About Rachel
Rachel Mariotti is a Licensed Mental Health Counselor (LMHC) based in New York. She brings five years of clinical work to sessions and focuses on helping people manage stress, anxiety, depression, relationship struggles, self-esteem, career issues, and ADHD-related concerns. Her practice grew from early work in a psychoanalytic clinic into a independent practice called Mental Hygiene.
She works mainly with present-moment thoughts and automatic thinking patterns that lead to negative reactions and beliefs, using approaches similar to cognitive behavioral methods.
Background and approach
Sessions are conversational and down-to-earth, with an occasional sense of humor. She pairs empathy with clear guidance and often assigns short between-session activities, such as writing prompts or simple mindfulness exercises. She also highlights positive moments and helps people notice what’s working in their lives.
Rachel pays attention to how black-or-white thinking can trap people in stuck patterns. She encourages exploring the full range of options between extremes and practicing new ways of describing experiences. The aim is to help people build habits that change how they respond to stress and life transitions.
Clients can expect a collaborative pace that balances direction with personal reflection. Rachel emphasizes steady progress, small experiments, and practical tools that fit into daily life. She frames therapy as a shared process where commitment and honest conversation move things forward.
Practical approaches and online care
Rachel uses evidence-based techniques that focus on present-moment thoughts and automatic thinking patterns. One approach mirrors cognitive behavioral ideas: it helps people notice unhelpful thoughts, test them, and try small behavior changes to reduce anxiety, improve mood, and manage stress.She also integrates mindfulness-based practices in short exercises and writing tasks between sessions. These practices help people slow down, observe reactions without judgment, and build small daily habits for better focus and emotional regulation.
Finding the right method is part of the work. Rachel will collaborate with each person to decide which techniques match their goals, needs, and preferences. She offers clear explanations and will adjust direction based on what helps most in real life.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions are useful for full conversations and visual cues. Phone sessions can be a good fit when bandwidth is limited or a quieter check-in is needed. Chat and text messaging suit brief check-ins, homework exchanges, or people who prefer writing to speaking. These options make it easier to schedule therapy around work, caregiving, and busy days while keeping consistent progress.
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Self esteem
Also listed
- ADHD
- Antisocial personality
- Attachment issues
- Avoidant personality
- Blended family issues
- Body image
- Career difficulties
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Guilt and shame
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Paranoia
- Post-traumatic stress
- Sexual dysfunction
- Sleeping disorders
- Social anxiety and phobia
- Young adult issues
- Experience
- 5 years
- Licensed
- New York
- Languages
- English
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