About Rachel
Rachel Mariotti is a licensed mental health counselor practicing in New York. She brings five years of clinical experience and a down-to-earth style to sessions. Rachel keeps conversations direct and often uses humor to make hard topics easier to talk about.
She began working in a psychoanalytic clinic and later opened a independent practice called Mental Hygiene. Her current work centers on how automatic thoughts shape feelings and actions, similar to Cognitive Behavioral Therapy.
Background and approach
She focuses on practical steps people can try between sessions, like writing exercises and mindfulness practices. Rachel helps people navigate stress and anxiety tied to life changes. Common concerns she addresses include relationship strain, motivation, self-esteem, career shifts, and sleep and eating difficulties.
She attends to both worries and the positive moments people overlook, aiming to balance perspective. Sessions are collaborative and goal-focused. Rachel often gives homework to build new habits and encourages naming the middle ground between black-or-white thinking.
She pays attention to how patterns around attachment, control, and communication affect daily life. The approach is informal but purposeful. Rachel aims to make therapy feel like a shared project, with clear steps and regular check-ins.
People who want practical tools and compassionate guidance may find this approach helpful.
Evidence-based approaches and flexible online care
Rachel often uses techniques that focus on how automatic thoughts affect feelings and behavior, similar to Cognitive Behavioral Therapy. This approach helps people notice unhelpful thinking patterns, test them, and try small behavior changes to reduce anxiety and improve mood.She also uses mindfulness-based practices to help people ground themselves and reduce reactivity. These practices include short written exercises and attention techniques that can lower stress and improve sleep and focus.
Finding the right approach is a team effort. Rachel works with each person to decide which techniques fit their goals, needs, and preferences. She adjusts homework and exercises over time so the plan stays useful and realistic.
Online sessions can include video calls, phone sessions, live chat, or text-based messaging. Video is useful for in-depth conversation and nonverbal cues, while phone sessions can be simpler when bandwidth is limited or for a shorter check-in. Live chat and text messaging make it easy to share brief updates, ask questions between meetings, or use writing exercises assigned as homework. These options are meant to increase flexibility and make regular work on goals easier to fit into a busy life.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Self esteem
Also works with
- 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