/therapist. It's a legitimate question, imo. TC