Maybe you’re really a bit paranoid. I don’t think those doctors will give away your secrets easily. They’ll fight and have a lawyer on their own and try to make it impossible. Their job demands trust from their patients.

And the court isn’t supposed to ignore your rights either, unless it somehow fits the crime. So you should be completely fine if it’s some lesser crime dealing with drugs, stealing or something like that.

And isn’t this hearsay anyways?

This may change if somebody’s life is on the line. But then you’re probably really a criminal and deserve to be prosecuted.

Still, you could ask your therapist not to write anything down. There is nothing to be requested if it doesn’t exist in the first place.

(Maybe there are a few exceptions nowadays since this culture war in the US took off.)