Dr. Sean Spelgatti, LPC

Dr. Sean Spelgatti is a licensed professional counselor with eleven years of clinical experience. He practices from Pennsylvania and offers therapy in English. He focuses on helping people manage stress, anxiety, relationships, self-esteem, depression, ADHD, addictions, grief, trauma, and a wide range of life challenges.

He uses clear, practical methods in sessions. He draws on Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Attachment-Based approaches among others. Meetings are conversational and goal-oriented, with an emphasis on skills that can be used between sessions.

Dr. Spelgatti aims to understand each person’s concerns and life context before suggesting a path forward. He listens for patterns in thoughts, behaviors, and relationships and helps people try small, testable changes. The focus is on what helps someone feel and function better in daily life.

Sessions can include hands-on strategies for managing anxiety, tools for stronger relationships, and support for coping with grief, addiction, or major life changes. He also addresses parenting strain, career stress, sleep and eating issues, chronic health concerns, and attachment or abandonment topics.

People working with him can expect a collaborative process. He helps set clear goals, tracks progress, and adjusts approaches as needed. Therapy is presented in straightforward terms so busy parents and professionals can apply what they learn right away.

How evidence-based approaches translate to online therapy

Dr. Spelgatti commonly draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy in online work. Cognitive Behavioral Therapy focuses on identifying unhelpful thoughts and testing new behaviors to reduce anxiety or depression. Acceptance and Commitment Therapy helps people clarify their values and take actions that fit those values while learning to live with difficult feelings.

Finding the right approach is part of the process. He works collaboratively with each person to choose or combine methods that match their goals, needs, and preferences. Treatment plans are adjusted over time based on what is helping and what is not.

Online options include video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs. Video sessions let people work in real time with visual cues. Phone sessions can be easier when bandwidth is limited or for brief check-ins. Live chat and text messaging offer short, flexible check-ins and skill coaching between longer sessions. These formats make it easier to do consistent work around parenting, work, or travel commitments and to practice new skills where daily life happens.