Breaking Down The Differences Between Psychiatry, Psychology, Therapy, and Counseling: A Q&A With Thrive Reno’s Clinical Director and Therapist Kerstin Trachok, CPC

Thrive • April 14, 2022

MENTAL HEALTH SUPPORT SERVICES — WHERE TO BEGIN?

Whether you’re intending to treat your mind to self-care, seeking specialized support for a mental or behavioral health condition , curious about available medications for mental and behavioral health support, or just need an unbiased, professional perspective on the state of your mental well-being, Thrive Reno’s Clinical Director and Therapist Kerstin Trachok, CPC can guide you in the appropriate direction. Below, she breaks down the differences between psychiatry, psychology, therapy, and counseling and explains the benefits of each mental health service. 

PSYCHIATRY VS. PSYCHOLOGY VS. THERAPY AND COUNSELING

What is a psychiatrist?

A psychiatrist is a medical doctor who specializes in prescribing medication for managing mental and behavioral health conditions. In conjunction with medication management, some psychiatrists offer psychotherapy, also known as talk therapy. Most, however, focus their expertise on finding the medication that works best for their clients and then offering medication management to ensure that what is prescribed is benefiting clients as intended and make adjustments as needed. Psychiatrists may also work with their clients’ other healthcare providers to ensure their treatment is well-rounded. Individuals struggling with depression , anxiety , bipolar disorder , or another mental or behavioral health condition that can be supported with medication may benefit from seeing a psychiatrist. 

What is a psychologist?

A psychologist is a mental health professional that has a doctorate in psychology. Psychologists can test for mental and behavioral health conditions such as neurocognitive disorders, eating disorders , substance abuse disorders (SUD) , bipolar disorder , attention-deficit/hyperactivity disorder (ADHD), and autism spectrum disorder (ASD) to name a handful. Unlike psychiatrists, psychologists aren’t medical doctors, so they aren’t able to prescribe medication in most states. Instead, psychologists typically implement psychotherapy to treat their clients. Oftentimes, psychologists refer their clients to psychiatrists for any medication needs so that their clients’ mental and behavioral health can be supported from all angles. 

What are therapists and counselors?

Therapists and counselors include licensed clinical social workers (LCSW), marriage and family therapists (MFT), and clinical professional counselors (CPC). Like psychologists, these individuals treat a myriad of mental and behavioral health conditions, usually through psychotherapy. 

WITH THAT IN MIND

Within the mental and behavioral health field, there are many different kinds of professions, licensures, and specializations. If you’re interested in exploring mental or behavioral health care that will nourish your entire well-being, support your personal betterment, and help you heal, but still aren’t sure where to begin, Thrive Wellness can guide you to care that fits your needs. You deserve to thrive and there is no shame in obtaining help in doing so.

A PLACE TO GROW

Thrive’s mental and behavioral health specialists include psychiatrists, psychologists, therapists, and counselors, all dedicated to providing personalized mental and behavioral health care that allows their clients to heal from any struggles and embrace life with confidence, joy, and authenticity. Reach out to learn more about our therapeutic services. 

About the Contributor

Thrive Reno Clinical Director and Therapist Kerstin Trachok, CPC

Kerstin received her master’s degrees in clinical mental health counseling and school counseling from the University of Nevada, Reno. Kerstin has six years of experience in the counseling field working in different settings and a wide array of mental health issues. Kerstin has experience working in schools with children of all ages, clients with psychosis in a hospital setting, adults and teens in private practice, and working at an agency providing counseling to children and families. Kerstin is a fully licensed clinical professional counselor in the state of Nevada and received her certification in Complex Trauma Levels I and II. Kerstin has experience working with children, teens, adults and families with trauma, anxiety, grief, depression, ADHD, autism spectrum, suicidal ideation, and behavioral issues. Kerstin is passionate about fostering client’s growth and autonomy while providing a safe and secure space to process emotions. Kerstin uses creative interventions and other tools to allow clients to voice their internal experiences beyond traditional talk therapy. Kerstin’s theoretical approach is Acceptance and Commitment Therapy. She uses mindfulness tools and techniques to help clients be present moment oriented, and reduce stress so they may move towards psychological flexibility. Kerstin believes all individuals have the right to live a fulfilling and vital life.

