About Sean
Dr. Sean Spelgatti is a licensed professional counselor (LPC) who draws on 11 years of clinical experience. He describes himself as a careful listener who looks for practical solutions.
He focuses on helping people manage stress, anxiety, mood concerns, relationship problems, and life transitions. He uses a mix of methods rather than a single formula. Sean often blends Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and attachment-based ideas to suit each person's needs.
Background and approach
Sessions aim to be straightforward - identify problems, try small changes, and build skills people can use between meetings. People come to him for a wide range of concerns including depression, ADHD, addictions, grief, trauma, and intimacy-related issues. He also works with parenting stress, career concerns, sleep and eating difficulties, chronic illness, and caregiving strain.
He pays attention to how past attachments and family patterns shape current struggles. His background includes extensive outpatient practice and research in counseling. That experience informs a practical, problem-solving style that still leaves room for empathy and relationship work.
He prefers short, clear goals and follows progress over time. Sessions are offered from Pennsylvania and available to English-speaking clients, including international clients. He provides multiple online formats so people can choose what fits their schedule and lifestyle.
Approach-driven care through online sessions
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and reconnect with personal values. It teaches simple, practical exercises to reduce avoidance and increase meaningful action for issues like anxiety and depression.Cognitive Behavioral Therapy (CBT) focuses on the link between thoughts, feelings, and actions. It uses clear tools and experiments to test beliefs, change unhelpful patterns, and build coping skills for mood, sleep, and stress problems.
Attachment-Based Therapy looks at how early relationships shape current patterns. Working together, the therapist and client identify relational triggers and practice new ways of connecting and communicating that can help with intimacy and family concerns.
Finding the right approach is part of the process. Sean works collaboratively to match methods to a person's goals, needs, and preferences. He checks in about what is or isn't helping and adjusts the plan as progress unfolds.
Online therapy offers practical flexibility. Video sessions allow face-to-face conversation and skill demonstrations. Phone sessions are useful when bandwidth is limited or a quieter check-in is needed. Live chat and text messaging make brief check-ins and between-session support easy to fit into a busy day. These options help people access consistent care without reshuffling their whole schedule.
Questions people ask
What issues does he help with?
What is his therapeutic style like?
How much clinical experience does he have?
What credentials and location apply to this therapist?
Which languages and client regions are supported?
What session formats are available?
How does cost and billing work?
How do I begin working together?
What this counselor 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