- Years in practice
- 11
- Credentials
- LPC
- Licensed in
- Pennsylvania, South Carolina
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Relationship issues
- Focus
- Self esteem
About Sean
Dr. Sean Spelgatti begins with a clear professional path that blends counseling theory and practical experience. He is a licensed professional counselor, LPC, with 11 years of clinical work.
He brings a problem-solving mindset and a focus on whole-person care to sessions. He favors straightforward conversations and active listening. Sessions tend to focus on concrete steps that people can try between meetings.
Sean uses goal-focused strategies alongside attention to relationships and emotional patterns.
Background and approach
His background includes extensive outpatient mental health work and clinical internships during graduate training. That experience exposed him to many presenting concerns, including stress, anxiety, depression, ADHD, addictions, trauma, grief, and parenting challenges. He has also contributed to published research in psychology.
In practice he draws on several therapeutic styles. Cognitive Behavioral Therapy helps identify and change unhelpful thinking and behavior. Acceptance and Commitment Therapy supports people in clarifying values and taking committed action.
Attachment-informed ideas are used when relationship patterns matter. People looking for help with parenting-related stress, relationship strain, or life transitions may find his approach practical and direct. He aims to partner with each person to build coping skills and clearer choices.
The work is collaborative and tailored to what the client wants to accomplish.
What Sean works with
Everything Sean lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Sean helps people with.
- 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
Approaches Sean lists
- 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
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How therapeutic approaches translate to online care
Acceptance and Commitment Therapy (ACT) helps people identify what matters to them and take small steps toward those values while learning to live with difficult thoughts and feelings. It is often useful for stress, anxiety, and life changes. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thoughts and testing different behaviors to reduce distress and improve daily functioning. It is practical for anxiety, depression, and sleep or eating problems. Attachment-Based Therapy looks at patterns in relationships and how past bonds shape current reactions; it can be helpful for intimacy-related issues and family dynamics.Finding the right approach is part of the work. The therapist will discuss goals and preferences, then try methods that fit the person's needs. Sessions are collaborative, with choices adjusted over time based on what helps most.
Online therapy offers flexible ways to meet. Video calls allow face-to-face conversation and visual cues, phone sessions work when bandwidth or screen time is limited, and live chat or text messaging make brief check-ins and ongoing support easier. These options let people fit sessions into work, caregiving, or travel schedules while keeping therapy consistent and accessible.
Questions people ask about Sean
What issues does he help with?
He works with a wide range of concerns including stress, anxiety, depression, ADHD, addictions, trauma, grief, parenting challenges, relationship and intimacy issues, sleep and eating concerns, and career-related stress.
How would you describe his therapeutic style?
His style is collaborative and practical. He listens closely, helps set clear goals, and offers step-by-step strategies that people can try between sessions.
What kind of experience does he have?
He has 11 years of clinical experience, mostly in outpatient mental health settings, and completed internships at the graduate level that broadened his clinical exposure.
Where is he licensed and based?
He holds State Licensed Professional Counselor credentials in Pennsylvania and practices from that location.
Which languages are supported in sessions?
Sessions are offered in English, and he accepts international clients.
What session formats are available?
He offers multiple remote formats including video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How are sessions paid for?
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 him?
Start by selecting the Start Therapy button, complete the short matching questionnaire, and schedule sessions according to therapist availability.
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