Dr.
01About Sean
Dr. Sean Spelgatti brings 11 years of counseling experience to his work in Pennsylvania. He is a State Licensed Professional Counselor - LPC.
He keeps language simple and focuses on practical steps that help people feel steadier in daily life. He works with stress, anxiety, depression, relationship and intimacy concerns, and self-esteem struggles. He also supports people dealing with ADHD, addictions, grief, trauma and abuse, and major life changes.
His list of interests extends to career questions, parenting strain, sleep and eating issues, chronic illness, and caregiver stress.
Background and approach
His approach blends several well-known methods into straightforward conversations and exercises. He uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help people notice thoughts and take useful action. Attachment-based ideas and client-centered listening guide how he talks about relationships and feelings.
Sessions aim to identify clear goals and next steps. He often focuses on skills people can practice between meetings, such as emotion regulation strategies from Dialectical Behavior Therapy or behavioral experiments from CBT. He also pays attention to personal history when attachment or abandonment issues arise.
Dr. Spelgatti adapts to different modes of online work and to a range of life situations. He frames therapy as a team effort and helps people choose strategies that fit their daily routines.
Practical problem solving and steady support are central to his style.
02Credentials
- LPC (Pennsylvania)
- License PC010891 · expires February 2027
- LPC (South Carolina)
- License 11195 · expires August 2027
- NPI
- 1326517921 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Sean lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Relationship issues
- Self esteem
- Depression
- ADHD
- Addictions
- Family conflicts
- Trauma and abuse
- Grief
- Intimacy-related issues
- Eating disorders
- Sleeping disorders
- Parenting issues
- Anger management
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Coaching
- Compassion fatigue
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Postpartum depression
- Post-traumatic stress
- 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
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Trichotillomania
- Women's issues
- Workplace issues
- Young adult issues
Methods Sean names
- 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
These are the methods Sean names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.
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04Online support
How therapeutic approaches translate to online care
Acceptance and Commitment Therapy helps people notice their thoughts and choose actions that match their values instead of getting stuck in struggle. It can be useful for anxiety, depression, stress, and motivation problems. Cognitive Behavioral Therapy focuses on the link between thoughts, feelings, and actions and uses simple exercises to test ideas and try new behaviors, which helps with mood, sleep, and worry.Choosing the right approach is part of the work. The therapist will talk with each person about goals and preferences and together decide which methods to try. That collaborative process lets techniques be adjusted as progress is made and new needs appear.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs. Video is useful for face-to-face conversations and demonstrations. Phone sessions can work when bandwidth is limited or a camera is not desired. Live chat or text can be a shorter check-in or a way to process between longer appointments. These options make it easier to keep therapy consistent alongside school, work, caregiving, or medical demands.
05Questions people ask
What kinds of concerns does this therapist address?
He helps people with stress, anxiety, depression, relationship and intimacy issues, ADHD, addictions, trauma, grief, and many life changes. Additional focuses include caregiving stress, chronic illness, body image, and career concerns.
What is the therapist's general style in sessions?
Sessions are practical and collaborative with clear goals and skill practice. The therapist listens closely and pairs supportive feedback with exercises people can use between appointments.
How much clinical experience does this counselor have?
The therapist has 11 years of experience working in outpatient mental health and related settings.
What credentials and location are listed for this professional?
He is a State Licensed Professional Counselor - LPC, practicing from Pennsylvania with licenses noted for SC LPC and PA LPC.
Are sessions offered in other languages or internationally?
Sessions are offered in English, and international clients are accepted.
What session formats are available?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging.
How are fees and billing handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with this therapist?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling according to therapist availability.
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