Fees & Policies for Services with Michael

Fees and Payment

Fee Schedule

Initial intake session – 60 minutes  $ 175.00
Intake double session – 90 minutes  $ 250.00
Traditional Psychotherapy – 30 minutes*  $ 100.00
Traditional Psychotherapy – 45 – 52 minutes*  $ 125.00
Traditional Psychotherapy – 53 – 60 minutes*  $ 150.00
Traditional Psychotherapy – 90 minutes  $ 250.00
Intensive Psychotherapy (45 minute segments)  $ 125.00 per segment

*This fee structure follows the conventions developed by the American Medical Association and Centers for Medicare & Medicaid Services, in consultation with the American Psychiatric Association (APA).

Michael makes every effort to take into account your economic situation when negotiating fees. He is able to offer my services, if necessary, with an administrative discount–meaning that you may be eligible for a fee discount if you are uninsured and your financial situation warrants it. Please feel free to contact Michael (via the ‘Contact Michael Now’ tab on this page) to discuss your specific needs.

Insurance Coverage in Your Treatment

Michael accepts insurance only as an ‘Out of Network’ provider

As such, Michael is happy to work with you to determine out-of-network benefits for such insurances as Premera BlueCross, United HealthCare, and others. Therapy services may be covered in full or in part by your health insurance or employee benefit plan. Depending on the situation, Michael may be able to submit a claim for reimbursement in your behalf. Please check your coverage carefully by asking the following questions of your insurance provider:

  • Do I have mental health insurance benefits? If so, is my outpatient mental health insurance provider the same as my general health insurance provider? (Often, your mental health insurance provider will be named on the back of your insurance card.)
  • What is my out-of-network deductible and has it been met for this calendar year?
  • How many sessions per year does my health insurance cover?
  • What is the coverage amount and co-pay/co-insurance fee per therapy session?
  • Is approval or a referral required from my primary care physician?

Payment

All fees will be negotiated prior to the commencement of services. Michael accepts cash, check, debit cards (including HSA/FlexSpend debit cards), and Visa, Mastercard, American Express, and Discover credit cards. Additionally, Michael is able to accept payments through PayPal and Chase QuickPay. Payment will be made no later than the close of each session, unless other billing arrangements have been made.

Non-payment of  session fees for the equivalent of THREE sessions for greater than a thirty (30) day period beyond the date the last session fee was incurred may result in termination of services.

Cancellation Policy for Traditional (non-Intensive) Treatment

No Call/No Show means that you have not arrived at your session by 20 minutes past your appointed time and have made no attempt to notify Michael of either your absence or your late arrival. The No Call/No show fee for all clients will equal your negotiated session rate. 

Late Cancellation means that you cancelled your session without offering Michael at least 24 hours’ notice of your absence, regardless of the circumstance. The Late Cancellation fee for all clients will equal your negotiated session rate.

Michael reserves the right to waive fees, in extenuating circumstances, at his discretion.

Cancellation and No Call/No Show Fees for Intake Double Sessions and Intensives

Due to the special nature of intake double sessions, you must give 48 hours’ notice of a cancellation if you’ve scheduled one. The late cancellation fee for double intake sessions is equal to the full double-session rate. The no call/no show fee for intake double sessions is also equal to the full double-session rate.

Please refer to the next tab in this section for information about fees and the cancellation policy for Intensive Treatment. 

Need Additional Assistance?

Insurance-related issues can be very confusing. If you have additional questions about insurance, your deductible and what it means, payment, or services, or if you would like to schedule an initial telephone consultation, then please contact me (via the ‘Contact Michael Now’ tab on this page).

Fees for Intensives with Michael

The cost of intensives is considerable, so many will need to save for some time to afford this important investment. Michael’s rate is $125.00 for a 45 minute session (with 45 minutes being equal to a ‘clock hour’ for this type of work). A typical intensive treatment day may include 6 – 8 sessions (roughly 3 – 4 90 to 120 minute ‘blocks’ of time), distributed according to needed breaks. The most common cost for a full day of intensive work is approximately $1000.00, which can range from about $750.00 to $1187.50 for a day, times the number of days reserved at the client’s request. We’ll collaborate on when to take breaks and how long to work.

The Mathematics of Fees for an Intensive

If we work from 9:00am until 12:00pm, and then again from 1:00pm to 4:00pm, on a particular day, then this does not translate to 7 hours x $125.00 equals $875.00. Rather, the cost is determined by the following:

The total number of treatment minutes (which are closely tracked), not including breaks and lunch, divided by 45 (the basic unit of time per session), multiplied by $100.00 for each 45 minute unit. According to this formula, if we worked from 9:00am to 10:30am, with a 15 minute break, then 10:45am to 12:00pm, that equals 165 minutes. In the afternoon, if we worked from 1:00pm to 3:00pm, took a 15 minute break, then worked from 3:15pm to 4:00pm, that equals another 165 minutes. This equals a total for the day of 330 minutes, divided by 45, equals 7.333 units, multiplied by the rate of $125.00, which leaves us with a grand total of $916.63 for that particular day.

