One actor playing two characters and the giant room aside, this is nothing like any real therapy session I've ever been too.
Where's the rapid fire "How does that make you feel? Why is that? How long have you felt this way?" after every murderous statement? Sure offer the odd bit of advice like "That's probably not a good idea" but how come he doesn't once say "I may have to report this" and shit? Also he kinda pushes words and his own opinions in a judgmental manner.
Patient is not without fault either. For someone harboring this kind of intention he does a pretty bad job of covering it up while slowly dropping hints. Where is the thrill of the chase if you just come right out and say "I want to murder someone and I plan to do it thus" ? Dress it up in half-real stories from your childhood, a current event and how it makes you feel THEN get back to your main undertaking but only in passing.
I'm just telling it like it is buddy. I'm by no means special and I'm not trying to put on an act for the internets. There is no real need as I don't outright say I want to collect teeth or any other desire I may have.
Besides which you wouldn't NEED to kill someone to collect teeth from the living, so it would be more of a side hobby. Same deal with fingers if you think about it. So I'm in the clear. Ever since that facebook teen went down for writing something online ALL of us have to watch the actual words that we write.
I might be the only literally real person in this nightmarish world.
Not saying anything new but that's what a lot of people use the internet for. I've personally never felt the need to be someone else online any more than I've felt the need to be someone else in the other world. Just the way it is for a lot of folks I reckon.