fun fact, that's the plot of the sopranos. you can't disclose anything that'd make the therapist believe you're a threat to yourself or others in therapy. they probably vent to their co-workers.

There’s a documentary about exactly this. It’s called “The Sopranos”

Billy Crystal

Watch Sopranos and then you can tell me

My take is that most of those people are usually psychopaths who couldn't care less, that's how they get rise power in the first place.

This also applies to politicians, CEOs and pretty much every hierarchy.

Well adjusted individuals are less likely to build a murderous drug empire. I think organized crime is a little bit like politics. If you've made it to the top you've been through so much shit that you have nerves of steel and a Teflon soul. You will have found a way to deal with it or you already went swimming with the fish.

They can probably afford a real therapist out of pocket but my guess is that's the exception rather than the rule. The inevitable influx of millennials and gen-z into crime may have driven those numbers up since Tony Soprano but still.

Based on what i know, they have their own set of morals where they justify these things. And surprisingly, they are very strict about their "laws" and "honour".

Source: i am from a third world country, was kinda friends with those type of people (or atleast their siblings) during school.

Oh yeah, sure, there’s this common twelve-step program where all the evil guys meet twice a week. They sit around, talk, sip terrible coffee, and nibble on dried-out donuts. They cry and laugh together, share stories, and show each other pictures of their kids and dogs in that safe space.