Rachel Mariotti, LMHC

Rachel Mariotti is a New York licensed mental health counselor (LMHC) with five years of clinical experience. She works with adults facing stress, anxiety, depression, relationship strain, career questions, self-esteem struggles, ADHD concerns, and life changes. Rachel describes her practice as present-focused and practical, and she often gives writing or mindfulness exercises between sessions.

Her clinical background began in a psychoanalytic clinic, and she later opened a private practice called Mental Hygiene. Over time she shifted toward techniques that address automatic thoughts and immediate reactions. She likens this work to Cognitive Behavioral Therapy and aims to help people notice patterns that keep them stuck.

Sessions are conversational and often casual, with occasional humor. Rachel asks direct questions, points out thinking traps like black-or-white reasoning, and highlights positive moments when they occur. She uses short between-session tasks to reinforce new ways of thinking and acting.

Rachel typically helps people who are navigating relationship problems, career transitions, motivation blocks, and shifts in identity or daily routine. She also addresses eating- and sleep-related issues and intimacy concerns. In practice she pays attention to attachment and communication patterns that affect how people relate to others.

Her way of working is collaborative: she invites clients to name what matters and then practices concrete steps in session. People who prefer clear feedback, written exercises, and moment-to-moment thinking work may find her approach a fit. All sessions are conducted in English and take place in New York.

Evidence-based techniques and remote sessions