How do I confess after 45 year absence?

I want to return to the church after a 45year absence - how do I make an accurate confession-also the issue is more complicated as I am a person with lived experience of mental illness - I am diagnosed with bipolar 1 and PTSD - so my most extreme actions where not under my control - that does not mean there are plenty of sins to forgive.

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*] How do I make my first confession in fifteen years?
*] How do I best prepare for confession after being away for 43 years?

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