Therapist
Dr. Sean Spelgatti
LPC
Practical counselor focused on real-life solutions
Continue with Sean
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Step 1
- Goal focused
- Practical skills
- Compassionate listener
About Sean
Dr. Sean Spelgatti is an LPC (Licensed Professional Counselor) with 11 years of experience. He practices in Pennsylvania and works with adults on a wide range of concerns. He writes plainly and aims to be a steady, problem-solving presence for people facing hard moments.
He takes a whole-person approach and draws on several therapeutic styles to meet each person's needs. Sessions focus on clear goals, practical steps, and learning skills that help in day-to-day life. He listens first, then helps create a plan that fits the person's situation and priorities.
Many people bring stress, anxiety, depression, relationship strain, parenting strain, grief, trauma, or challenges like ADHD and addictions. He also supports people dealing with body image, blended family issues, chronic illness, caregiver stress, and work-related burnout. He pays attention to how attachment and past losses affect current behavior.
His work blends evidence-informed methods such as cognitive behavioral techniques, acceptance-based strategies, and attachment-focused ideas. He aims to make therapy collaborative and understandable. Sessions move at a practical pace, with room to process feelings and practice new ways of responding.
If someone is unsure where to start, he helps narrow focus and set small, doable steps. He encourages people to bring real-life problems and to test what works between sessions. The goal is clearer thinking, better emotional balance, and more confidence managing everyday challenges.
He takes a whole-person approach and draws on several therapeutic styles to meet each person's needs. Sessions focus on clear goals, practical steps, and learning skills that help in day-to-day life. He listens first, then helps create a plan that fits the person's situation and priorities.
Many people bring stress, anxiety, depression, relationship strain, parenting strain, grief, trauma, or challenges like ADHD and addictions. He also supports people dealing with body image, blended family issues, chronic illness, caregiver stress, and work-related burnout. He pays attention to how attachment and past losses affect current behavior.
His work blends evidence-informed methods such as cognitive behavioral techniques, acceptance-based strategies, and attachment-focused ideas. He aims to make therapy collaborative and understandable. Sessions move at a practical pace, with room to process feelings and practice new ways of responding.
If someone is unsure where to start, he helps narrow focus and set small, doable steps. He encourages people to bring real-life problems and to test what works between sessions. The goal is clearer thinking, better emotional balance, and more confidence managing everyday challenges.
Step 2
Areas of expertise
Primary focus
Also works with
AddictionsFamily conflictsTrauma and abuseGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue
Additional focus areas
AbandonmentAdoption and foster careAging and geriatric issuesAntisocial personalityAttachment issuesAutism and Asperger SyndromeAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGuilt and shameHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaSomatizationTrichotillomaniaWomen's issuesWorkplace issuesYoung adult issues
Therapeutic approaches
Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyGottman MethodImago Relationship TherapyJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family Systems
Experience
11+ years
Credentials
Pennsylvania, South Carolina
Languages
English
Step 3
Therapeutic approaches and online care
Dr. Spelgatti uses approaches that focus on both thoughts and connection. Cognitive Behavioral Therapy, or CBT, looks at unhelpful thinking and teaches specific skills to change patterns that maintain anxiety, depression, or difficulty sleeping. Acceptance and Commitment Therapy, known as ACT, helps people make room for tough feelings while focusing on values and small actions that move life forward. Attachment-Based Therapy pays attention to how early relationships shape current hopes and fears and can help with intimacy, relationship strain, and patterns that repeat.Finding the right approach is part of the work. He will talk with each person about their goals and preferences, and decide together which methods to try first. That collaborative process helps keep sessions focused and relevant to everyday life.
Session formats are not listed here, so confirm available options before booking. Online therapy can make it easier to fit sessions into a busy schedule, shorten travel time, and allow check-ins from different locations. It can also let people move at a pace that fits their routine and use written or verbal exercises between meetings to practice new skills.
Step 4
Frequently asked questions
What concerns does he help address?
He works with a wide range of issues including stress, anxiety, depression, relationship and intimacy concerns, parenting challenges, ADHD, addictions, trauma, grief, and coping with life changes.
How would you describe his therapy style?
His style is collaborative and practical. He listens closely, sets clear goals, and uses skills-based work alongside processing emotions.
What is his professional background?
He has 11 years of clinical experience, primarily in outpatient mental health settings, and brings research-informed problem solving to clinical work.
What credentials and location should I know about?
He holds LPC credentials in Pennsylvania and practices there.
Can I work with him if I live outside the United States?
He accepts international clients. Sessions are offered in English.
Which session formats are available?
Session formats are not specified here; please confirm current session options before booking so you know what is offered.
How are fees and payments handled?
Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin therapy with him?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.
Step 5