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Dr. Sean Spelgatti

Dr. Sean Spelgatti, LPC

Therapist · Pennsylvania · 11+ years of experience

Practical, values-focused counseling for life transitions

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  • Solution oriented
  • Values based
  • Relationship focus

About Sean

Dr. Sean Spelgatti brings over a decade of counseling experience to his work. He is an LPC practicing in Pennsylvania who focuses on practical help for stress, anxiety, relationships, self-esteem, depression, ADHD, addictions, grief, and midlife concerns. He writes plainly and listens closely to understand what is most pressing for each person.

He built his skills through varied clinical placements during graduate training and in outpatient settings. That background includes individual and group work and time supporting caregivers and people facing chronic illness. He also has experience with adoption and foster care issues, attachment concerns, and body image struggles.

In sessions he blends several approaches to match what a person needs. He uses Acceptance and Commitment Therapy to clarify values and take action, Cognitive Behavioral Therapy to address unhelpful thinking and behavior, and attachment-informed methods to look at relationship patterns. He aims to be adaptable and straightforward when planning next steps.

People who meet him can expect a practical focus on problem solving and skill building. He pays attention to patterns that repeat across relationships and daily life, and helps people test changes in small, manageable steps. The goal is clearer direction and better tools for coping.

Dr. Spelgatti describes himself as a compassionate listener and collaborative partner. To begin, readers are encouraged to follow the site’s Start Therapy flow and complete the brief matching questionnaire to schedule a session.

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 therapy approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people get clear about what matters to them and take actions that align with those values. It can be useful for anxiety, stress, and making life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thoughts and behaviors, which is helpful for depression, anxiety, and sleep or eating difficulties. Attachment-Based Therapy looks at relationship patterns and how early connections shape current interactions, aiding intimacy, trust, and relational conflict.

Choosing the best approach is a team effort. The therapist will work with each person to decide which methods fit their goals and preferences, and may combine techniques where helpful. Clients can expect collaborative planning and adjustments over time as progress is reviewed.

The biography does not specify session formats, so confirm current online options before booking. Online work can make it easier to fit sessions into a busy schedule, reduce travel time, and allow shorter check-ins when needed. It also supports continuity of care for people living in different places, since international clients are accepted. Licensed professionals can adapt exercises, homework, and skill practice to work well in a remote setting while focusing on real-life changes.

Frequently asked questions

What concerns does Dr. Spelgatti address?

He works with a wide range of concerns including stress, anxiety, relationship and self-esteem issues, depression, ADHD, addictions, grief, and coping with life changes such as midlife shifts.

What is his therapeutic style like?

Sessions tend to be practical and collaborative with an emphasis on problem solving, skill building, and understanding relational patterns that influence everyday life.

What background does he bring to therapy?

He has 11 years of clinical experience, with substantial work in outpatient settings and varied graduate-level internships that broadened his hands-on skills.

Which credentials and where does he practice?

He is a Licensed Professional Counselor (LPC) practicing in Pennsylvania and holds LPC credentialing in South Carolina and Pennsylvania as listed.

Can I work with him if I live outside the United States?

International clients are accepted and sessions are conducted in English.

What session formats are offered?

The original biography does not list specific session formats; please confirm current session options before scheduling.

How is cost handled?

Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.

How do I begin working with him?

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

Dr. Sean Spelgatti Online therapy options on BetterHelp

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