01 · Who Rachel works with

Rachel works with stress, Anxiety, relationship issues and self esteem

Rachel lists 12 specialisms and 23 further focus areas. Specialisms are the subjects Rachel chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Rachel's own words

What Rachel says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am licensed therapist in New York with over five years of professional work experience. My work started in a psychoanalytic clinic and from there I started my own practice called Mental Hygiene, which focuses more on present moment, automatic thinking that causes negative reactions and beliefs, similar to Cognitive Behavioral Therapy.

My style is more casual with an occasional sense of humor. I believe that we are all going through small or big shifts and talking through them honestly is a great habit to build. With that said, I'm compassionate and like to give direction and homework between sessions, usually in the form of writing or mindfulness practices. Also, I don't skip over positive moments that happen as those are just as important to train our brain on in terms of communicating them.

My experience with clients generally focuses on stress and anxiety through small or big shifts whether it's relationship issues, motivation, self esteem / confidence, or career difficulties. We are all in the process of scripting our narrative and many times we end up in black or white thinking that leaves us feeling stuck. I'm here to raise the light up to that and encourage thinking about the spectrum between the extremes and to verbalize it, while making sure we keep an eye on the positive things that are happening in your life. It shall be a fun journey if we do it together, fully committed!

Rachel Mariotti, on the BetterHelp listing · read 9 Oct 2026

03 · How Rachel works

The 1 approach Rachel lists, in plain English

These are the clinical methods Rachel lists. The descriptions are Maker Therapy's, not Rachel's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Rachel runs a session.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

04 · What happens next

From this page to a first session

Rachel practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Rachel's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Rachel at this point.

2. Naming Rachel specifically

   BetterHelp matches algorithmically by default, so asking for Rachel is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Rachel.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

2 questions worth asking Rachel

Built from what Rachel actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Rachel's - Rachel has not seen them and is under no obligation to answer any of them.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LMHC

Licensed in

New York

Licence

NY LMHC 013238

Licence number

013238

Licence expires

31 Aug 2028

NPI

1831893809

Years in practice

9

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Rachel's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Rachel. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.