Sexual Health Awareness Month: A Q&A With Thrive Reno’s Director of Primary Care Services, Becky Barnett, PA-C

Thrive • September 15, 2021

September is Sexual Health Awareness Month, so Thrive Reno’s Director of Primary Care Services, Becky Barnett, PA-C, offered professional insights about practicing safe sex. Get all her expert tips below. 

What does it mean to practice safe sex and why is it important?  

We generally think of the term “safer sex” to be more appropriate than “safe sex.” To practice safer sex means a couple is taking precautions to reduce their risks of sexually transmitted disease and unintended pregnancy. The best way to do this is to avoid exposure to bodily fluids that can be exchanged during a sexual encounter, such as ejaculate (cum), pre-ejaculate (pre-cum), vaginal fluids, and discharge from genital sores. The use of male condoms and female condoms are the best options for the prevention of sexually transmitted diseases, and the use of effective birth control methods is the best option for the prevention of unintended pregnancy.

The term safe sex encompasses more than just physical health. When sex is practiced in a holistically healthy way, it should be enjoyable, and even promote one’s mental and emotional wellbeing. 

What are some common misconceptions about safer sex? 

Even with “perfect” use of safer sex practices, there is nothing other than abstinence that will protect someone 100 percent from acquiring a sexually transmitted disease. Although condoms are excellent protectors against the transmission of sexually transmitted diseases, there are still ways that infections can be passed from one partner to another if there is any skin-to-skin contact.

What mistakes do people make when attempting to practice safer sex?

Some people think it is okay to start to have sex without a condom, but then they put one on just before ejaculation. This allows for skin-to-skin infections – HPV and herpes, most notably – to be transmitted, and there is also a measurable number of sperm that can be present in the pre-ejaculate, which can place someone at risk for pregnancy. It is also important for people to carefully read the instructions for proper use of male and female condoms, and to practice putting them on/in before using them during a sexual encounter so they are familiar with the use and fit.

What should individuals do after having unprotected sex?

If someone has had unprotected sex, they should immediately consult with their medical provider to determine how soon they can be tested for sexually transmitted infections. If someone is at risk for pregnancy, they can also ask their medical provider if emergency contraception is appropriate.

When is it okay to have unprotected sex?

A couple may decide to have unprotected sex if they are monogamous (only having sexual interactions with each other) and if they have both been tested for sexually transmitted infections. Bear in mind that infections all have different window periods, so always ask your medical provider when it would be an appropriate time to test based on your last sexual encounter.

How does Thrive support the primary care and sexual health of its clients?

When appropriate, clients who are seen in the primary care realm of Thrive are screened for sexually transmitted disease risk and provided information on methods of protection. Our providers can order appropriate sexually transmitted disease screening as well as counsel people on safer sex practices and birth control methods. We are also able to advise clients as to whether or not they are appropriate candidates for PrEP (pre-exposure prophylaxis) or emergency contraception (“the morning after pill”).

Additionally, Thrive’s therapists are able to counsel you through any concerns you may have with the emotional and mental aspects that are connected to sexual health. 

A HOLISTIC APPROACH TO SEXUAL HEALTH

The World Health Organization states, “Sexual health is fundamental to the overall health and well-being of individuals, couples and families, and to the social and economic development of communities and countries. Sexual health, when viewed affirmatively, requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence.”

At Thrive, we ascribe to this definition, and through medical and therapeutic support, we can help you practice sexual health. We understand that sex and intimacy affect your mental and emotional wellbeing as well as your physical health. As such, we address sexual health holistically. In addition to primary care, Thrive offers therapeutic support that can guide you in healing any sexual trauma and help you confidently embrace sexual intimacy.

About the Author

Becky Barnett, PA-C — Thrive Reno Director of Primary Care Services

Becky Barnett, PA-C, has worked as a Physician Assistant for over 25 years with a primary focus on women’s health. She earned a bachelor’s degree from U.C. Riverside in 1991, and graduated from the College of Osteopathic Medicine of the Pacific (now Western University of Health Sciences) as a Physician Assistant in 1995. She has worked in various venues including community health centers, residential mental health facilities, large HMO settings and private practices as she moved throughout California and then into Nevada in 2001. She is proud to represent the medical team of Thrive Wellness of Reno, and is thrilled to be a part of such an authentic and passionate group.

Becky has two sons who attend schools in the Washoe County School District. She enjoys taking weekend excursions into the various wonders Northern Nevada has to offer, going on cruises, and spending time with her friends and family.

