Dr. Sean Spelgatti, LPC

Dr. Sean Spelgatti is an LPC with 11 years of clinical experience. He practices in Pennsylvania and speaks English. He brings a problem-solving focus and a steady, listening presence to sessions aimed at real-life challenges. He takes a practical, whole-person approach rather than relying on one technique. Sessions often center on current stress, relationships, mood concerns, and life transitions. He uses methods that help people build skills for managing anxiety, depression, sleep and eating issues, addictions, and coping with chronic illness. His work draws on approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Attachment-Based methods. That means conversations will include noticing thoughts and feelings, testing helpful behavior changes, and looking at how relationships shape challenges. Dr. Spelgatti’s background includes extensive outpatient work with individuals, couples, and groups during his graduate internships. He also has experience with research, which he uses to guide clear, efficient problem-solving in therapy. People describe him as adaptable and focused on practical solutions. He aims to listen carefully, spot patterns that get in the way, and help people try different ways of coping. For parents and adults juggling health issues, caregiving, or major life changes, he helps translate goals into small, doable steps.

How selected approaches work in online therapy

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, and then take actions that match personal values. ACT is often used for anxiety, depression, chronic illness stress, and coping with life changes.

Cognitive Behavioral Therapy (CBT) focuses on spotting patterns in thoughts and behaviors that keep problems going, and on practicing practical changes. It is commonly used for anxiety, depression, sleep and eating problems, and anger management.

Finding the right approach is part of the work. The therapist will talk with the client about goals and needs and then try methods that feel like a fit. That decision is collaborative and can be adjusted over time based on what helps most.

The profile does not specify which session formats are offered, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy life - for example by removing travel time, allowing shorter check-ins during a workday, or letting someone choose audio over video when that feels better. Licensed professionals can use these options to help people maintain therapy while juggling caregiving, health appointments, or employment.