After decades of running away my problems I found that I had no where to run and nothing to distract myself with during the lockdowns of COVID, so I admitted to myself that it would probably seek out therapy.

How do I ensure that my most private of thoughts aren't dilligently jotted down into a computer by a therapist to be sucked up into some LLM that a nefarious surveillance/marketing company will make use of?

I don't. I'm not sure how to find a therapist who is covered by the government who will see me and not take digital notes. I'm not sure how to ask for this because the reasons I'll give to the therapist sound absolutely batshit crazy "I don't want the AI to know my personal problems", "Yeah, okay right this way to the padded room Sarah Connor..." and even if they took notes on paper I have no idea if they'll one day decide to digitize them with some fancy image to text to cloud feature that will be built into MS Word or Epic or this Palantir shit.

It's a bizarre situation to be in, to be geninely concerned about the threat of machines learning exploiting your weaknesses because you decided to get help.