WellNotesForHer.org

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

Dr. Sean Spelgatti

LPC

Dr. Sean Spelgatti , LPC

Therapist in Pennsylvania

Start with Sean

Online therapy - get matched and start messaging.

About Sean

Dr. Sean Spelgatti is a Licensed Professional Counselor with eleven years of clinical experience. He practices in Pennsylvania and brings a practical, problem-solving focus to sessions. He works with a wide range of concerns including stress, anxiety, relationships, self-esteem, depression, ADHD, addictions, trauma, grief, and issues related to intimacy and parenting.

Clients meet a clinician who listens closely and looks for clear, workable steps forward. Sessions are geared toward what matters most to each person. Dr. Spelgatti uses straightforward language and aims to make therapy feel understandable and usable day to day.

His background includes varied internships and outpatient mental health work that shaped a broad clinical perspective. That experience informs how he blends different methods to match a person's needs rather than relying on a single technique. He combines evidence-informed approaches such as cognitive behavioral strategies and acceptance-based methods with attention to attachment and emotions.

In practice he focuses on finding root patterns while also teaching concrete skills for coping. That can mean tracking unhelpful thoughts, building new behavior routines, or practicing communication skills in the moment. He also supports people facing life transitions, caregiving stress, chronic illness, and workplace or career strain.

Therapy with Dr. Spelgatti can be scheduled in multiple online formats and is offered in English. He accepts international clients and works collaboratively to set goals and shape each session around the person sitting across from him.

Therapeutic approaches that translate well online

Acceptance and Commitment Therapy helps people notice painful thoughts and feelings without getting stuck in them. It focuses on choosing actions that match personal values and can be useful for anxiety, depression, and coping with life changes.

Cognitive Behavioral Therapy is a hands-on approach that identifies unhelpful thinking patterns and replaces them with more balanced thinking and behavior. It often includes homework and practical exercises for issues like anxiety, depression, sleep, and stress.

Attachment-Based Therapy looks at relationship patterns and emotional bonds formed early in life. It helps people understand how those patterns influence current relationships and intimacy concerns.

Finding the right mix of methods is part of the work together. Dr. Spelgatti collaborates with each person to choose approaches that match their goals, preferences, and what shows up in sessions. He adapts techniques over time if something isn’t working and focuses on clear, measurable steps.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and visual cues. Phone sessions can be easier when bandwidth is limited or for quick check-ins. Live chat and messaging are useful for shorter updates, coaching-style support, and flexible communication between longer sessions. These options make it simpler to fit therapy into a busy life while still using evidence-based methods.

Frequently asked questions

What kinds of concerns does he address?

He works with stress, anxiety, depression, relationship and self-esteem issues, ADHD, addictions, trauma and grief, plus many related concerns listed in his profile.

What is his therapeutic style like?

He uses a practical, problem-solving approach and listens closely to identify steps that are useful in daily life. Sessions balance skill-building with exploring underlying patterns.

How much clinical experience does he have?

He has eleven years of experience working in outpatient mental health settings and completed multiple internships during graduate training.

What credentials and location are listed?

He is a Licensed Professional Counselor (LPC) and practices in Pennsylvania with the LPC credential noted for SC and PA in his profile.

Which languages are supported and can he work internationally?

Sessions are offered in English and he accepts international clients.

What session formats are available?

He offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.

How does payment and cost work?

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

How do I begin a therapy relationship?

Start by selecting the Start Therapy button, complete the short matching questionnaire, and then schedule a session according to therapist availability.

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

Licensed

Pennsylvania, South Carolina

Languages

English

Ready to work with Sean?

Begin with a short quiz to get matched and start messaging.

Start with Sean →
Start with Sean