- CBT-influenced techniques
- Homework and writing tasks
- Focus on automatic thoughts
About Rachel
Rachel Mariotti is a New York LMHC with five years of clinical experience. She focuses on stress, anxiety, relationship concerns, self-esteem, career issues, and life changes, and also works with eating and sleeping problems, ADHD, and intimacy-related issues. Rachel began her practice in a psychoanalytic clinic and now sees clients through her own private practice, Mental Hygiene.
Rachel uses a present-focused approach that looks at automatic thoughts and how they shape reactions. She leans on methods similar to Cognitive Behavioral Therapy to help people notice patterns and try small behavior changes. Sessions are conversational and often include direct suggestions and concrete tasks to try between meetings.
Her style is casual and occasionally humorous. She assigns short homework items like writing exercises or mindfulness practices to reinforce what was discussed. Rachel also checks in on positive moments and encourages naming successes, not just difficulties.
Common topics she addresses include relationship conflict, motivation, confidence, career transitions, and general anxiety. She pays attention to black-or-white thinking and helps people explore the middle ground and alternative perspectives. Rachel aims to help clients build habits that change reactions over time.
Clients can expect straightforward feedback, practical tools, and written or mindfulness tasks between sessions. Her background in a psychoanalytic setting and later focus on present-moment thinking inform how she balances reflection with action. She works in English and practices in New York as an LMHC.
How Rachel uses evidence-based approaches online
Rachel draws on present-focused, evidence-based techniques that look at how automatic thoughts shape feelings and behavior. One clear strand is similar to Cognitive Behavioral Therapy - noticing unhelpful thoughts, testing them, and trying small behavioral experiments to see if different responses change outcomes. This can help with anxiety, black-or-white thinking, and low motivation.She also incorporates short mindfulness practices and writing exercises. Mindfulness here means brief attention practices to notice when the mind has wandered into worry. Writing tasks help clarify patterns and give concrete material to work on between sessions. Both methods support day-to-day changes rather than only long conversations about the past.
Choosing the right mix of techniques is part of the work. Rachel approaches that choice collaboratively and will adjust methods based on a client's needs, goals, and preferences. She offers straightforward feedback and recommends homework that fits a person's routine so progress can be tracked.
The original biography does not list specific online session formats. Please confirm which formats are currently offered before booking. Many people find online sessions helpful because they can fit therapy into a lunch break, reduce travel time, or choose a shorter check-in when schedules are tight. Licensed professionals can use a mix of approaches to make remote work practical and focused.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Experience
5+ years
Listed in
New York
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, relationship concerns, self-esteem, career changes, eating and sleeping problems, ADHD, and intimacy-related issues.
What is her general therapy style?
Sessions are conversational and casual with occasional humor. Rachel gives direct suggestions and practical tasks to try between sessions.
How much clinical experience does she have?
She has five years of professional work experience, including early work in a psychoanalytic clinic and later private practice.
What are her credentials and where does she practice?
She is a licensed mental health counselor (LMHC) practicing in New York.
Does she offer sessions in other languages or internationally?
Sessions are offered in English. International clients are not accepted at this time.
What session formats are available?
The biography does not list specific session formats. Please confirm current session options before booking.
How does payment work and what do sessions cost?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.