You will pre-pay for the bulk of the work, on the following schedule:

Deposit is due at the time of scheduling to reserve the time for you, based on the number of days you are reserving—unless you have made other arrangements with me for payment of the deposit.

Pre-payment is due two weeks before the intensive, assuming that you will incur, at minimum, $750.00 (six 45 minute sessions) per day in fees. So, if you wish to reserve…

# of Days      Deposit Additional Pre-Payment Total Paid Upfront
   1 Day      250.00 USD                     500.00 USD                750.00 USD
  2 Days     500.00 USD                   1000.00 USD             1500.00 USD
  3 Days     750.00 USD                   1000.00 USD            2250.00 USD
  4 Days  1000.00 USD                   2000.00 USD           3000.00 USD
  5 Days  1250.00 USD                  2500.00 USD           3750.00 USD

At the close of the intensive sessions, you will owe any remainder over and above the $750.00 per day already pre-paid. It is typical for people to engage in somewhere between six and nine 45 minute ‘hours’ per day, so you may owe up to $1125.00 for a really ‘full’ day. So, although you prepaid $750.00 for each of, for example, two days ($1500.00), if we actually worked eight ‘units’ on the first day and nine on the second day, you’d owe an additional $625.00 on the last day. If you have an absolute budget, please notify me of this ahead of time so that we can collaborate to use an appropriate amount of time. If you do not notify me ahead of time, it could have a significant, unforeseen impact on the treatment outcome. If you know that you do not want to participate in longer days, please notify me ahead of time so that I can adjust my schedule to accommodate both your and other clients’ needs.

Payment for Intensives

Many people find the cost challenging, and as a result need to save for some months or more to be prepared to pay for the work prior to undertaking the work. You can pay as you go. Unfortunately, Michael cannot carry a balance (i.e., you owe him for work already done). Because of this, it is important to schedule only once you are financially prepared for such a large and important commitment.

Michael accepts payment for intensive treatment via personal check or bank check, money order, or ACH bank transfer through Chase QuickPay and PayPal. He also accepts credit card payment by Visa, Mastercard, American Express, and Discover. If Michael have not received payment by the specified due dates (unless other arrangements have been made), the time you have reserved will be released in favor of others’ scheduling needs.

Although Michael does not accept insurance, he is happy to provide an accounting of the services provided and fees incurred by clients who would like to attempt to obtain reimbursement from their insurance carrier.

Cancellation Policy for Intensives

Due to the amount of time being held for you when we schedule intensives as part of your healing, the cancellation policy, for any reason, is as follows:

• Early cancellation after paying deposit: no return on deposit but it may be applied if rescheduled.

• Cancellation after prepayment is paid and more than one week prior to doing intensive sessions: 50% of pre-payment will be returned.

• Cancellation for any reason after prepayment is paid and less than one week prior to intensive sessions: Neither deposit nor pre-payment will be returned.

• Cancellation after intensive has begun: Neither deposit nor pre-payment will be returned.

For mental health professionals, the current rate for individual consultation is shown on Michael’s scheduling page.

For each group consultation hour, the minimum rate is Michael’s individual rate for up to three individuals, plus an additional $40.00 per each additional attending person, whether or not they present cases. Each group must be entirely administered by one person, who is responsible for scheduling, any internal group communication, agenda setting, and time keeping, as well as for payment arrangements for the entire group. Michael will consider other arrangements under special circumstances, as arranged by the group contact person. Cancellation of a one hour group consultation with less than 24 hours notice requires payment in full of Michael’s hourly rate.

Treatment Policies

Michael is Certified by the EMDR International Association (EMDRIA) to practice, and he very frequently employs, Eye Movement Desensitization and Reprocessing (EMDR) therapy to alleviate emotional dysregulation and inflammation, in addition to other difficulties in functioning, more swiftly, efficiently, and permanently than traditional  ‘talk’ therapies often can on their own. EMDR therapy is a treatment approach that has been widely validated by peer-reviewed research for use with Post-Traumatic Stress Disorder (PTSD). There is also significant anecdotal, practical, and small-sample study evidence of its effectiveness to treat a variety of other psychological and mental health difficulties.

