Autism, ADHD, anxiety, OCD, demand sensitivity, substance use. The pieces usually overlap, and that's the part I've spent the most time with.
Justin Manco, CMHC · Telehealth · Ages 13+ · 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 a Licensed Clinical Mental Health Counselor based in Utah. Over the years I've worked in just about every setting therapy happens in, from outpatient private practice to adolescent residential treatment, and the through line has always been the same: people whose situation is more layered than one diagnosis.
A lot of what I do is sit with autism, ADHD, OCD, anxiety, demand sensitivity, and substance use, especially when several of those are showing up at once. I also helped develop the RELATE framework with Rachelle Manco, which is a way of working with PDA that focuses on the nervous system instead of the behavior.
Outside of work, I'm a parent doing my best, a runner and triathlete, and someone who heads to the mountains when my own head needs clearing.
A bit more about meNone of these show up in a vacuum. Most of the time they're tangled together, and that's the part I'm most comfortable with.
Trained at the OCD and Anxiety Treatment Center. ERP, CBT, and ACT, used in whatever combination actually fits the person in front of me, including when anxiety is layered with autism or demand sensitivity.
If your child refuses everyday demands and nothing you've tried has worked, you may be looking at PDA. I co-developed the RELATE framework, a structured way of working with the nervous system instead of the behavior.
Therapy built around how autistic brains actually work. Not social skills training. Not compliance. Support for sensory overwhelm, co-occurring anxiety and depression, and making sense of your own profile.
ADHD isn't really about attention. It's about how your neurodivergent brain manages time, motivation, follow-through, and the steps between knowing what to do and actually doing it. We work on the whole picture, not productivity hacks.
Depression, trauma, substance use, self-harm, ADHD layered into the rest. These rarely show up alone. I'm comfortable holding the full picture instead of treating 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
13 years and older
Adolescents, young adults, adults, parents
Utah · Colorado
Montana · Texas
In-network with major insurance in all four states
The first session is mostly about getting oriented. I ask about what's brought you in, what you've already tried, what's working and what isn't, and what you're hoping therapy can help with. You ask me anything you want to know about how I work.
By the end, we'll have a sense of whether this feels like a fit. If it does, we plan the next step together. If it doesn't, I'll do my best to point you toward someone who might be a better match. No pressure either way.
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, and trauma shows outcomes that are comparable to in-person therapy. For autistic clients and people with demand sensitivity, telehealth can actually be better because you get to stay in your own regulated space instead of navigating a new building and a waiting room.
You just need a private space where you can talk, a device with a camera, and a decent internet connection.
Most of my clients meet with me weekly or every other week, especially early on. The cadence depends on what you're working on and what fits your life. We'll figure that out together in the first few sessions.
Both, depending on the situation and the teen. I see adolescents from 13 and up, and the degree of parent involvement varies a lot based on age, presentation, and what the teen needs. 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'll 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, and I'd rather help you find the right person than hold onto a client who isn't clicking with my approach. 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.