Rachel Mariotti, LMHC

Rachel Mariotti is a New York licensed therapist and an LMHC - a Licensed Mental Health Counselor - with over five years of clinical experience. She trained in a psychoanalytic clinic early in her career and later founded a private practice called Mental Hygiene that prioritizes work in the present moment and attention to automatic thoughts and beliefs. Her approach draws on techniques similar to cognitive behavioral therapy, focusing on patterns of thinking that trigger negative reactions and on practical strategies to shift those patterns.

Rachel brings a casual, approachable manner to sessions and often uses gentle humor to put clients at ease. She combines compassion with clear direction, regularly assigning short between-session work such as writing prompts or mindfulness exercises to reinforce progress. She also intentionally highlights positive moments so clients can learn to recognize and communicate strengths and successes as part of change.

Her practice commonly supports people facing stress and anxiety during major or minor life shifts, including relationship challenges, motivation blocks, self-esteem concerns, and career difficulties. Rachel helps clients move away from rigid black-or-white thinking toward a more nuanced, spectrum-based view, encouraging verbalization of experiences and consistent attention to positives. She invites clients to engage collaboratively and commits to a supportive, goal-oriented journey together.

Evidence-Based Techniques for Online Care

Rachel commonly uses cognitive behavioral strategies that focus on identifying automatic thoughts and testing unhelpful beliefs. This approach helps clients break cycles of anxiety, low motivation, and rigid thinking by practicing new ways of interpreting situations and experimenting with small behavioral changes.

She also integrates mindfulness-based practices that emphasize present-moment awareness and simple attention exercises. These practices support regulation of stress and can complement cognitive work by helping clients notice thought patterns without immediate reactivity.

Choosing the right approach is collaborative and part of therapy itself. Rachel works with clients to clarify goals, assess what feels most useful, and adjust techniques over time so the plan matches each personâs needs and preferences.

Online sessions are offered through video calls, phone, live chat, or text-based messaging to increase flexibility and accessibility. These options make it easier to fit therapy into busy schedules, continue work through life transitions, and maintain momentum between in-person commitments while working with licensed professionals and therapists.