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.

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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.

Mediation

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 & 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.

  • Danielle Dellaquila LMSW, CBT, DBT, REBT
    Associate Therapist

    Danielle specializes in working with adults, adolescents, and children struggling with anxiety, depression, trauma, PTSD, relationship, family issues, eating disorders, self-harming behaviors, suicidality, ADHD, and an autism spectrum disorder. She completed her Masters’s in Social Work at Columbia School of Social Work, graduating with the Advanced Clinical Practice track with a concentration on health, mental health, and disabilities.

  • Christina Bradley Ms. ed., DBT, CBT, REBT
    Senior 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 Administrator - (John's sister, not wife;)

    Debra Carnesecchi is Gateway to Solutions’ Practice Administrator. 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 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.  (:

See What GTS Clients Say

  • Mandolin has expertly helped me manage a difficult transitional period in my life and has shown immense care every step of the way. She is by far the best therapist I’ve ever worked with, as she not only creates a safe space that allows me to be open, but also helps me come up with realistic steps I can take and holds me accountable for the work I need to do to improve myself. My life has significantly improved over the past year, and I wouldn’t be where I am now without Mandolin.

    D.A.
  • Danielle is such a warm and conscientious provider; she has been wonderful to work with! In all our sessions, she is extraordinarily attentive, patient, and kind. I have always felt supported and safe to explore. In my opinion, one of her great strengths as a therapist is her ability to balance openness to new skills or exercises with a more structured commitment to my larger goals. I've grown so much during our time and can't recommend her enough. The practice itself is transparent and very helpful regarding insurance and copays. The office space is pristine and in a beautiful building!

    A.W.
  • Christina Bradley is an outstanding therapist, and I’ve never been able to give such a confident recommendation to a health care professional as I can for her. During our first session, she created an incredibly safe space to share and provided incredible guidance. I could tell she cared and was incredibly knowledgeable. It’s tough to find the right therapist, so this felt like winning the lottery. I worked with her for over 8 months, and I couldn’t be more pleased with the process. I’ve learned so much from Christina and hope others have the opportunity to experience the same.

    L.C.
  • Mandolin is amazing. She has helped my daughter change her perspective on things that used to challenge her. She's also helped my daughter think more positively about fraught situations and identify her emotions, so she can communicate and manage them effectively. Overall, Mandolin is a really great person.

    N.M.
  • 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!”

    S.N.W.

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Office Hours

Monday – Friday: 8:00 am – 10:00 pm

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