Cultivating Better Health Care: Thrive’s Origin Story

Thrive • March 20, 2022

By Thrive’s Founder and CEO Kat Geiger, LCSW, CEDS, PMH-C

PLANTING SEEDS FOR A BRIGHTER FUTURE

Throughout my career as a mental and behavioral health clinician, I’ve had many eye-opening experiences and realizations that ultimately inspired me to establish Thrive Wellness. Three of those stand out above all else: the importance of an integrated multidisciplinary team who meets and communicates regularly, the importance of offering access to treatment that spans different levels of care, and the importance of remaining clinician-owned.

With origins as an eating disorder specialist and clinical training and expertise in several areas, including obsessive-compulsive disorder (OCD) and perinatal mental health, I’ve witnessed the profound power of a multidisciplinary team of professionals working together to care for clients. I’ve seen how excellent communication and collaboration are critical for helping clients achieve optimal outcomes swiftly and assuredly.

I have also observed the opposite — practitioners under different roofs inadvertently working against one another. Well-intended providers separated into silos can create barriers to communication with one another that ultimately impede client outcomes. Additionally, providers with differing treatment philosophies can send mixed messages to their shared client, which leaves the client confused about their path to healing. Despite their best intentions, siloed specialists and disconnected clinicians can sometimes do more harm than good to a client’s outcomes.

Early on in my career, I became passionate about filling the prominent need for providing more integrated care from practitioners within both medical health and mental health disciplines. I’ve developed a deep understanding that when clinicians work together under one roof and one integrated philosophy, barriers to communication are eliminated and client outcomes are greatly improved. Because mental, behavioral, and physical health are undeniably linked, health care that encompasses all aspects of well-being is not only effective but essential. Since most clinicians choose one path for an education and career, we as practitioners arrive to work each day with a limited but specific skill set or specialization and a singular point of view. Collectively assessing and treating an individual’s health from all angles is critical in the healing process for many clients. As providers, we need each other’s perspectives to paint a panoramic picture of a person as a whole. We need each other to professionally thrive and to help our clients thrive in their medical and mental health.

Furthermore, a network of interconnected clinicians who practice with a unified philosophy across all levels of care, from outpatient to partial hospitalization, offers access to continuity in care. Research supports that continuity in care improves the quality and longevity of outcomes, increases satisfaction, and enhances the overall treatment experience for patients and clients. Continuity in care is also more cost-effective long-term for both clients and payors. Ultimately, cohesive care is at the heart of high-quality client- or patient-centric care.

Over time, it also became evident to me and many of our eventual Thrive team members that as more mental and behavioral health clinics became corporatized, the quality of treatment subsequently suffered. While private equity provided more funding for mental and behavioral health clinics, it also led to tight budgets sometimes dictated by businessmen and women with plans to turn those clinics over for a profit within a three- to five-year timeline. Unfortunately, this scenario most often diminishes the quality of care received by clients and causes feelings of overwhelm and overwork by therapists and other medical providers. 

This certainly was the past experience for many providers who have since joined Thrive. In fact, many of us worked together years ago at a mental health facility that specialized in eating disorder treatment where we first experienced the impact and importance of an integrated care model. We consider ourselves a group of “wounded healers” — burned by corporate-owned clinics and determined to create a better system for ourselves, our clients, and our communities. 

Since 2016, Thrive’s intent has always been to provide integrated and multidisciplinary client-centric care while keeping the soul of mental and behavioral healthcare alive and in the hands of clinicians — not corporations. Today, Thrive is honored to have a team of dedicated therapists, dietitians, primary care providers, psychiatrists, occupational therapists, and other recovery specialists who would rather be here helping clients reach their goals than just about anywhere else in the world. We are united in purpose, philosophy, and practice, and we are proud.

THRIVE’S HUMBLE ROOTS

With truly modest beginnings, Thrive first opened in 2016 as a small mental and behavioral health clinic with just three offices situated in a Northern Nevada basement. Although Thrive’s initial location was less than ideal, the passion emanating from the clinical team and the bravery radiating from the clients made the experience magical. This intersection of passion and bravery paved the way for Thrive’s growth and expansion. At first, the original Thrive Wellness expanded into historic homes in Reno , Nevada. Since then, Thrive has also opened two new clinics in Sacramento , California, and Waco , Texas.

GROWING WHERE WE ARE PLANTED

Because of our team’s passion and commitment to keep growing to best serve the communities where we are planted, Thrive has matured well past its humble beginnings and continues to evolve in response to the ever-changing needs of our communities. As we’ve partnered with clinics across the country that align with our values , we’ve been able to expand our spaces, services, and specialties. All of our locations are growing as our branches extend to reach and help more people in need of healing. 

