About Rachel
Rachel Mariotti is a New York Licensed Mental Health Counselor (LMHC) with five years of professional experience. She keeps things conversational and direct, using everyday language so parents can quickly decide if she feels like a fit. She began working in a psychoanalytic clinic and later opened a independent practice called Mental Hygiene.
Her current approach focuses on how automatic thoughts shape reactions and beliefs, similar to cognitive behavioral therapy.
Background and approach
Rachel uses short, practical tasks between sessions to build new habits in daily life. Sessions tend to be casual and occasionally lightened with humor. She balances compassion with guidance, often assigning brief writing or mindfulness exercises to try between meetings.
Rachel also highlights positive moments to help people notice and repeat what’s working. Much of her work focuses on stress and anxiety during life shifts. She helps people talk through relationship questions, motivation and confidence struggles, career setbacks, and changes at home.
Her aim is to move conversations away from black-or-white thinking and toward a wider middle ground. Rachel emphasizes collaboration and clear steps. She sits with clients to notice automatic thoughts, practice new responses, and build small routines that reduce stress and increase coping.
The process is practical, steady, and built around real life.
Evidence-based approaches and online care
Rachel uses evidence-based therapeutic techniques that focus on the present moment and on changing automatic thinking patterns. One approach targets automatic thoughts and behaviors by identifying common thought traps and testing them in daily life; this helps with anxiety, low mood, and black-or-white thinking. Another common technique emphasizes short between-session practices like writing and mindfulness to build new habits and reduce reactivity; these exercises support better sleep, eating routines, and stress management.Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, preferences, and what has or hasn’t worked before. Together they will try methods, track what helps, and adjust plans to fit the client’s life and goals.
Online therapy is offered through video calls, phone sessions, live chat, or text-based messaging, giving flexibility for different needs. Video calls allow fuller conversation and face-to-face interaction, phone sessions work well when bandwidth is limited, and chat or text can be used for brief check-ins or ongoing coaching-style support. These options make it easier to fit therapy into busy schedules and to keep consistent momentum between sessions.
Questions people ask
What concerns does she commonly help with?
How would you describe her therapeutic style?
What experience does she bring?
What credentials and location are listed?
Which languages are supported and can international clients work with her?
In what formats are sessions offered?
How does pricing work for sessions?
What are the first steps to begin working with her?
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
We will earn a commission if you sign up through our link, at no cost to you.