EMDR therapy is a very powerful treatment, and Michael uses it precisely because of that. Whereas cognitive-behavioral therapy (CBT) may be likened to walking toward a destination, and body-oriented techniques the equivalent of canoeing there, EMDR therapy is rather like taking a powerful speedboat—you get there a lot faster, but it doesn’t mean the ride isn’t going to be bumpy at times.

Because of how deeply (and quickly) EMDR therapy can access disturbing emotional material, you should know the following facts about EMDR therapy and Michael’s use of it:

(1) Distressing, unresolved, and sometimes dissociated/forgotten memory material such as visuals, body sensations, and emotions may surface during sessions when EMDR therapy and/or EMDR therapy techniques are employed. Some clients experience intense responses during the treatment sessions, and even during preparation phases, that neither they nor Michael may or could have anticipated.

(2) Following a session in which EMDR therapy and/or EMDR therapy techniques are employed, related material, dreams, emotions, body sensations, flashbacks, or seemingly unrelated memory material may surface.

(3) Because memory is a process of encoding, storing, and retrieving sensory material in the brain, as opposed to being a concrete, static ‘thing’, it can be subject to perceptual and interpretive error. It is therefore not advised to accept memory material that surfaces in the course of an EMDR therapy treatment as objective reality or as definitive proof that “something happened”. That said, Michael will always honor your emotional experience of any material that has surfaced.

(4) EMDR therapy reprocessing is contra-indicated in situations where a client is in the midst of or anticipating involvement as a witness in court proceedings of any kind, owing to the impact that EMDR therapy can have upon the emotional intensity and the perceptual vividness of traumatic memory material. In such instances, Michael will not employ EMDR therapy techniques of any kind without an explicit release from you stating that a) you fully understand that your testimony may no longer be admissible as evidence; b) you may lose important details of –and the strong emotion associated with–traumatic memories; and, c) you are willing to accept the consequences of your decision to move forward with EMDR therapy treatment.

(5) Clients with histories of ocular (eye), cardiac (heart), medically explained seizures, and some other medical issues may not be good candidates for the use of EMDR therapy and/or some EMDR therapy techniques or forms of bi-lateral, dual-attention stimulus. In some instances, approval from your primary care physician may be needed before Michael will use EMDR therapy to address the issues at hand.

(6) Same-day use of substances will prevent Michael from employing any form of EMDR therapy or EMDR therapy techniques due to the dissociating effects of all mind-altering substances, including marijuana and alcohol. Michael will make a full assessment of your substance using behaviors prior to considering EMDR therapy as an appropriate treatment modality.

(7) Michael will not employ EMDR therapy or EMDR therapy techniques to help resolve or reduce emotional dysregulation and difficulties until and unless he can be certain that you will be able to tolerate and manage any strong emotions or sensations that may surface. Michael is therefore very careful and deliberate about pacing the treatment according to his assessment of known (or potential) barriers to successful resolution of your difficulties using EMDR therapy. A significant amount of resourcing and other preparations are sometimes necessary to ensure that treatment using EMDR therapy will be successful. In trauma work, it’s been noted that “the slower you go, the faster you get there”–sometimes, for some people, that can mean months or years of preparatory work before the work of properly digesting traumatic material can begin.

(8) If you work with Michael to establish resources and tools to help you manage disturbing emotions and emotional material between sessions and it becomes apparent that you are not using them–or, if Michael discovers that you are experiencing significant distress even with their use–then treatment using EMDR therapy will be slowed, paused, or ceased until/unless Michael can be certain that you either are effectively using emotion management tools or that the resources you do have are sufficient to allow treatment with EMDR therapy to continue safely and effectively.

(9) You always have the right to decline to engage in (or to pause) EMDR therapy treatment. Michael certainly does practice other forms of treatment in addition to–and, at times, instead of–EMDR therapy. However, Michael may in some instances offer to refer you to another clinician whose approach to treatment more closely aligns with your preferred ways of accessing (or not accessing) your emotional experience.

D. Michael Coy, MA, LICSW, is a Licensed Independent Clinical Social Worker in the State of Washington, License #SWI.LW.60534498, effective 3-2015, renewing 12-10-2017.

D. Michael Coy, MA, LICSW, is both an Approved Consultant and Certified in EMDR therapy, by the authority of the EMDR International Association.

Michael has completed Basic Training in Clinical Hypnosis through the American Society of Clinical Hypnosis (ASCH) and obtained the appropriate training to employ hypnosis and hypnotic techniques as helpful tools in psychological treatment for a variety of conditions. Hypnosis is a way of facilitating the experience of a pleasant, voluntary state of relaxed attentive concentration, an altered state of consciousness, during which the conscious, critical mind is relaxed and relatively inactive, and the separation between the conscious and unconscious mind becomes less distinct and more permeable. In this relaxed state, suggestibility and awareness of the senses are heightened, mental absorption is increased, and the imagination is activated in a controlled manner. The inner mind is more receptive to acceptable, beneficial suggestions.

