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- Stress and anxiety
- Relationship issues
- Mindfulness and writing
About Rachel
Licensed Mental Health Counselor (LMHC) in New York with five years of clinical experience, Rachel Mariotti focuses on stress, anxiety, relationship concerns, self-esteem, career challenges, and life changes. She works with people on eating and sleeping problems, ADHD-related struggles, and intimacy-related issues. Sessions emphasize present-moment thinking and shifting automatic negative reactions.
Rachel began in a psychoanalytic clinic and later opened a private practice called Mental Hygiene. Her approach moved toward strategies that target automatic thoughts and unhelpful thinking patterns, similar to cognitive behavioral therapy. She uses writing exercises and mindfulness practices between sessions to reinforce new habits.
Her style is casual and occasionally uses humor to ease difficult conversations. Rachel gives direct guidance and assigns short, practical homework to keep progress moving between meetings. She also notices and names positive moments, so clients practice recognizing what goes well as much as what doesn’t.
Typical work includes untangling black-or-white thinking and helping people find the spectrum between extremes. She helps people verbalize difficult feelings and reframe automatic responses that keep them stuck. The focus is often on concrete skills clients can use day to day.
Rachel’s practice addresses a broad range of concerns from communication and commitment issues to body image and impulsivity. Sessions are conducted in English and take place in New York. Prospective clients should confirm current session options before booking.
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How Rachel’s approaches translate to online sessions
Rachel’s work centers on techniques that target automatic thoughts and on practices that build everyday habits. One approach she uses focuses on identifying and challenging black-or-white thinking and replacing it with more balanced interpretations. This helps with anxiety, low motivation, and depressive thinking by giving concrete steps to reframe situations in the moment. Another approach involves short mindfulness and writing exercises assigned between sessions. Those activities help clients notice reactions, record patterns, and practice new responses outside the session.Finding the right combination of techniques is part of the process. Rachel works collaboratively to figure out which methods fit a person’s goals and daily routine. She adjusts homework and in-session focus based on what the client reports and how they respond to skills practice.
The practical benefit of working with a licensed professional online is being able to fit sessions into a busy life. Online work can make it easier to keep brief, regular check-ins and to practice assigned exercises right after a difficult moment. Session formats are not specified in the biography, so confirm current session options before booking. The intake includes a short matching questionnaire and scheduling a first session to get started.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Experience
5+ years
Listed in
New York
Languages
English
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Frequently asked questions
What kinds of problems does she address?
She works with stress, anxiety, depression, relationship and intimacy-related concerns, self-esteem, career difficulties, and life changes. Additional focus areas include body image, communication problems, eating and sleeping issues, and ADHD-related struggles.
What is her therapeutic style?
She emphasizes present-moment thinking and addresses automatic negative thoughts using techniques similar to cognitive behavioral approaches. Sessions include direct guidance, occasional light humor, and practical homework like writing or mindfulness exercises.
How much clinical experience does she have?
She has five years of professional work experience, including time in a psychoanalytic clinic before starting her practice called Mental Hygiene.
What credential does she hold and where is she based?
She is a Licensed Mental Health Counselor (LMHC) and practices in New York.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How are sessions scheduled and what formats are used?
Session formats are not specified in the biography; prospective clients should confirm current session options before booking. The site’s booking flow starts with a short matching questionnaire and scheduling a first session.
How much do sessions cost and how does billing work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.