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Rachel Mariotti

LMHC

Practical, present-focused therapy for life shifts

  • Calm practical guidance
  • Homework and skills
  • Focus on thinking

About Rachel

Rachel Mariotti is a licensed mental health counselor (LMHC) practicing in New York. She brings five years of clinical experience and a down-to-earth style to sessions. Rachel keeps things casual and sometimes uses humor to ease difficult conversations.

Her approach grew out of early work in a psychoanalytic clinic and shifted toward techniques that focus on present-moment thinking and the automatic thoughts that fuel negative feelings. She uses methods similar to Cognitive Behavioral Therapy and gives practical homework between sessions. Typical takeaways include writing exercises and mindfulness practices to help people notice patterns and try new responses.

Rachel helps people manage stress and anxiety during life shifts. Common concerns include relationship tension, motivation struggles, low self-esteem, career stress, and sleep disruption. She pays attention to both challenges and positive moments, encouraging clients to notice what is working as well as what needs to change.

Her sessions aim to lighten rigid, black-or-white thinking and open up a wider range of perspectives. Rachel works collaboratively to identify small, doable steps that build confidence and momentum. She also addresses eating and food-related concerns and body image as part of broader emotional patterns.

People who meet with Rachel can expect direction between sessions, clear tasks to practice, and an emphasis on noticing small wins. She frames therapy as a shared process and encourages commitment to change while keeping conversations approachable.

Practical approaches for online therapy and daily life

Rachel uses evidence-based, present-focused techniques that help people notice and change automatic thoughts that drive stress and anxiety. One approach is similar to Cognitive Behavioral Therapy, which involves identifying unhelpful thinking patterns and practicing alternative thoughts and behaviors to reduce distress. Another emphasis is on mindfulness practices and short writing exercises, which help ground attention, reduce rumination, and improve sleep and emotional regulation.

Finding the right approach is part of the work. Rachel will collaborate with clients to decide which methods fit their goals and preferences. She checks in about what feels useful and adjusts tasks and strategies as the work progresses, so therapy remains practical and tailored.

Confirm current session options before booking, as specific formats are not listed here. Online therapy can make it easier to fit sessions into a busy life, allow shorter check-ins when schedules are tight, and reduce commuting time so people can use breaks more efficiently. Rachel aims to help clients practice skills between sessions so progress continues in everyday routines.

License and NPI

LMHC New York · No. 013238
NPI1831893809

As shown on the therapist's profile. You can check a license with the state board and an NPI with the national registry.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesSelf esteemCareer difficultiesCoping with life changes

Also works with

Family conflictsIntimacy-related issuesEating disordersSleeping disordersDepressionCoachingADHD

Additional focus areas

Antisocial personalityAttachment issuesAvoidant personalityBlended family issuesBody imageCodependencyCommitment issuesCommunication problemsControl issuesDependent personalityEating and food-related issuesEmptinessGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeParanoiaPost-traumatic stressSexual dysfunctionSocial anxiety and phobiaYoung adult issues

Experience

5+ years

Credentials

New York

Languages

English

Frequently asked questions

What kinds of concerns does she address?

She works with stress, anxiety, relationship issues, self-esteem, career worries, eating and food-related concerns, sleep problems, and coping with life changes.

What is her general therapeutic style?

Her style is casual and direct with occasional humor. She focuses on present-moment thinking and practical tasks to change automatic negative reactions.

How much clinical experience does she have?

She has five years of professional experience, including earlier work in a psychoanalytic clinic and running her own practice called Mental Hygiene.

What credentials and location are listed?

She is a licensed mental health counselor, LMHC, and practices in New York.

Which languages are supported for sessions?

Sessions are offered in English.

Can international clients work with this therapist?

International clients are not currently accepted.

How does pricing and payment work?

Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.

How do I begin a therapy relationship?

Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

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