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Dr. Sean Spelgatti

Therapist profile

Dr. Sean Spelgatti, LPC

Pennsylvania

Dr. Sean Spelgatti, LPC - Relationships and Parenting

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About

  • Acceptance and Commitment Therapy
  • Cognitive Behavioral Therapy
  • Attachment-based work

About Sean

Dr. Sean Spelgatti is an LPC (Licensed Professional Counselor) in Pennsylvania with 11 years of clinical experience. He works with adults on common concerns such as stress, anxiety, relationship matters, depression, parenting strain, and grief. He also lists work with ADHD, addictions, trauma, and a range of family and intimacy-related issues.

Sean describes a problem-solving approach that draws on several well-known methods. He favors clear, practical steps in sessions and pays attention to underlying attachment and behavioral patterns that affect day-to-day life. He aims to help people notice what gets in the way of goals and try new ways of responding.

In practice he combines elements from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Attachment-Based techniques among others. Sessions often include talking through current stressors, learning brief skills for emotion regulation, and making small behavior changes that add up over time. He also brings experience from outpatient settings and research to inform his work.

People seeking help for parenting stress, blended family concerns, or tensions with partners and relatives may find the focus here helpful. He lists additional attention to issues like abandonment, adoption and foster care, caregiver stress, chronic illness, and body image when relevant to a client's situation.

Sessions are aimed at adults who want practical, thoughtful approaches rather than jargon. The first contact typically begins with a short intake and a plan for what to try in the coming weeks.

How sessions work

Therapeutic approaches and online sessions

Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them, and then choose actions that match their values. It can be useful for anxiety, stress, and decisions about parenting or relationships.

Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thought patterns and testing them with practical behavior changes. It often helps with depression, sleep problems, and managing mood or compulsive habits.

Attachment-Based Therapy looks at patterns in close relationships and how early connections shape current interactions. This can be useful when recurring relationship tensions or family patterns keep showing up.

Finding the best approach is a collaborative process. The therapist will work with the client to decide which methods suit their goals and preferences. Sessions typically blend brief skills, discussion of current problems, and steps to try between meetings.

The profile does not list specific online session formats, so confirm available options before booking. Online sessions can make it easier to fit appointments into a busy life, allow shorter check-ins when schedules demand, and reduce travel time. Licensed professionals can adapt ACT, CBT, and attachment work to online formats while focusing on concrete goals and everyday changes.

Areas of focus

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

Listed in

Pennsylvania, South Carolina

Languages

English

Questions

Frequently asked questions

What kinds of problems does he address?

He works with adults around stress, anxiety, depression, relationship strain, parenting concerns, grief, trauma, and related issues listed in his profile.

How would he describe his therapy style?

His style is practical and problem-focused. Sessions usually include talking through current issues and learning skills to change unhelpful patterns.

How much clinical experience does he have?

He has 11 years of clinical experience, largely in outpatient mental health settings and related research.

What are his credentials and where is he based?

He is a Licensed Professional Counselor (LPC) with licensure in Pennsylvania.

Can I see him if I live outside the United States?

International clients are accepted and sessions are offered in English.

What session formats does he offer?

Session formats are not specified in the provided profile. Confirm current session options before booking.

How are fees handled?

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

How do I begin if I want to work with him?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.

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Dr. Sean Spelgatti

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