Health, Wellness and Co-Occurring Medical Disorders

First and Fouth Tuesdays of each month - 4:00 pm - 5:30 pm

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NAVIGATE is a comprehensive program designed to provide early and effective treatment to individuals who have experienced a first episode of psychosis. The Health, Wellness and Co-Occurring Medical Disorders is a part of the four clinic areas under NAVIGATE.  

The purpose of this clinic will be to provide expert consultation around the integration of physical wellness with psychiatric treatment. Studies indicate that the chronically mentally ill develop more medical problems and receive less medical treatment for physical problems than those without chronic psychiatric illness. The FEP program is a unique opportunity to work with young people who have early-stage mental illness in order to provide health prevention and education to these individuals before they develop co-occurring, chronic medical problems. The "Hub" expert team will represent the disciplines of adult, child and adolescent psychiatry, primary care and health psychology. 

This program is funded by the Nevada Division of Public and Behavioral Health through federal Mental Health Block grant funding.

Health, Wellness and Co-Occurring Medical Disorders Case Review Form

Our Team

  • Erika Ryst, M.D. (Psychiatry): Dr. Ryst is a Board-Certified Adult, Child and Adolescent Psychiatrist who completed her general and child psychiatry residency training at the Harvard-affiliated Massachusetts General Hospital and Mclean Hospital Program in Boston, MA.  She moved to Reno, Nevada in 2004 and joined the faculty at the University of Nevada School of Medicine where she became the director of Nevada’s first child and adolescent psychiatry training program in 2006.  Dr. Ryst also helped to develop the HRSA-funded Nevada LEND (Leadership Education in Neurodevelopmental and Related Disabilities) program and has served as its interdisciplinary training director since 2011.  In 2015, Dr. Ryst joined the Nevada Center for Excellence in Disabilities in the UNR College of Education to further her work in the field of school psychiatry and developmental disabilities.  In partnership with the Nevada State Department of Public and Behavioral Health and the University of Nevada, Reno School of Medicine Project ECHO, she coordinates a series of ECHO clinics on the topic of First-Episode Psychosis (FEP) and serves as Hub Faculty for the NAVIGATE FEP Psychotherapy clinic and the NAVIGATE FEP Health, Wellness and Co-occurring Medical Disorders clinic. 
  • Karen Thiele, M.D. (Family Medicine): Dr. Thiele is an Assistant Professor of the Department of Family and Community Medicine. She completed her residency in Family and Community Medicine from the University of Nevada, Reno in 2019. She enjoys the broad scope of practice of a family doctor and has patients that encompass all ages and stages of life including obstetrics. Her special interests include primary care of the LGBT+ community, providing cross-gender hormone therapy for gender diverse patients, women's reproductive health, PrEP, and wilderness medicine.
  • Adrianna Wechsler Zimring, Ph.D. (Clinical Neuropsychology): Dr. Zimring is a licensed psychologist who specializes in pediatric neuropsychology and clinical training in evidence-based mental health care.  Dr. Zimring began her career in the field of education and holds a master’s of education from Harvard University.  After eight years working with children with behavioral and learning difficulties in schools and treatment centers, Dr. Zimring returned to school to pursue her doctorate in psychology at the University of Nevada, Las Vegas.  She completed her predoctoral internship at the University of Washington School of Medicine and Seattle Children's Hospital and her postdoctoral fellowship at Stanford University School of Medicine. In 2014, Dr. Zimring returned to the greater Las Vegas area and established a private practice specializing in evidence-based practices with children and adolescents.  Her practice grew rapidly, and in 2018 she founded The Evidence-Based Practice of Nevada (The EBP).  The EBP is a behavioral and mental healthcare clinic dedicated to training Nevada’s next generation of providers in evidence-based practice. 


CME Evaluation Form

To request copies of didactics and reference materials, please contact us at

Continuing Medical Education (CME) Accreditation

The University of Nevada, Reno School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The University of Nevada, Reno School of Medicine designates this Live Activity for a maximum of 1.50 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Nevada, Reno School of Medicine approves this program for 1.50 hours of nursing continuing education credit.

The State of Nevada Board of Psychological Examiners approves this program for 1.50 hours of continuing education credit.

The State of Nevada Board of Examiners for Social Workers approves this program for 1.50 hours of continuing education credit.

The University of Nevada, Reno School of Medicine is a provider of continuing education credit through the Nevada State Board of Pharmacy.  This program is approved for 1 hours of continuing education credit for pharmacists.