About Sean
Dr. Sean Spelgatti is a Licensed Professional Counselor (LPC) practicing in Pennsylvania. He brings 11 years of clinical experience and a background in research to his work.
He aims to be practical and solutions-focused while listening closely to each person's concerns. He uses a mix of somatic approaches, Acceptance and Commitment Therapy (ACT), attachment-based ideas, client-centered listening, and cognitive behavioral techniques. Sessions focus on what is happening now in the body and mind, then build skills people can use between meetings.
Background and approach
The goal is steady, manageable progress rather than quick fixes. Sean describes his style as adaptable and curious. He pays attention to patterns in relationships, stress reactions, sleep, and everyday routines.
He helps people notice how thoughts, feelings, and bodily sensations interact and then practices simple, concrete ways to respond differently. He has worked across outpatient mental health settings and brings that variety into session planning. He draws on research to shape practical strategies for anxiety, depression, trauma, grief, addiction, ADHD, relationship issues, and life transitions.
The focus is on real-world changes that fit each person's life. Sessions are collaborative and paced to each person. Sean aims to help people build clarity, calm, and more choice in stressful moments.
He supports people as they try new steps and shape habits that improve daily functioning and relationships.
How somatic and talk methods translate to online care
Somatic work focuses on the body-mind connection, helping people notice physical sensations tied to stress and emotion and then practice grounding or movement strategies to shift them. This can help with anxiety, panic reactions, and stress responses that show up in day-to-day life.Acceptance and Commitment Therapy (ACT) teaches skills to accept difficult feelings while clarifying personal values and taking committed action. It is useful for anxiety, depression, avoidance, and making life changes that matter. Attachment-based ideas look at relationship patterns and help people try new ways of relating that feel safer and more connected.
Finding the right mix of approaches is part of the work. The therapist collaborates with each person to choose methods that match their goals, needs, and comfort level. That choice can change over time as progress is made and new priorities emerge.
Online therapy offers flexible options such as video calls, phone sessions, live chat, or text-based messaging. These formats make it easier to fit sessions into busy schedules and to practice skills in real environments. Many people find this flexibility helps them apply what they learn between meetings and maintain steady progress.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Self esteem
Also works with
- 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
Therapeutic approaches
- 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
- Experience
- 11 years
- Licensed
- Pennsylvania, South Carolina
- Languages
- English