Patrick, feeling pressured and guilty by SpongeBob, revealed by accident that he had mistakenly dropped SpongeBob's toothbrush into the toilet, making SpongeBob to run around screaming and panicking, trying to get rid of bacteria on his tongue while Patrick thought Confess-A-Bear was unhappy with him due to no response. It only appeared in the episode, "The Pink Purloiner."
Confess-A-Bear is a fluffy, brown teddy bear holding a microphone in one of its paws. It is voiced by SpongeBob so the secrets would go directly to him. Patrick became very nervous when he talked to Confess-A-Bear and Patrick thought he was mad at him because he (SpongeBob) demanded that he tell him what he was thinking about.