About Sean
Dr. Sean Spelgatti is a Licensed Professional Counselor practicing in Pennsylvania with 11 years of experience. He brings a practical, problem-solving mindset to sessions and focuses on helping people manage stress, anxiety, relationship struggles, and life transitions.
He speaks English and offers online work with international clients. He draws on a range of approaches to tailor care to individual needs. In sessions he listens carefully, helps people identify what matters to them, and teaches skills to manage difficult thoughts and emotions.
How Sean works
He also addresses concerns like ADHD, addictions, grief, trauma, sleep and eating issues, and parenting strain. His background includes substantial outpatient experience. That work involved individual and group care across many concerns, which shaped a flexible style that mixes technique with practical problem solving.
He emphasizes clear goals and step-by-step strategies people can try between sessions. People can expect a collaborative tone in sessions. Dr.
Spelgatti works to understand each person’s situation and values, then adjusts methods to fit those priorities. He aims for straightforward conversations and concrete tools for coping, relating, and decision making. He also focuses on attachment matters, self-esteem, compassion fatigue, and career or life-change coaching.
His approach suits those who want a thoughtful, methodical counselor who balances listening with active coaching and skills practice.
Sean lists 18 ways of working on the entry:
- 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
What Sean works with
The areas below are the ones Sean selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- 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
Training and background
| Register | LPC |
|---|---|
| Years in practice | 11 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Pennsylvania |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Practical approaches you can use online
Acceptance and Commitment Therapy helps people clarify what matters to them and build small steps toward those values while accepting difficult thoughts and feelings. It is useful for anxiety, stress, and life transitions. Attachment-Based Therapy looks at how early relationships shape current patterns and helps people change how they relate and connect in close relationships.Finding the right approach is part of the work together. The therapist will talk with each person about goals, preferences, and what has or has not helped in the past. From there he adapts methods so sessions fit the person’s needs instead of forcing a single model.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which can make therapy easier to fit into busy lives. Video is helpful for deeper, face-to-face conversations. Phone sessions can suit people who need a lower-bandwidth option or prefer not to be on camera. Live chat and messaging are useful for brief check-ins, skill practice, or when a shorter, more frequent touchpoint is wanted. These options let licensed professionals and therapists offer flexibility while keeping the focus on progress and practical tools.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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