Lol like father like son. (jk)

I don't know how nonsensical and idiotic the mother of this child can be, she is asking for more and something will happen - it's predictable and you don't need to be a professional to know that.

At at least the age of 5, children are attuned to basic morality and understanding of their actions including the contemplation and scrutiny of consequences/results and if they will affect others.

Another possible issue is that at his age, a lot of children would tend to avoid (most of the time) doing anything mischievous because of the fear of the consequences, since there is little-to-no consequence (to which I'm assuming), he is running over them like the Alpha leader.

I know that psychiatrist to patient confidentiality is firmly secured under the oaths and regulations they are meant to follow and the only time any issue would arise is when there is imminent danger to himself or others.