Works with
- Anger
- Stress, Anxiety
- Relationship issues
- Self esteem
- Depression
- ADHD
How Sean works
Practical facts
- Credentials
- LPC
- Licensed in
- Pennsylvania, South Carolina
- Years in practice
- 11
- Languages
- English
- Session format
- Online, through our partner platform
About Sean
Dr. Sean Spelgatti is a Licensed Professional Counselor with eleven years of clinical experience. He holds the LPC credential and practices from Pennsylvania.
Sean introduces himself in a direct, calm way and aims to help people who are feeling stuck or overwhelmed. He draws on years of outpatient work and research to approach problems from several angles. Sessions focus on clear goals and practical steps rather than long lectures.
Sean listens closely, asks focused questions, and helps people spot patterns that keep them stuck.
Background and approach
His work covers common concerns like stress, anxiety, depression, anger, relationship strain, and sleep or eating challenges. He also supports people dealing with trauma, grief, addiction issues, attention differences, and career or life changes. Parents can find help with parenting strain and blended family issues, and he also addresses caregiver stress and chronic illness concerns.
Sean uses a mix of evidence-informed methods. He pulls elements from cognitive behavioral work, acceptance and commitment ideas, attachment-focused thinking, dialectical skills, and a client-centered stance. That mix is adapted to each person rather than applied the same way to everyone.
Sessions are practical and collaborative. Expect straightforward tools you can try between sessions and check-ins about what is or isn’t working. He accepts international clients and conducts sessions by video, phone, live chat, or text messaging.
What Sean works with
Everything Sean lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Sean's practice.
- 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) focuses on helping people clarify what matters to them and take small actions toward those values while learning new ways to handle uncomfortable thoughts and feelings. It can help with stress, anxiety, and motivation issues.Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors interact. It uses practical exercises and experiments to change unhelpful thinking and to build new coping habits for depression, anxiety, and anger problems.
Attachment-Based Therapy explores how early relationship patterns influence current bonds and emotional responses. It is useful when relationship worries, intimacy issues, or attachment concerns are a central part of the problem.
Choosing the right approach is a team effort. The therapist will talk with each person about goals, preferences, and what has or hasn’t worked before. From there he adapts techniques and checks in regularly to refine the plan together.
Online sessions offer flexibility and different ways to connect. Video calls allow face-to-face conversation and skills practice, phone sessions work when bandwidth is limited, and live chat or text messaging let people check in between meetings or use shorter touchpoints. These options make it easier to fit therapy into busy schedules and life transitions.
Questions people ask about Sean
What concerns does he commonly address?
He works with stress, anxiety, depression, anger, relationship strain, sleep and eating issues, addiction concerns, grief, trauma, ADHD, and related life changes.
How would you describe his therapy style?
Sessions are pragmatic and collaborative. He listens closely, helps set clear goals, and offers tools to practice between meetings.
What background does he bring to sessions?
He has eleven years of clinical experience and a background that combines outpatient practice and psychological research to inform care.
What credentials and location should I know about?
He is a Licensed Professional Counselor (LPC) practicing from Pennsylvania and holds the LPC credential used in his work.
Are sessions offered in other languages or internationally?
Sessions are offered in English, and he accepts international clients.
Which session formats are available?
He provides video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How does billing and cost work?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What steps do I take to begin working with him?
Use the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.