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December 2, 2025
Like the fir tree, a symbol of endurance rooted in hope, our Family Inclusive Recovery (FIR) approach reflects the strength that grows when families face challenges together. At our new residential center “The Greenhouse”, FIR is more than a treatment model, it’s a philosophy of healing that places families at the heart of recovery for adolescents and young adults navigating eating disorders, anxiety disorders, and obsessive-compulsive disorder (OCD). We believe lasting healing doesn’t happen in isolation; it’s built with the support of families through perseverance, hope, and compassionate care. What Is Family Inclusive Recovery (FIR)? Family Intensive Recovery (FIR) is a specialized and immersive approach that actively engages caregivers as central agents in their child’s healing process. Rather than seeing families as contributors to a problem, we view them as essential partners in recovery. Drawing from two evidence-based frameworks, Supportive Parenting for Anxious Childhood Emotions (SPACE) and Family-Based Treatment (FBT), FIR helps families cultivate resilience, confidence, and connection throughout the journey to recovery. Grounded in SPACE and FBT Through the SPACE model, parents learn how to recognize and reduce well-intentioned but unhelpful behaviors known as accommodations that can reinforce anxiety and OCD symptoms. By shifting from rescuing to supporting and challenging, parents develop the confidence to guide their child through discomfort, helping them build distress tolerance and self-trust. Simultaneously, Family-Based Treatment (FBT) empowers families to take an active, compassionate role in their child’s nutritional and emotional recovery. Parents learn how to support weight and nutritional restoration, disrupt the eating disorder’s patterns, and reestablish boundaries that promote health and growing autonomy. Together, these approaches strengthen both the individual and family system, allowing recovery to take root within an environment of empathy and optimism. From Blame to Collaboration A cornerstone of the FIR model is removing blame. At Thrive, parents are not viewed as the cause of their child’s struggles, but rather as key partners in recovery. Treatment focuses on joining forces to create a safe, supportive environment where: Families learn to sit with their child's discomfort alongside them without rushing to fix or control it. Parents practice compassionate firmness, setting boundaries grounded in care and safety. Teens and caregivers rebuild trust through open, honest communication. This collaborative framework helps families reestablish a sense of connection and confidence, fostering long-term resilience and open communication that extends beyond the treatment setting. Why Family Matters in Recovery Recovery from eating disorders, OCD, or anxiety isn’t a one-person job, it requires integrated care including the family. When families learn to navigate challenges together, they can model emotional regulation, reinforce healthy boundaries, and create conditions for sustained recovery. Through FIR, we aim to strengthen attachment bonds, reshape family interactions, and empower every member of the family to grow. The result is not only symptom reduction but also a deeper sense of unity, hope, and shared endurance, just like the steadfast fir tree that stands resilient through every season. Moving Toward Hope Family Inclusive Recovery invites caregivers and loved ones to become active participants in change. It’s a journey of learning, letting go, and leaning into love and acceptance. Together, families and clinicians can cultivate the courage in clients to face uncertainty, and in doing so, help them discover that recovery is not just possible, but enduring. If you’d like to learn more about Family Intensive Recovery at The Greenhouse or how we support families in eating disorder and OCD treatment, reach out to our team today.
November 14, 2025
The Greenhouse at Thrive Wellness A New Chapter of Hope and Healing in Nevada On Friday, November 14 , we gathered with our partners at Molina Healthcare to share an important moment for our community. Together, we celebrated Molina’s generous $50,000 grant , an investment that is helping bring The Greenhouse to life. Their support is not only a financial contribution—it’s a statement of belief in the young people and families of Nevada who deserve access to compassionate, evidence-based mental healthcare close to home. This gathering marked the beginning of something we’ve dreamed about for years: a place designed specifically for adolescents and emerging adults to receive the care, connection, and support they need during some of the most vulnerable moments of their lives. Something New Is Growing In early 2026 , Thrive Wellness will open The Greenhouse , Nevada’s first residential treatment center devoted to adolescents and emerging adults navigating eating disorders, anxiety, and OCD . For too long, families have faced a heartbreaking dilemma—send their child far from home for treatment or go without the specialized care they need. The Greenhouse is our answer to that gap. It will be a place where young people can settle into an environment built for healing, where they are understood, supported, and surrounded by a team that believes in their capacity to recover. The Greenhouse represents a natural extension of our mission. It’s a living expression of our belief that recovery is possible—and that with the right support, families can find their footing again. 
November 11, 2025
Are you looking for a meaningful way to give back this holiday season? Thrive Wellness is excited to continue our 6th Annual Giving Tree Program in collaboration with Perenn Bakery this winter. This year, Thrive Wellness Reno and Perenn Bakery are proud to partner with Ronald McDonald House Charities® of Northern Nevada. The organization supports families with children receiving treatment at area hospitals, providing comfort, hope, and a home-away-from-home during challenging times. Ronald McDonald House Charities offers essential services, removes barriers, strengthens families, and promotes healing when children need healthcare the most. How It Works Simply take one (or a few) tags from the Giving Tree, each listing an item you can purchase and donate for residents of the Ronald McDonald House. Then, drop off your item(s) at one of our designated donation locations by Friday, December 19. Items Needed: Restaurant gift cards Walmart or Target gift cards Games, puzzles, and coloring books Toys (Barbie, Hot Wheels, Lego sets, craft sets, magnet blocks, baby dolls, action figures, journals, infant toys, etc.) Children's books (picture, chapter, and graphic novels) Toiletry sets (for adults) Lotion/self-care gift sets (for adults) Sweatshirts/hoodies (adults, XS-XXL) Scarves, gloves, fuzzy socks, pajamas (all sizes) Infant diapers, onesies, and baby bottles Bulk individually wrapped snacks (granola bars, chips, etc.) Please ensure all donations are new, in original packaging, and unwrapped. Donation Drop-Off Locations Please deliver donations by Friday, December 19, to one of the following sites: Thrive Wellness 201 W Liberty St., Suite 201, Reno, NV 89501 Perenn Grocery 7600 Rancharrah Pkwy, Suite 130, Reno, NV 89511 The first 50 people to return their donations will receive a complimentary ornament gift!  Why We Give Back Through our Giving Tree program, we’re honoring one of our core values at Thrive Wellness: staying rooted in community. This annual tradition allows us to give back to those who need support most during the holiday season. We invite you to join us by taking a tag at any Thrive or Perenn location and helping spread kindness throughout our community. There’s no better way to embrace the holiday spirit than by supporting local families with thoughtful, heartfelt donations. We are deeply grateful for your generosity and continued support. Thank you for helping us make a difference!
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