Work stress that's leaked into everything else. Drinking that's crept up. Sleep gone sideways. A relationship stuck on the same argument. A kid you don't know how to help. Anxiety that won't quiet down. Or just the tired that comes from holding too much for too long.
Justin Manco, CMHC · Telehealth · Utah, Colorado, Montana, Texas · Ages 13+
Plus 100+ more plans across Utah, Colorado, Montana, and Texas. Check your insurance instantly →
Choose a time that works for you. No phone tag. No waiting for a callback.
First session is about understanding what you're dealing with and whether I'm the right fit.
A plan built around your actual situation. Not a protocol applied generically.
Most of the people I work with are not in crisis. They're a lot more ordinary than that. They're carrying work stress that's leaked into everything else. They're drinking a little more than they used to. They're arguing about the same thing with their spouse for the third year running. They're not sleeping well. They've got a kid they don't know how to help. They're tired of hearing themselves complain about the same things.
I've spent years in mental health settings ranging from outpatient private practice to adolescent residential treatment. I know what real distress looks like. I also know what "life is grinding me down and I don't know why" looks like. Both are worth taking seriously.
What I do isn't complicated. I take what you're carrying, help you figure out what's underneath it, and work with you on the parts that can actually change. If that sounds useful, I'd be glad to talk.
Most of the time it's not just one thing. It's a few things stacked on top of each other. Here are the ones that come up most.
Work you can't turn off. Anxiety that ramps up out of nowhere. Sleep gone sideways. Drinking that's crept up on you. Arguments at home that keep landing in the same place. The kind of stuff that seems manageable until it isn't.
The same fight for the third year running. Feeling alone even when you're not. Not knowing how to say what you actually mean. This is individual work on your side of the relationship, not couples therapy.
The persistent stuff. Worry that won't quiet down. Panic that shows up without warning. Intrusive thoughts you can't reason your way out of. Trained in ERP and CBT.
Therapy built around how your brain actually works instead of around fixing you. Late diagnosis, burnout, masking, executive functioning, the layered anxiety and depression that often come with it.
Kids and teens with anxiety, OCD, autism, or crisis-level distress. Parent consultation and direct work with the teen, depending on what fits. Ages 13 and up.
Substance use plus whatever it's covering for. Anxiety, depression, trauma, insomnia, the whole picture. Motivational Interviewing and IFS.
For parents whose kid refuses everything and nothing has worked. Co-developer of the RELATE framework, a structured approach that focuses on the nervous system instead of the behavior.
For families weighing residential treatment for a teenager, see Treatment Navigation.
Your teenager is in crisis. Someone recommended residential. Someone else said PHP. A friend mentioned wilderness or ketamine or an educational consultant charging $15,000 a month. You are scared, overwhelmed, and about to make decisions that cost tens of thousands of dollars with almost no information.
Treatment navigation is a separate service for parents in this exact moment. A 90-minute clinical consultation with someone who has actually worked inside residential, inpatient, PHP/IOP, and specialty programs, so you can make the next decision with clarity instead of panic.
Who this is for: Parents whose child has been recommended for a higher level of care and who need a clinician's perspective before committing.
What it is not: Ongoing therapy. This is a consultation service, separate from my therapy practice, for one-off clarity or short-term support during a program.
Telehealth only
Video sessions from wherever you are
13 years and older
Adolescents, young adults, adults, parents
Utah · Colorado
Montana · Texas
In-network with major insurance in all four states
Nothing weird. Nothing that requires you to know what to talk about beforehand. The first session is mostly me asking questions to understand what has been going on, what you have already tried, and what you would like to be different. You get to ask me anything you want about how I work.
By the end we have a sense of whether this feels like the right fit. If it does, we plan the next step. If it doesn't, I do my best to point you toward someone who might be a better match.
Most of the people I work with are not in crisis. They just got tired of carrying something for a long time by themselves. If you keep thinking about the same problem, if it is bleeding into other parts of your life, if what used to work has stopped working, or if you are just tired of the same argument playing out in your head, that is enough.
You do not have to hit a specific threshold to justify coming in.
I'm in-network with over 100 insurance plans across Utah, Colorado, Montana, and Texas through Tava Health. When you click Book an Appointment, you'll land on my Tava profile where you can check your insurance instantly and see what your out-of-pocket cost will be before you book anything.
If you don't have insurance or prefer to pay out of pocket, the private pay rate is $150 per session.
For most of what I work with, yes. The research on telehealth for anxiety, OCD, depression, substance use, and trauma shows outcomes comparable to in-person therapy. For a lot of people it's actually better because you get to stay in your own space instead of navigating a new building.
You just need a private space to talk, a device with a camera, and a decent internet connection.
Most people meet weekly or every other week, especially early on. The cadence depends on what you are working on and what fits your life. We figure it out together in the first few sessions.
Both, depending on the situation and the teen. For younger teens I usually include the parents at least in parts of the process. For older teens and young adults, the work is often more private with check-ins as appropriate.
We talk about what makes sense for your family in the first session.
That's a reasonable thing to wonder, and part of what the first session is for. Fit matters more than credentials. If we meet and it doesn't feel like a match, I'll tell you, and I'll try to point you toward someone who might be a better fit.