If you are a child and you disclose abuse, even abuse that happened a long time ago, by a care giver whom is currently involved, it is mandated (in my state) to report. If you are an adult whom talked about past abuse that happened to you as a child, nothing happens. If you are an adult and you disclose you abused a child, who is still a child, it has to be reported. If there is any current plan to hurt yourself or others, it has to be reported. If the therapist is court ordered to testify about details, they will have to break confidentiality.