THRIVE HERE

Thrive Wellness is a holistic healing community that provides individualized and integrated physical, mental, and behavioral health care with compassion. Varying from location to location, our treatment offerings include inpatient and outpatient services for a myriad of conditions with specializations in eating disorders and perinatal mental health. Through carefully crafted treatment, a multidisciplinary team of passionate professionals, and an ever-growing community of care, Thrive plants healing seeds while nurturing your personal growth. 

Explore our website to learn more about what we offer or reach out to seek support for yourself or a loved one. We’ll connect you with the care you need.

About the Author

Thrive’s Founder and CEO Kat Geiger, LCSW, CEDS, PMH-C

Kat Geiger, LCSW, CEDS, PMHC, is the founder and CEO of Thrive Wellness — a multidisciplinary team-based clinic specializing in treating perinatal mood and anxiety disorders, eating disorders, obsessive-compulsive disorders, and overall mental, behavioral, and physical health. Kat earned her master’s degree in social work from the University of California, Berkeley, and has twenty years of experience in mental health care. She has served as a mental health tech, therapist, clinical director, executive director, and CEO throughout her career. Her expertise includes treating eating disorders, perinatal mood and anxiety disorders, and obsessive-compulsive disorders, as well as emergency psychiatric intervention and pediatric psychiatric intervention. She has been awarded the 20 under 40 award in Reno, NV. and several other leadership awards throughout her career. 

Not only is Kat passionate about developing individualized therapeutic interventions for each client she works with, but she is also dedicated to assessing communities for gaps and services in care and using her knowledge and skillset to fill those gaps. Above all else, Kat believes that healing happens through community. Kat is the mother of three beautiful children and has her own lived experience with perinatal loss and subsequent struggle.

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By Erin McGinty Fort, MS, MHA, CPC, LPC-S, CEDS-C December 18, 2025
Sometimes, people need more support, structure, and monitoring than the typical outpatient setting can provide. When this happens, the treatment team will usually recommend that someone be "stepped up" to a different level of care, or program, that can better meet their needs. I like to think of it as being similar to medication dosages; people need different strengths of medications, or dosages, to get better when they're sick. Stepping someone up to a higher level of care is like increasing the dosage of a medication to match the severity of their symptoms. How Are Higher Levels of Care Different from Standard Outpatient Care? At the core of differentiating higher levels of care from standard outpatient care is the intensity and structure of the treatment. Higher level of care programs tend to offer more days of treatment each week and more hours of treatment per day than in the outpatient setting. Those in higher level of care programs may also meet with their treatment team members more frequently each week. There are more staff present to support someone at or after meals and snacks, or to help those who are having urges to engage in compulsions or other harmful behaviors. Clients in our HLOC programs get access to an assortment of treatment modalities tailored to their individual needs, including personalized therapy sessions, group support, medication management, medical nutrition therapy with a dietitian, and check-ins with our primary care providers. We support clients with personalized treatment plans and regular assessments to monitor and tweak interventions as needed. Higher levels of care also offer increased peer interaction and support. Intensive programs incorporate additional group therapy sessions, which can help those in treatment feel less alone as well as create a greater sense of community. For some people, it can be difficult to devote the time and energy needed to recover while also balancing other responsibilities like school or work. Stepping up to more intensive levels of care allows people to fully dedicate themselves to recovery. As they get better and make progress, a person may be stepped back down to a less intensive level of care to start practicing their recovery in their usual home, school, or work settings while also receiving professional support from their treatment team. What Levels of Care are Available? At Thrive Wellness, we offer four different levels of care to help clients step up (or down) in their treatment when needed: -  Outpatient Treatment - weekly, bi-weekly, or monthly meetings with a therapist, psychiatrist, primary care provider, and/or dietitian. - Intensive Outpatient Program (IOP) - A minimum of three hours per day, three days per week. - Partial Hospitalization Program (PHP) - A minimum of six hours per day, five days per week. - Residential Treatment - Coming soon in 2026, The Greenhouse at Thrive will offer residential treatment for eating disorders, anxiety disorders, and obsessive-compulsive disorder. This level of care offers 24-hour support for those aged 12-24 living in our residential treatment center. How To Decide Which Level of Care is Right for You If you're unsure which option is right for you or your loved one, we offer a free assessment that can be completed with our admissions team. In this initial assessment, we'll gather information from you about what you're struggling with, speak with our team of providers, and then make a recommendation for what level of care we feel is the best fit for you and your needs. If you’re experiencing symptoms of an eating disorder, anxiety disorder, or other behavioral or mental health challenges, don’t hesitate to reach out. To get started with our intake process, give us a call at 775-525-8103 or fill out this form . We can’t wait to help you Thrive.
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. 
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