- Present-moment focus
- Homework and tools
- Gentle directness
About Rachel
Rachel Mariotti is a licensed mental health counselor (LMHC) based in New York with five years of practice. She offers a conversational, down-to-earth style and uses humor at times to make hard conversations easier. Rachel focuses on current thinking patterns that drive stress and low mood and helps people notice small shifts they can make now.
She began working in a psychoanalytic clinic and later opened a private practice called Mental Hygiene. Over time her work moved toward addressing automatic thoughts and reactions in the present moment, similar to principles found in cognitive behavioral approaches. Sessions include practical takeaways and short exercises to practice between meetings.
Rachel often assigns brief writing prompts or mindfulness practices as homework to help new habits form outside sessions. She pays attention to positive moments as well as difficulties, encouraging clients to name and strengthen helpful experiences. Her approach emphasizes noticing the gray areas between extremes rather than staying stuck in black-or-white thinking.
Common concerns she helps people work through include stress, anxiety, relationship strain, self-esteem and career worries. Sleeping and eating issues are also within her focus, alongside coaching around motivation and life transitions. She aims to help clients bring more balanced thinking into everyday life.
Her sessions tend to be practical and action-oriented while remaining compassionate. Rachel encourages honest conversation and collaborative problem solving, guiding people to try small, manageable changes and to acknowledge progress along the way.
Evidence-based techniques and online collaboration
Rachel’s work draws on approaches that focus on present thinking patterns and practical change. One common approach she uses looks at automatic thoughts and how they shape feelings and behavior; it helps with anxiety, low mood, and unhelpful thinking habits. Another element she uses emphasizes short behavioral practices and mindfulness exercises to build new habits and reduce stress in daily life.Choosing the right approach is a collaborative process. The therapist will listen to concerns, try different techniques, and adjust based on what seems helpful. Clients and the therapist decide together which tools and practices fit the client’s goals and preferences.
If you are considering online therapy, check which session formats the therapist currently offers before booking. Confirming formats helps pick what fits your routine and needs. Online therapy can make it easier to fit sessions into a busy schedule, allow for shorter check-ins when needed, and let people use audio-only or video options if those are offered. These practical benefits can help keep progress steady while balancing work, sleep routines, and everyday life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Experience
5+ years
Credentials
New York
Languages
English
Frequently asked questions
What kinds of problems does Rachel address?
Rachel works with stress, anxiety, depression, relationship and intimacy concerns, self-esteem and career challenges, plus sleeping and eating difficulties.
How would you describe her therapeutic style?
Her style is casual and direct with occasional humor; she mixes conversation with practical exercises and brief homework like writing or mindfulness practices.
What experience does she bring to sessions?
She has five years of professional experience, starting in a psychoanalytic clinic and later founding a practice called Mental Hygiene.
What are her credentials and location?
She is a licensed mental health counselor, LMHC, practicing in New York.
Which languages and international options are available?
Sessions are offered in English and she is not currently accepting international clients.
What session formats does she offer?
The original biography does not specify session formats; please confirm current session options before booking.
How are sessions billed or priced?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the Start Therapy button, complete a short matching questionnaire, and then schedule according to therapist availability.