Gateway to Solutions

Gateway to Solutions is a comprehensive mental health practice in downtown Manhattan offering goal-oriented psychotherapy, couples counseling, family therapy, and specialized treatments including ketamine-assisted psychotherapy (KAP) and EMDR for trauma. Founded by LCSW John Carnesecchi, the practice provides individual therapy, group therapy, premarital counseling, family planning guidance, career coaching, and mediation services. They specialize in LGBTQ+ affirmative care and serve clients of all ages with anxiety, depression, trauma, relationship issues, and life transitions through both in-person and telehealth sessions.