About Sean
Dr. Sean Spelgatti is a Licensed Professional Counselor with 11 years of clinical experience. He practices in Pennsylvania and works with adults on concerns like stress, anxiety, depression, ADHD, relationship struggles, and life transitions.
He presents a calm, problem-solving approach and aims to make therapy straightforward and useful. He favors clear, practical conversations. Sessions focus on what is getting in the way now and on simple strategies that fit daily life.
Background and approach
He listens for patterns and helps people try small changes that can make a noticeable difference in how they function and feel. Dr. Spelgatti draws from several therapy methods to match each person’s needs.
He uses acceptance and commitment ideas to clarify values and build willingness to act. Cognitive behavioral tools help identify and change unhelpful thoughts and behaviors. Attachment-based perspectives look at how early relationships shape current worries and closeness with others.
He has worked across outpatient settings and brings that variety into how he plans treatment. That background includes supporting people with trauma, grief, addiction concerns, parenting stress, chronic illness, and career-related difficulties. He aims to integrate practical skills with a respectful, person-centered attitude.
Therapy with him is collaborative. He helps people set reachable goals, track progress, and adjust strategies along the way. Sessions can include coaching-style feedback, skill practice, and talk-based exploration to support everyday functioning and longer-term growth.
How therapeutic approaches work online
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small committed steps toward those values despite difficult thoughts or feelings. It is useful for anxiety, stress, and motivation challenges. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and behaviors and practicing alternative ways of thinking and acting to improve mood and functioning. It suits worries, depression, and ADHD-related routines. Attachment-Based Therapy looks at patterns in close relationships and helps people develop healthier ways of relating to others and to themselves.Finding the right approach is part of the work together. The therapist will discuss options, try techniques, and adjust based on what the person finds helpful. Decisions about methods and homework are collaborative and guided by your goals and daily life demands.
Online therapy is offered via video calls, phone sessions, live chat, or text-based messaging to fit different needs. Video is good for face-to-face conversation and visual cues, phone can be easier when bandwidth is limited, live chat works for brief check-ins, and messaging supports ongoing reflection between sessions. These options make scheduling easier and let people use formats that suit their routines and energy levels.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Self esteem
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Gottman Method
- Imago Relationship Therapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Experience
- 11 years
- Licensed
- Pennsylvania, South Carolina
- Languages
- English
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