Autism. Anxiety. OCD. Demand sensitivity. Parenting a child the system wasn't built for. I specialize in the cases other providers find complicated.
Justin Manco, CMHC · Telehealth · Ages 12+ · Most insurance accepted
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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.
I'm Justin Manco, a Licensed Clinical Mental Health Counselor with experience across every level of mental health care, from outpatient private practice to adolescent residential treatment. I work with autism, ADHD, OCD, anxiety, demand sensitivity, substance use, and the layered presentations that don't fit a single diagnostic box.
I co-developed the RELATE framework, the first structured clinical intervention for Pathological Demand Avoidance (PDA), and I bring that same depth to every person I work with.
More About My ApproachNot a generalist checkbox. Real specialization built from residential, inpatient, PHP/IOP, and outpatient experience.
Therapy built for how autistic brains actually work. Not social skills training. Not compliance. Nervous system support, co-occurring conditions, and the daily reality of being autistic in a neurotypical world.
Evidence-based treatment using CBT, ERP, and ACT. Specialized training from the OCD and Anxiety Treatment Center. I know the difference between anxiety that needs exposure and anxiety that needs a different approach entirely.
Your child refuses everything and nothing has worked. Reward charts failed. Consequences made it worse. I co-developed the RELATE framework, the only structured clinical intervention for PDA.
When your child's presentation is complex and nothing is going the way you expected. I work with parents directly to change the approach, not just understand the diagnosis.
Depression. Trauma. Substance use. Self-harm. Rarely does anything show up alone. I treat the full picture, not one diagnosis at a time.
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
12 years and older
Adolescents, young adults, adults, parents
Utah · Colorado
Montana · Texas
In-network with major insurance in all four states