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LPC

Dr. Sean Spelgatti, LPC

  • Experience11 years
  • LocationPennsylvania
  • Focus areasADHD, Stress and Anxiety, and Relationship
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Attachment-Based Therapy
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About Sean

Dr. Sean Spelgatti brings 11 years of clinical experience as an LPC in Pennsylvania, combining training and varied internship placements to shape a broad, integrative approach to therapy.

Background and approach

He emphasizes a whole-person perspective, drawing on evidence-informed methods to address concerns such as stress, anxiety, relationship difficulties, self-esteem, depression, ADHD, addictions, trauma, grief, and many other life challenges. His background includes work in outpatient mental health settings with a range of clients and formats, and he pairs clinical reasoning with a problem-solving mindset informed by research.

Known for attentive listening and adaptability, Dr. Spelgatti aims to explore issues thoroughly while maintaining practical focus on clients' goals.

He integrates multiple therapeutic approaches to tailor care to each person's needs, balancing depth with efficient strategies. His style centers on collaboration, curiosity, and steady support as clients work through coping with life changes, intimacy and family concerns, chronic health and caregiving stress, or career and identity questions.

He welcomes English-speaking and international clients and offers several remote session options to improve accessibility.

Therapeutic Approaches and Online Care

Acceptance and Commitment Therapy (ACT) focuses on helping people clarify their values and take committed action even when difficult thoughts or feelings appear; it can be useful for stress, anxiety, and coping with life changes. Cognitive Behavioral Therapy (CBT) targets patterns of thinking and behavior to reduce symptoms and build practical skills, which is often applied for anxiety, depression, and ADHD-related challenges. Attachment-Based Therapy explores relational patterns and emotional bonds to improve intimacy, communication, and family dynamics.

Finding the right approach is collaborative. The therapist works with clients to assess needs, goals, and preferences, then adapts methods over time to ensure the chosen strategies feel useful and relevant rather than rigidly applied.

Online therapy through video calls, phone sessions, live chat, or text-based messaging offers flexibility for people balancing work, family, or geographic limitations. These remote options make it easier to maintain continuity of care and try different communication styles while working with licensed professionals who aim to provide consistent therapeutic support.

Frequently asked questions

What kinds of concerns does this therapist address?
The practice supports a wide range of issues including stress, anxiety, relationship and intimacy concerns, self-esteem and depression, ADHD, addictions, trauma, grief, parenting and career difficulties.
How would you describe the therapeutic approach and style?
Treatment emphasizes an integrative, whole-person approach that blends evidence-based methods with collaborative problem solving and attentive listening to tailor work to individual goals.
What is the clinician's professional background?
The therapist has 11 years of experience, has worked primarily in outpatient mental health settings, and brings research-informed problem-solving to clinical work.
Which credentials and location are on record?
Credentialed as an LPC with license details SC LPC 11195 and PA LPC PC010891, the clinician practices from Pennsylvania.
Can nonlocal or international clients work with this therapist?
Yes, international clients are accepted and sessions are offered in English to accommodate a broader geographic range.
What session formats are offered for remote care?
Available formats include video calls, phone sessions, live chat, and text-based messaging to fit different needs and preferences.
How are fees and payment structured?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the steps to begin working together?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesSelf esteemDepressionADHD

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

What Sean can help with

Dr. Sean Spelgatti works with clients on stress and anxiety, relationship issues, self esteem, depression, and ADHD.

Sean works with kids, families, couples, and individuals.

How Sean approaches therapy

Sean's clinical approaches include 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, and Gottman Method.

Experience and training

Sean is a Licensed Professional Counselor practicing in Pennsylvania, with 11 years of clinical experience.