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Welcome to Gateway to Solutions


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

Individual Psychotherapy session

Individual Psychotherapy

Individual therapy can support you in reaching goals or overcoming problems. GTS can help you understand and resolve issues in a confidential, caring and efficient manner. We will help you feel safe and supported while challenging you to grow and move past obstacles. 

couples therapy

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.

Family after therapy

Family Therapy

Family therapy can be a wonderful experience where children and adults blossom. If there is unresolved conflict, hurt feelings, or tension in the household, psychotherapy like family therapy can help.

group therapy session

Group Therapy

In group therapy, approximately 6-10 individuals meet face-to-face with a trained group therapist. During the group meeting time, members decide what they want to talk about.

LGBTQ+ couple holding hands

LGBTQ+ Affirmative Therapy

An LGBTQIA+ affirmative practice that understands and specializes in gender identity, sexual orientation, and minority stress theory. The team at GTS provides a positive, safe space for individuals to work through their challenges.

premarital counseling couple

Premarital Counseling

Marriage is a beautiful milestone in your life. Marriage is when you wholeheartedly connect two lives into one, share what life has to offer, the good and bad, and often have children. Once you are engaged, you’re radiating with positive and happy energy envisioning your life ahead. The last thing you’re thinking of is therapy.

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.

Career Coaches

Career 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.

Mediation breakup therapy session


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!


New on the Blog

Read our monthly blogs published by our therapists on various mental health topics!


  • John Carnesecchi LCSW, CEAP
    Founder & Clinical 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.

  • Mandolin Moody LMSW, DBT, CBT, REBT
    Associate Therapist

    Mandolin brings extensive experience to her work with individuals striving for personal growth and realizing their full potential, overcoming any barriers they may encounter.

  • Valerie Kowalski LMSW, DBT, CBT, REBT
    Associate Therapist

    Valerie is a clinician with extensive experience working with clients from diverse backgrounds. She graduated with her Master’s in Social Work from the University of Michigan School of Social Work, specializing in interpersonal and humanistic practice. She has expertise in REBT, CBT, and DBT therapies.

  • Jamie Downie LMSW, DBT, CBT, REBT
    Associate Therapist

    Jamie leads through an integrative strengths-based approach based on the clients needs. His therapeutic style centers the relationship with the client at the core and introduces tailored interventions for each client’s personal journey and goals. It draws from a variety of modalities, including cognitive-behavioral therapy (CBT), dialectical behavioral therapy (DBT), acceptance and commitment therapy (ACT), motivational interviewing, and psychodynamic therapy.

  • Christina Bradley MS.Ed., DBT, CBT, 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.

  • Antoinette Bonafede LMSW, DBT, CBT, REBT
    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.

  • Caroline Grace Brown LMSW, DBT, CBT, REBT
    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.

  • Debra Carnesecchi Practice Manager - (John's sister, not wife;)

    Debra Carnesecchi is Gateway to Solutions’ Practice Manager. 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.

  • Amanda Mahon
    Amanda Mahon Community Outreach Coordinator

    Amanda Mahon is the Community Outreach Coordinator at Gateway to Solutions. Currently pursuing her undergraduate degree at Ithaca College, she will graduate in May 2024 with a Bachelor of Science in Applied Psychology, complemented by a minor in Sport and Exercise Psychology.

  • Jaxxi
    Jaxxi C.U.T.E., 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.  (:

What GTS Clients Say About Us!

  • Antoinette is one of the most wonderful, and amazing women I have ever had the pleasure of speaking with. She is cheery, accountable, and brilliant. She led the therapy space with a presence that never felt overbearing or judgmental, she was always honest with me and inspired a level of accountability within myself and my past that I greatly needed. She cracked jokes where appropriate to lighten the mood, she would tell me personal stories so that I never felt alone with what I was going through. She would even remember the little details that I was sure she'd forget, but never did.

  • My experience with Gateway to Solutions has been nothing short of exemplary. John has created such a safe environment for me to explore and express my goals and emotions, along with Caroline and Antionette who have been there to support me when needed. I cannot speak highly enough when reflecting back on my journey with this practice.

  • I have seen several therapists in my lifetime, but after seeing John for over 6 years I can say without a doubt that John and his team are by far the most professional, caring, and knowledgeable people I have ever interacted with!

  • My experience at Gateway to Solutions has been nothing short of wonderful. Not only has my therapy been incredibly effective and fitting to my particular needs, but the team has been patient, understanding, and kind with me–including when it comes to financial concerns. Christina Bradley is by far the best therapist I've ever worked with, and I have made so much progress under her attentive care and guidance. She has been incredibly adaptive to my unique identity, and her holistic approach to therapy has left me in a better place than I have been in years. I strongly recommend pursuing your mental health journey at GTS!”

  • John and the entire GTS team has played an integral role in my trauma recovery over the past four years. The road to finding the "right" therapist can be daunting, but from the moment I spoke to John on the phone, I knew I was in good hands. Every person that I have referred (and there have been many!) has had nothing but positive experiences. I am so grateful to have found GTS, I truly don't know where I would be today without them.

  • Caroline has been an absolute dream to work with. I was really struggling with my OCD and intrusive thoughts when I started seeing her in April of 2022, and she has helped me tremendously. I feel so comfortable talking to her about anything, and she always provides good insight and techniques to help with whatever I am dealing with. She has such a warm and caring personality that I really value in a therapist. I am so happy I found her and will continue to see her!


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