- CBT style techniques
- Mindfulness exercises
- Homework and writing
About Rachel
Rachel Mariotti is a New York LMHC - Licensed Mental Health Counselor with five years of clinical experience. She started in a psychoanalytic clinic and now runs a private practice called Mental Hygiene. She focuses on stress, anxiety, relationship concerns, self-esteem, career struggles, and issues like eating, sleeping, and ADHD.
Rachel leans toward present-moment work that looks at automatic thinking and the beliefs that fuel negative reactions. She often uses approaches similar to Cognitive Behavioral Therapy to help people notice patterns and try different responses. Sessions are conversational and informal, and she sometimes uses humor to ease tense moments.
She gives practical direction between sessions, usually offering short writing exercises or mindfulness practices as homework. She also makes a point of naming and reflecting on positive moments, not only difficulties. That helps broaden what people notice about themselves.
Her typical focus is on navigating life shifts - small or large - and the stress those changes bring. She helps people recognize black-or-white thinking and consider the wider range of possibilities. That often connects to relationship questions, motivation, confidence, and career decisions.
People who come for help with guilt and shame can expect straightforward conversation about the thoughts that keep those feelings active. Rachel works on helping clients verbalize those patterns and notice alternatives. This practical attention aims to reduce stuckness without promising specific outcomes.
How Rachel integrates practical approaches in online work
Rachel often uses techniques drawn from Cognitive Behavioral Therapy, which focus on spotting automatic thoughts and testing them with small real-life experiments. This can help when guilt or shame is tied to recurring self-criticism or rigid thinking. She also uses short mindfulness practices and writing exercises to increase awareness of thoughts and feelings. These tools help people notice moments of relief or small positives as well as difficult reactions, and can be practiced between sessions. Finding the best approach is collaborative. Rachel will talk with each person about their goals and preferences, then try techniques that match those needs. She checks in and adjusts work over time so the methods fit what each person actually finds useful. Practical benefits of working online include fitting sessions into a busy schedule and making it easier to meet during shorter breaks or from different locations. The biography does not list specific session formats, so confirm current options before booking. Online sessions can support steady practice of homework, quicker check-ins, and easier scheduling without needing long travel time.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 matters, self-esteem, career challenges, eating and sleeping concerns, ADHD, and related issues such as guilt and shame.
How would she approach feelings of guilt or shame?
She looks at the automatic thoughts and beliefs that keep guilt and shame active, and uses present-focused techniques to practice alternative responses and language about those feelings.
What is her professional background?
She has five years of professional experience and began work in a psychoanalytic clinic before opening her practice called Mental Hygiene.
What are her credentials and where does she practice?
She is an LMHC - Licensed Mental Health Counselor in New York and practices out of New York.
Can I work with her if I live outside the United States?
Sessions are offered in English and she is not currently accepting international clients.
What session formats does she use?
Please confirm the current session options before booking, as the biography does not list specific formats.
How much do sessions cost?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin if I want to work with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.