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
Not 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.
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.
Telehealth only
Video sessions from wherever you are
12 years and older
Adolescents, young adults, adults, parents
Utah · Colorado · Idaho
Montana · New Mexico · Texas
Insurance accepted in Utah only