Gateway to Solutions

Goal-Oriented Psychotherapy, Career Coaching, Mediation, and Family Planning.

Now, for the first time in decades, there is a new choice, a better way to help people live and work well. The power of one. A philosophy and service delivery approach built on a simple premise: it takes a person to help a person. It’s the way GTS enables individuals, couples, families and organizations to prosper and thrive. It’s wellness in a whole new way.

How We Will Support You

Goal Oriented Therapy

GTS practices an integrative and didactic approach to therapy that includes many techniques from the following well- respected orientations: Cognitive/Behavioral (CBT), Gestalt, Freudian, Dialectical Behavioral (DBT), Humanistic, Imago Relationship Therapy and Coaching.

Couples Counseling

Couples Counseling

Figuring out what’s really going on in your relationship should be simple, but it’s not. Problems don’t just suddenly appear — they grow slowly over time, the product of small resentments and miscommunications that grow into a thick web that’s very difficult to untangle on your own. That’s where talking to the right professional can really help.

Career & Leadership Coaching

Many people have given up seemingly secure banking, government jobs etc and have opted for software jobs, creative jobs and even freelance options. All you need then is a bit of courage; a dash of self-belief and some clarity of thought and you can join the band of people who have successfully changed careers.

Family Planning

One of the most exciting times in one’s life is becoming a parent. Very few people go throughout life without some thought about what it would be like to raise a child. GTS helps an individual or couple explore what it means to become a parent. We also help understand conventional, adoption and various fertility options to having a child.


Divorce mediation and custody mediation typically consists of several joint meetings between spouses (or partners if you are not married). During those meetings, you and your spouse discuss the issues that need to be resolved in your case. Contact Gateway to Solution’s New York office today to schedule your consultation!

We Offer Worldwide Teletherapy Via Video and Phone!

Our Professionals

  • John Carnesecchi LCSW, CEAP
    Founder & Director

    John Carnesecchi holds many post-graduate certifications, licenses and/or training in Psychotherapy, IMAGO relationship therapy, Divorce, Family & Labor Mediator, Career Coaching, Employee Assistance (CEAP), Program Development and more.

  • Caroline Brown LMSW, DBT, REBT
    Senior Associate Therapist

    Caroline’s psychotherapy style is tailored to each client’s circumstances and draws from a variety of modalities, including cognitive-behavioral therapy (CBT), rational emotional therapy (REBT), dialectical behavioral therapy (DBT), and psychodynamic therapy.

  • Madeline Weinfeld LCSW
    Senior Associate Therapist

    Madeline Weinfeld has clinical experience working with individuals of all ages. She specializes in anxiety, depression, trauma, self-esteem, women’s issues, career concerns and relationship challenges.

  • Antoinette Bonafede LMSW, DBT, REBT
    Senior Associate Therapist

    Antoinette has worked with several populations and age groups from all walks of life. Antoinette completed her graduate training in the Accelerated One Year Residency Program at Silberman School for Social Work at Hunter College where she completed her degree with distinction. She specialized in mental health service delivery while at the Silberman School.

  • Christina Bradley MS.Ed., DBT, REBT
    Associate Therapist

    Christina Bradley, MS.Ed., DBT, REBT is an experienced mental health professional determined to serve people of all ages and backgrounds looking to improve their quality of life. She specializes in children and adults with anxiety, depression, relationship and family issues, intellectual/developmental disabilities, addiction/substance use, grief, enhancing interpersonal skills/coping skills, career direction, life transitions, and conflict resolution.

  • Debra Carnesecchi Practice Coordinator

    Debra Carnesecchi is Gateway to Solutions’ Practice Coordinator. She brings modern business skills to GTS. Debra is certified in Social Media Marketing and Public Relations Strategy from Cornell University. She specializes in business administration, public relations, customer service, accounting, and social media optimization. She is also an NYS licensed paraprofessional helping special needs and special education students in elementary through high school.

  • Jaxxi
    Jaxxi Emotional Support Cockapoo

    Meet Jaxxi! She is our practice emotional support Cockapoo. She is apricot in color, very affectionate and quite intelligent.  Jaxxi enjoys licking our clients, sitting aside them in session, playing fetch and getting lots of belly rubs.  She always brings a huge smile to all those that meet her.

    Your lap is hers, by the way.  (:

Schedule an Appointment

Office Hours

Monday – Friday: 8:00 am – 10:00 pm