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.


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
    Senior 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
    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.

  • 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

  • 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.


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Office Hours

Monday – Friday: 8:00 am – 10:00 pm

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