- CBT-style focus
- Homework and writing
- Mindfulness practices
About Rachel
Rachel Mariotti is a New York LMHC with five years of clinical experience. She focuses on stress, anxiety, relationship strain, self-esteem, career concerns, and life changes, and lists ADHD, eating and sleeping issues, and intimacy-related concerns among her areas of work.
She began her career in a psychoanalytic clinic and later opened a private practice called Mental Hygiene. Her current approach concentrates on present-moment thinking and automatic reactions that lead to unhelpful beliefs, similar to cognitive behavioral techniques. Sessions tend to be conversational and casual, with occasional humor when it fits.
Rachel often gives direction between sessions, including short writing exercises and mindfulness practices. She pays attention to positive moments as well as difficulties, encouraging clients to notice and communicate what’s going well alongside what’s hard. This is intended to shift rigid black-or-white thinking toward a broader view.
Common topics she works through include relationship challenges, motivation and confidence, career decisions, and managing anxiety during transitions. She also lists a range of related concerns such as body image, codependency, commitment and communication problems, and feelings of emptiness or shame.
Sessions are described as practical and focused on building habits for clearer thinking and steadier emotion. Rachel aims to help people name automatic reactions, test unhelpful beliefs, and practice small exercises between meetings to reinforce changes.
How therapeutic methods translate to online sessions
Rachel uses approaches that focus on present-moment thinking and on changing automatic thoughts. One method is similar to cognitive behavioral techniques, which involve noticing unhelpful automatic thoughts, testing them, and trying small behavioral experiments to see what changes. This can help with anxiety, stress, black-and-white thinking, and motivation.She also uses mindfulness-based practices and short written exercises between meetings. Mindfulness practices help people notice their thoughts and bodily reactions, which can reduce reactivity and improve sleep or focus. Short writing tasks are used to clarify thinking and track small improvements over time.
Finding the right approach is a collaborative process. The therapist and client will talk about goals, try methods, and adjust what they do together. Rachel aims to help people pick techniques that fit their day-to-day life and personal preferences rather than forcing one method.
The biography does not list specific online session formats, so confirm current options before booking. In general, online work can make it easier to fit therapy into study, work, or busy schedules because it reduces travel time and allows sessions during breaks. It can also permit shorter check-ins or phone-based meetings when bandwidth or a quieter setting is the main concern.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Experience
5+ years
Listed in
New York
Languages
English
Frequently asked questions
What concerns does she commonly work with?
She works with stress, anxiety, relationship issues, self-esteem, career worries, life changes, ADHD, eating and sleeping problems, and intimacy-related concerns.
What is her style in sessions?
Her approach is conversational and casual with occasional humor. She gives direction and practical exercises between sessions.
How much clinical experience does she have?
She has five years of professional work experience, including time in a psychoanalytic clinic and running her own practice called Mental Hygiene.
What are her credentials and location?
She is a New York LMHC and practices in New York.
Does she offer sessions in other languages or to international clients?
Sessions are offered in English and she is not accepting international clients.
Which session formats are available?
Session formats are not specified in the provided biography; confirm current session options before booking.
How does payment and cost work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Choose the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.