About Sean
Dr. Sean Spelgatti is a licensed professional counselor with 11 years of clinical experience. He practices from Pennsylvania and helps people facing stress, anxiety, depression, relationship struggles, and many other concerns.
He also supports people dealing with grief, trauma and abuse, addictions, ADHD, and challenges around eating and sleeping. He uses a mix of practical strategies and thoughtful conversation. Sessions focus on what matters most to each person.
He listens closely, asks clear questions, and helps people name what they want to change.
Background and approach
This makes goals easier to reach and progress easier to track. His background includes work in outpatient mental health settings. Over the years he has worked with individuals and with groups, and he has experience across a wide range of issues.
He brings an analytical mindset and attention to detail when planning treatment steps. Dr. Spelgatti draws on a few different approaches to match what a person needs.
He commonly uses Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Attachment-Based techniques, Dialectical Behavior Therapy ideas, and client-centered methods. He tailors tools to each person rather than using one fixed method. People who do best with him tend to want clear steps and real-world tools.
He supports parents who need help with parenting stress, people coping with career or life changes, and those managing complex medical or caregiving strains. Communication is direct but warm, and sessions aim to be practical and focused.
How evidence-based approaches translate to online care
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without being driven by them, and then commit to actions that match their values. It can help with anxiety, depression, and life changes by shifting attention toward meaningful behaviors. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and practicing small behavior changes to reduce symptoms like worry, low mood, and sleep problems. It works well for stress, anxiety, and depression. Attachment-Based Therapy looks at how early relationship patterns affect current connections and emotional responses, and it can help people improve intimacy-related concerns or attachment issues.Finding the right approach is part of the work. Dr. Spelgatti will collaborate with each person to choose methods that fit their goals, values, and daily life. Together they review what helps most and adjust the plan as progress is made.
Online therapy can make regular care easier to fit into a busy life. Video calls let people use visual cues and maintain a closer sense of connection. Phone sessions can be a good option when a shorter check-in or lower bandwidth is needed. Live chat and text-based messaging are useful for quick reflections, homework check-ins, or when a written exchange feels more comfortable. These options offer flexibility for managing therapy around work, caregiving, or health needs.
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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