Rachel Mariotti, LMHC

Rachel Mariotti is a licensed mental health counselor (LMHC) based in New York. She brings five years of clinical experience and a conversational, down-to-earth style to sessions. Rachel often uses short exercises and homework between visits, like writing prompts and mindfulness practices, to help people apply skills outside the room.

She began her career in a psychoanalytic clinic and later opened a independent practice called Mental Hygiene. Over time her focus shifted toward present-moment patterns and automatic thoughts that drive negative reactions. This approach resembles Cognitive Behavioral Therapy and aims to help people notice and change the thinking that keeps them stuck.

Rachel works with people facing stress, anxiety, relationship strain, and self-esteem or confidence challenges. She also supports those managing career transitions, changes in family roles, intimacy concerns, eating and sleep problems, and ADHD-related struggles. She pays attention to how black-or-white thinking shapes daily choices and mood.

Her sessions mix compassion with practical direction. Rachel uses straightforward feedback, occasional humor, and focused exercises to move things forward. She emphasizes noticing positive moments as part of building new habits and communication patterns.

Clients can expect short, actionable takeaways after sessions and encouragement to practice new responses during the week. Rachel frames therapy as a collaborative process that asks for commitment and active participation.

Approaches that focus on thoughts and present moments

Rachel uses evidence-based techniques that emphasize present-moment thinking and manageable behavior changes. One approach she relies on is similar to Cognitive Behavioral Therapy, which helps identify automatic negative thoughts, test them, and replace them with more balanced options; this can help with anxiety, low mood, and rigid thinking patterns.

She also incorporates mindfulness-based practices to build awareness of automatic reactions and to create space before responding. These practices typically involve brief attention exercises and simple writing tasks to help people notice patterns and shift habit-driven behavior.

Choosing the right approach is a collaborative process. Rachel will work with each person to figure out which techniques fit their goals, preferences, and daily life. She aims to combine practical homework, conversation, and skills practice so progress continues between sessions.

The original biography does not list specific online session formats, so please confirm current options before booking. Many people find online sessions helpful because they make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and reduce travel time. Licensed professionals can adapt exercises and written tasks for remote work so the same momentum carries into everyday routines.