About Sean
Dr. Sean Spelgatti is a licensed professional counselor (LPC) based in Pennsylvania with 11 years of clinical experience. He emphasizes practical, goal-focused work and listens closely to what matters to each person.
He aims to help people who are stressed, anxious, or struggling with relationships and self-esteem. He uses straightforward conversation and problem-solving in sessions. People can expect clear strategies for managing anxiety, coping with life changes, and improving sleep or daily routines.
Background and approach
He also addresses issues like addiction, grief, parenting strain, and burnout from caregiving or work. Dr. Spelgatti draws on cognitive-behavioral techniques to change unhelpful thinking and behavioral patterns.
He also uses acceptance and commitment ideas to help people clarify values and take meaningful action. Attachment-informed perspectives guide work on relationships and intimacy. His style is collaborative and adaptive.
He works with individuals using methods that fit the person rather than forcing a single model. Sessions focus on practical steps, skill-building, and creating small changes that add up over time. Clients may find his approach useful when facing complicated life stress, bipolar mood concerns, or challenges tied to identity and body image.
He also offers support around parenting, adoption and foster care matters, chronic illness, and career stress. Dr. Spelgatti aims to help people move from feeling stuck to making steady, usable progress.
Therapeutic approaches for online anxiety work
Dr. Spelgatti often uses cognitive behavioral therapy and acceptance and commitment therapy in online sessions. CBT focuses on identifying unhelpful thoughts and changing behaviors to reduce anxiety and improve mood. Acceptance and commitment therapy helps people notice difficult feelings, clarify what matters to them, and take small actions that match their values.He also brings an attachment-informed perspective to relationship and intimacy concerns. This approach looks at how past connection patterns shape current interactions and helps people try new ways of relating that reduce anxiety and conflict.
Finding the right approach is part of the process. He partners with each person to decide which methods fit their goals and preferences. That collaborative planning can change over time as needs shift and progress is made.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make care more flexible. Video is useful for full sessions with visual cues, while phone can be simpler when bandwidth is limited. Live chat or text messaging work well for shorter check-ins, coaching-style support, or when writing out thoughts feels easier. These options help people fit sessions into busy days and different routines.
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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