- Focus on thoughts
- Behavioral tools
- Collaborative planning
About Sean
Dr. Sean Spelgatti is a licensed professional counselor who brings 11 years of clinical experience to his work. He focuses on practical difficulties people face each day, including stress, anxiety, relationships, attention concerns, and changes that feel overwhelming. He aims to listen closely and help people find clear, usable steps forward.
He uses several evidence-informed approaches that suit different needs. Sessions often look at thoughts and everyday habits and how small changes can reduce distress. He draws on cognitive and acceptance-based ideas to help people notice unhelpful patterns and try different responses.
His background includes extensive outpatient experience across varied settings. That work exposed him to a wide range of concerns such as trauma, grief, substance issues, sleep and eating concerns, and caregiving strain. He also has research experience and says he pays attention to practical problem solving.
In session he aims to be adaptable and direct. He focuses on what will help someone make progress day to day, whether that means coping tools, behavior changes, or shifting difficult thoughts. He describes himself as a strong listener who helps people see through layers of difficulty to workable solutions.
People considering therapy can expect a straightforward style that balances exploration with skills and action. He helps people identify small experiments and routines that fit into busy lives, and he checks in on what is and isn't working as therapy moves forward.
He uses several evidence-informed approaches that suit different needs. Sessions often look at thoughts and everyday habits and how small changes can reduce distress. He draws on cognitive and acceptance-based ideas to help people notice unhelpful patterns and try different responses.
His background includes extensive outpatient experience across varied settings. That work exposed him to a wide range of concerns such as trauma, grief, substance issues, sleep and eating concerns, and caregiving strain. He also has research experience and says he pays attention to practical problem solving.
In session he aims to be adaptable and direct. He focuses on what will help someone make progress day to day, whether that means coping tools, behavior changes, or shifting difficult thoughts. He describes himself as a strong listener who helps people see through layers of difficulty to workable solutions.
People considering therapy can expect a straightforward style that balances exploration with skills and action. He helps people identify small experiments and routines that fit into busy lives, and he checks in on what is and isn't working as therapy moves forward.
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
How approaches like ACT and CBT can work online
Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them, then choose actions that match their values. It can be useful for anxiety, depression, and patterns that limit daily functioning. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with small behavioral experiments to reduce distress and build better routines. CBT is often used for anxiety, mood, and sleep or eating concerns.Finding the right approach is part of the process. The therapist works collaboratively to pick methods that match a person's goals, needs, and preferences. That means checking in early, trying approaches, and adjusting based on what helps most.
Confirm the specific session options before booking, since formats are not listed in the biography. Online work can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and remove travel time. It also lets people use practical tools together in the moment, such as real-time behavior experiments or worksheets, while keeping focus on thoughts and everyday habits that matter most.
Frequently asked questions
What issues does this therapist address?
He works with a wide range of concerns including stress, anxiety, relationships, self-esteem, depression, ADHD, addictions, grief, trauma and many life changes.
How would you describe the therapy style?
Therapy is practical and conversational with attention to thoughts and daily habits. Sessions mix listening, skills practice, and short experiments to try outside sessions.
What kind of experience does he have?
The therapist has 11 years of clinical experience, mainly in outpatient mental health settings, and brings research-informed problem solving to clinical work.
What credentials and where is he licensed?
He holds the LPC credential and is licensed as a State Licensed Professional Counselor in Pennsylvania and also holds a Pennsylvania LPC designation.
Can I work with him if I live outside the US?
Sessions are offered in English and he does accept international clients.
What session formats are available?
Please confirm current session format options before booking, as the biography does not specify which formats are used.
How much do sessions cost?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working together?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling according to the therapist's availability.