About Rachel
Rachel Mariotti is a licensed mental health counselor (LMHC) based in New York. She brings five years of clinical experience and a down-to-earth style to conversations about stress, anxiety, and life transitions. Rachel’s approach grew out of work in a psychoanalytic clinic and has shifted toward present-moment thinking and automatic thoughts that drive negative reactions.
She draws on evidence-based therapeutic techniques similar to cognitive behavioral methods to help people notice thought patterns and test new ways of responding.
How Rachel works
Sessions are casual and often include a touch of humor to ease difficult topics. Rachel gives clear direction and practical takeaways, including short writing prompts and mindfulness exercises to practice between meetings. She also highlights positive moments to help retrain how people notice what’s working in their lives.
Common concerns she addresses include stress, anxiety, depression, sleep and eating struggles, relationship and intimacy-related issues, self-esteem and career setbacks, and challenges around focus or ADHD. Additional areas of focus include body image, communication problems, guilt and shame, impulse control, and blended family issues. Rachel describes therapy as a collaborative process.
She helps people move out of black-or-white thinking into a broader view, and she encourages concrete steps and small experiments that build confidence over time.
What Rachel works with
The areas below are the ones Rachel selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Self esteem
Also listed
- ADHD
- Antisocial personality
- Attachment issues
- Avoidant personality
- Blended family issues
- Body image
- Career difficulties
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Guilt and shame
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Paranoia
- Post-traumatic stress
- Sexual dysfunction
- Sleeping disorders
- Social anxiety and phobia
- Young adult issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 5 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New York |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Evidence-based techniques for online healing
Rachel uses approaches that focus on noticing automatic thoughts and testing new behaviors. One common strand is similar to cognitive behavioral methods, which involve identifying unhelpful thinking patterns and practicing alternative responses to reduce stress and anxiety. This approach is often useful for sleep and eating concerns, low mood, and worry.She also incorporates mindfulness practices to help people ground in the present moment and reduce reactivity. Simple breathing or short writing exercises are used between sessions to build new habits and increase awareness of how thoughts influence feelings and actions.
Finding the right approach is part of the work. Rachel collaborates with each person to choose techniques that match their goals and preferences, and she adapts plans over time based on what feels most helpful. Therapy is a team effort to try small experiments and learn from the results.
Online sessions are offered by video call, phone, live chat, or text-based messaging to fit different needs. Video calls are good for a full, face-to-face conversation, phone sessions work well when bandwidth is limited, chat can be used for shorter check-ins, and messaging lets people share thoughts between meetings. These options make it easier to fit therapy around work, family life, and daily routines.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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