I get it. Well, the only way to ensure total privacy of information is not to use insurance at all and to ask the therapist not to take notes. When someone else is paying (insurance) the deal is that they get certain information and are required to provide it. That's just how it is.

I avoid insurance companies and ensure privacy by paying privately. Really, that's the only way. I've never heard of one that will do house calls, though.

Also, not to be rude, but if I were this stressed about things, I would consider taking medication just to see if it helped calm my thoughts down. Medication doesn't have to be a forever thing. Sometimes, it can help in a pinch. Just a thought.