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LMHC

Rachel Mariotti, LMHC

  • Experience5 years
  • LocationNew York
  • Focus areasADHD, Stress and Anxiety, and Relationship
  • LanguagesEnglish
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About Rachel

Rachel Mariotti is a licensed mental health counselor (LMHC) based in New York who draws on five years of clinical experience to help people navigate stress, anxiety, and life transitions.

Background and approach

She trained in a psychoanalytic setting early in her career and later launched a independent practice called Mental Hygiene that emphasizes present-moment thinking and the automatic thoughts that drive unhelpful reactions and beliefs. Her work often centers on practical strategies similar to Cognitive Behavioral Therapy while remaining grounded in careful listening and exploration.

Her approach blends a casual, approachable manner with direct guidance and structured between-session work, such as brief writing exercises and mindfulness practices. She pays attention to moments of progress as much as to struggles, encouraging clients to notice and reinforce positive experiences alongside addressing relationship, career, self-esteem, and motivation challenges.

Rachel aims to move clients away from black-or-white thinking toward a more flexible, spectrum-based perspective, and she invites fully committed collaboration to make change feel manageable and even engaging.

Evidence-Based Techniques and Online Access

Rachel often uses evidence-based techniques that focus on present-moment thinking and reshaping automatic thoughts. One approach emphasizes identifying and testing automatic negative beliefs to reduce unhelpful reactions, a method that helps with anxiety, mood concerns, and stress from life changes. Another practical element of her work involves structured behavioral and mindfulness practices to build emotional regulation and attention to positive experiences, which can support motivation, self-esteem, and sleeping or eating issues.

Choosing a therapeutic approach is a collaborative process; the therapist works with clients to determine which techniques fit their needs, goals, and personal style. She provides direction and homework when helpful and adjusts strategies as progress unfolds, inviting clients to weigh in on what feels most useful so care stays tailored and responsive.

Online therapy with this practitioner is offered via video calls, phone sessions, live chat, or text-based messaging, making it possible to access therapy from different settings and schedules. These formats allow for regular check-ins, flexible scheduling, and continuity of work between sessions, supporting steady progress even when life is busy or in flux.

Frequently asked questions

What kinds of concerns does this therapist address?
Rachel focuses on stress, anxiety, relationship and intimacy-related issues, self-esteem, career struggles, coping with life changes, eating and sleeping problems, depression, coaching needs, and ADHD among other concerns.
What is the therapist's general approach or style?
The style is casual and compassionate with an occasional sense of humor, combining present-moment work and attention to automatic thinking with direction and practical homework between sessions.
How much clinical experience does the therapist have?
She has five years of professional experience, beginning in a psychoanalytic clinic and later founding a independent practice called Mental Hygiene.
What are the therapist's credentials and location?
She is an LMHC licensed in New York with license number NY LMHC 013238 and practices out of New York.
Which languages are offered and can international clients be seen?
Services are offered in English and international clients are not currently accepted.
In what session formats can someone work with this therapist?
Available session formats include video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences.
How is cost handled for sessions?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working with this therapist?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.

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

Licensed

New York

Languages

English