No one can be hypnotized against their will, and hypnotic techniques only work for a person when they are willing and fully engaged in the process. Hypnosis is not about being controlled by the person facilitating the process, and a hypnotized subject cannot be made to do anything they are not willing to do.

You will not be asleep during the process of hypnosis. You will be aware of your surroundings. You will continue to hear the sound of Michael’s voice, and, depending upon how deeply into your unconscious the work is being done, you will remember more of or less than all that Michael says.

The Nature of Hypnosis

Memory is imperfect, whether or not hypnosis is used. Memory is not like a tape recorder or DVR, and rarely will all the details of any recollection be fully accurate. People have been shown to be capable of filling in gaps in memory, of distorting information, and of being influenced in what is ‘disremembered’ by leading questions or suggestions.

For example, our memories may sometimes be influenced through reading, movies, television, or through conversations. Thus, research has shown that there is no guarantee that information remembered through hypnosis (or, for that matter, through ordinary recall) is factually accurate. On the other hand, memory material brought to conscious awareness through hypnosis may, in fact, be accurate. The only way a person may know definitively whether something recalled under hypnosis is accurate is to obtain independent corroboration or verification.

Therefore, if you should remember something under hypnosis, regard this information as simply one more source of data that cannot be relied on as more accurate or necessarily superior to material already in conscious awareness. Such further data would simply be information to be weighed and evaluated in therapy along with what you already consciously know. I understand that hypnosis is not a ‘truth serum’. When hypnosis is used as a tool to refresh memory, some, much, or none of the memory material recalled under hypnosis may have a basis in objective reality. Material recalled or generated under hypnosis can represent actual memories, distorted memories, fantasies symbolic of inner conflict, combinations of memory and fantasy, or could have other bases.

In session, prior to Michael employing formal hypnotic techniques, you will be asked to review a disclosure very similar to this one and to acknowledge in writing, among other things, that decisions about whether memory material is “true” or not belong to your and not to Michael.

Potential Legal Issues

In many jurisdictions, courts have held that a person who has been hypnotized cannot testify in court about anything remembered during or after the hypnosis. Consequently, if you consent to hypnosis, there is a possibility that anything you remember once the hypnosis begins will not be admissible in a court of law. You should understand that the only way to fully protect your potential right to testify is to forego the use of hypnosis.

Release from Liability

You should understand that, because of the rulings of some legal authorities, there may be some limitations placed on your ability to rely on your recollections after hypnosis for purposes of litigation.

You will be asked to acknowledge in writing that you and Michael have discussed the advantages and disadvantages of using hypnosis in your treatment, as well as the need for proper re-alerting, and alternatives to the use of hypnosis, if applicable.

You will also be asked to acknowledge that you are not currently involved in or planning to become involved in any legal action(s) except those you disclose in writing at the time of consent. You should understand that, if you have any concerns at all about the legal consequences of hypnosis, you should consult with my own attorney prior to consenting to the use of hypnosis in my treatment.

Your Consent

Upon signing the consent to allow for the use of hypnosis in your treatment, you will acknowledge understanding that hypnosis as practiced by Michael, is not a medical treatment, but a process whereby an individual is taught to use their own abilities for their own benefit. With this understanding, you may wish to grant permission to Michael, both to facilitate trance through hypnosis and also to teach you techniques for self-hypnosis. You will also be asked to agree to release and hold Michael harmless from any claims or liabilities arising from the use of or inability to use your recollections, the therapist’s notes, audio or video recordings of therapy sessions, or any other limitations on your or Michael’s testimony in a courtroom or forensic setting. In consenting to hypnosis, you will be agreeing that you do not have a cause of action against Michael, based on his professional and competent use of hypnosis in my treatment.

D. Michael Coy, MA, LICSW, is a Licensed Independent Clinical Social Worker in the State of Washington, License #SWI.LW.60534498, effective 3-2015, renewing 12-10-2017.

D. Michael Coy, MA, LICSW,  is registered as a Hypnotherapist in the State of Washington, Credential #HP 60620226, effective 12-04-2015, renewing 12-10-2016.

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The licensed mental health professionals practicing in association with the Bainbridge Institute for Integrative Psychology are independent practitioners whose practices are separate from one another. There is no legal relationship between these professionals. None of these professionals has any responsibility for either the conduct of any other professional associated with the Bainbridge Institute for Integrative Psychology or the clients served by any other professional associated with the Bainbridge Institute for Integrative Psychology.