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Dr. Sean Spelgatti

Dr. Sean Spelgatti

Pennsylvania

Practical, research-informed counselor for life challenges

  • 11 years' experience
  • English
Continue with Sean

Review online therapy options and next steps on BetterHelp.

Credentials
LPC
License
LPC, Pennsylvania · PC010891; LPC, South Carolina · 11195
NPI
1326517921
Based in
Pennsylvania
  • Goal-focused
  • Research-minded
  • Compassionate listener

About Sean

Dr. Sean Spelgatti is an LPC who brings 11 years of clinical experience to his work. He practices in Pennsylvania and offers support for a wide range of concerns, including stress, anxiety, sleep problems, relationship issues, and addictions. He aims to listen closely and help people find practical steps forward.

He uses a mix of approaches to match what each person needs. That can include acceptance and commitment strategies to clarify values, cognitive behavioral techniques to change unhelpful thoughts and behaviors, and attachment-focused ideas to understand relationship patterns. Sessions often focus on concrete tools and small experiments you can try between meetings.

His background includes outpatient mental health work across a range of settings. Over the years he has worked with individuals and groups and has clinical experience relevant to grief, trauma, parenting strain, and coping with life changes. He also has research experience that informs a problem-solving mindset.

In the room he aims to be adaptable and straightforward. Conversations tend to be collaborative and goal-oriented. He helps people break concerns into manageable steps and track what does or does not help.

People who connect well with him are usually looking for practical strategies and a thoughtful listener. He encourages questions about approach and pacing so therapy fits real life commitments. To begin, follow the site's booking process and complete the matching questionnaire.

How his approach fits into online therapy

Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters to you and taking small steps toward those values while accepting difficult emotions. It can help when worry, avoidance, or sleep problems get in the way of daily life. Cognitive Behavioral Therapy (CBT) looks at how thoughts, behaviors, and feelings interact and uses simple, structured exercises to shift patterns that maintain anxiety, insomnia, or low mood.

Finding the right approach is part of the work. The therapist will collaborate with each person to choose methods that match goals, preferences, and the problems at hand. That may mean combining ACT and CBT tools or using attachment ideas when relationship patterns emerge.

If you are considering online sessions, confirm the exact session formats before booking since options are not listed here. Online therapy can make it easier to fit appointments around work and family life, reduce commuting time, and allow shorter check-ins when days are busy. It can also help people try tools in real-world settings and report back on what worked. Ask about practical scheduling and format details during the matching process so sessions fit into daily routines.

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

Frequently asked questions

What kinds of problems does he address?

He supports people with stress, anxiety, sleep difficulties, relationship and intimacy issues, addictions, grief, trauma, parenting concerns, and many other life challenges listed on his profile.

How would you describe his therapy style?

He aims for a practical and collaborative style that mixes listening with concrete skills and experiments to try between sessions.

What is his professional background?

He has 11 years of clinical experience, with substantial outpatient work and published research that informs a problem-solving approach.

Where is he licensed and based?

He is a Licensed Professional Counselor (LPC) practicing in Pennsylvania with licensure noted for SC LPC and PA LPC in his documentation.

Which languages are available for sessions?

Sessions are offered in English.

Can international clients be seen?

He accepts international clients as noted in his profile.

How are sessions paid for and what does cost look like?

Cost varies with location and therapist arrangements; sessions are provided through a subscription model that can be canceled at any time.

What are the steps to begin working together?

Use the Start Therapy button, complete the short matching questionnaire, and schedule sessions according to the therapist's availability.

Dr. Sean SpelgattiContinue with Sean