 

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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 491 Court St., Reno, NV 89501 201 W Liberty St., Suite 201, Reno, NV 89501 Perenn Grocery 7600 Rancharrah Pkwy, Suite 130, Reno, NV 89511 Perenn Rancharrah 7750 Rancharrah Pkwy, Suite 110, Reno, NV 89511 Perenn Midtown 20 St. Lawrence Ave, Reno, NV 89509 Claio Rotisserie 3886 Mayberry Dr., Suite D, Reno, NV 89519 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!
September 22, 2025
Eating disorders are one of the most serious mental health concerns facing today’s adolescents. They can affect every aspect of a young person’s life, including their physical health, school performance, relationships, self-esteem, and more. According to the National Institute of Mental Health, about 2.7% of adolescents in the U.S. will experience an eating disorder in their lifetime, and many more engage in disordered eating behaviors that may not meet full diagnostic criteria. The good news is that providers are in an influential position to notice early warning signs, open conversations, and connect families to support before these patterns of behavior become too engrained. Why Early Intervention Matters The earlier an eating disorder is identified and treated, the better the treatment outcomes. Research shows that getting support quickly after the disorder’s onset is linked to faster recovery, lower relapse rates, and healthier long-term development (Treasure & Russell, 2011). Waiting too long to seek help can mean medical complications, deeply ingrained behaviors, and a more difficult path to healing. For many adolescents, a caring provider who notices the signs and advocates for treatment can make all the difference in recovery and can even save lives. Recognizing Early Warning Signs Adolescents may not always disclose their struggles directly, so providers should keep an eye out for a range of indicators: Physical signs: noticeable weight changes, menstrual irregularities, digestive issues, dizziness, or fatigue. Behavioral patterns: skipping meals, restrictive eating, excessive exercise, frequent dieting, eating in secret, or leaving for the bathroom after meals. Emotional and cognitive signs: preoccupation with weight or body shape, food rituals, heightened anxiety around eating, or perfectionistic tendencies. It’s important to remember that eating disorders don’t always “look” a certain way. Teens can be distressed about food and body image even if their weight appears to be within a “normal” range. Screening Tools and Assessments Using free screening tools available online can be an effective way to gauge a patient’s needs and gain further insight on treatment options for a possible eating disorder. Here are 4 free screening resources we recommend you use before making a referral for a higher level of care. EDE-Q (Eating Disorder Examination Questionnaire) : helps assess eating attitudes and behaviors. Nine Item Avoidant/Restrictive Food Intake disorder screen (NIAS) : helps to assess the signs of ARFID in children. Eat 26 Screening Tool : a screening measure to help you determine attitudes towards food and eating. BEDS-7 (Binge Eating Disorder Screener) : for situations where binge eating is suspected. When possible, gathering input from parents, teachers, or coaches can also help, as teens may minimize their experiences out of fear or shame. The Role of Primary Care and Pediatric Providers Routine checkups are often where eating disorders first come to light. Providers treating children, teen, and adolescents can: Incorporate simple questions about eating habits and body image into wellness visits. Track growth charts and weight trends while pairing them with questions about mood, anxiety, and behavior. Foster trust by creating a safe, nonjudgmental space where adolescents feel comfortable sharing sensitive information and know there will be no weight stigma. Coordinating Multidisciplinary Care Supporting a young person with an eating disorder works best when care is collaborative . In order to treat the whole person, there are usually multiple members of a treatment team needed, including: Medical support: monitoring vital signs, lab work, and physical health. Therapeutic care: evidence-based approaches such as family-based therapy (FBT) and cognitive-behavioral therapy (CBT) help address thoughts and behaviors. Nutritional guidance: dietitians provide education, meal support, and reassurance. Family involvement: engaging caregivers empowers them to support recovery in everyday life. Addressing Barriers and Stigma Many families face challenges in seeking help, whether due to stigma, lack of awareness, or limited access to specialists. To help, providers can: Normalize conversations about body image and mental health as part of overall well-being. Use culturally sensitive approaches that honor diverse experiences with food, body, and health. Connect families to community organizations, online resources, or telehealth when in-person specialty care is limited. Eating disorders in adolescents are serious, but with early recognition and timely support, recovery is possible. Providers are often the first to notice changes and can play a vital role in opening doors to crucial support. By blending professional expertise with empathy and collaboration, providers can guide adolescents and their families toward lasting recovery and a healthier future. References National Institute of Mental Health. (2023). Eating Disorders . Treasure, J., & Russell, G. (2011). The case for early intervention in anorexia nervosa: theoretical exploration of maintaining factors. The British journal of psychiatry : the journal of mental science, 199(1) , 5–7.
By Julia Actis, LCSW September 11, 2025
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