Therapy with Dr. Sean Spelgatti
Compassionate whole-person virtual therapy
Pennsylvania & South Carolina
Supporting the whole person: mind, body, emotions, relationships, and life context.
Insurance & self-pay accepted
Whole-person care for bio-psycho-social needs
What I help with
Anxiety
Worry, panic, overthinking, and stress that won't switch off.
ADHD
Focus, follow-through, time, and the frustration that comes with them.
Depression
Low mood, low energy, and finding your way back to what matters.
Adjustment
Life changes, losses, and seasons that ask more of you than usual.
I also help with
- Stress and burnout
- Marriage and relationships
- Communication and boundaries
- Anger and frustration
- Grief and loss
- Self-worth and confidence
- Painful past experiences
- Habits you want to break
- Faith and spiritual questions
Why clients choose to work with me
Whole self care
Mind, body, emotions, relationships, and life context.
True empathy
A safe, non-judgmental space where you feel heard and understood.
You are not a number
Your story matters.
Practical support
Real-world tools and strategies for meaningful change.
Individualized care
A personalized approach based on your goals and needs.
Results-focused approach
Efficient, focused care that helps many clients make progress.
How I work
You're not broken. You learned a pattern, and patterns can change.
A lot of what hurts is a pathway your brain wore in through repetition, often to get you through something hard. New repetition wears in a new path.
Connection comes first
Nothing else works until you trust the person across from you. We build that first, and we keep building it.
Insight in session, change during the week
Understanding a pattern rarely changes it by itself. Each session ends with one small thing to practice before we meet again.
You don't have to feel ready
Motivation usually shows up after action. We find the smallest next step and treat it as an experiment you can learn from.
Straight talk, on your side
Expect stories, some humor, and honesty. I won't just tell you what you want to hear, and I'll stay close while we work on the hard parts.
Tools I draw from: CBT, ACT, DBT skills, and mindfulness, matched to the person in front of me. My approach, Integrated Human Therapy, looks at body, mind, and relationships together.
Getting started
What working together looks like
Book through Headway
Choose a time, add your insurance, and see your cost before you confirm. Headway handles the billing.
First session: the whole picture
We talk about what brought you in, what you want to be different, and the parts of life around it.
Weekly work, one step at a time
We focus on what matters most first. You leave each session with something small to try that week.
Step down as you get steady
As things improve, we meet less often. The goal is for you to carry what you've built into your everyday life, your relationships, and your community.
About
Hi, I'm Sean
I've spent my career sitting with people in hard seasons. After more than 20,000 sessions, I still believe the relationship is the most important thing in the room. People open up when they feel safe, and they change when they practice something new.
I think in stories and pictures as much as in research and data, so expect both. We'll look at how you see things, how you feel, and what you do, and how all of it connects to your body and the people around you.
I hold an MA and a PhD. I'm a National Certified Counselor and an Approved Clinical Supervisor, and I'm licensed as a professional counselor in Pennsylvania and South Carolina. I live in South Carolina.
Change how you see it, and how you feel changes. Change how you feel, and what you do changes.
Fees & insurance
Insurance & self-pay accepted
Insurance
I'm in network through Headway, which works with many major insurance plans. Headway checks your coverage and shows your cost before you book.
Self-pay
Self-pay is available if you'd rather not use insurance. Ask for the current rate when you reach out, then pay through PayPal below.
Sessions
53 to 60 minutes, by secure video from wherever you're comfortable. Most people start weekly.
Good Faith Estimate
If you don't have insurance or choose not to use it, you have the right to a Good Faith Estimate of your expected costs under the No Surprises Act. Ask for one anytime.
Self-pay sessions
Pay with PayPal
Scan the code with your phone or use the button to pay for a self-pay session. Please leave health details out of the payment note.
Pay with PayPalQuestions
Things people usually ask
What happens in the first session?
We get to know each other. I'll ask about what brought you in, what you want to be different, and your life around it. You can ask me anything too.
Is what I say kept private?
Yes. There are a few limits set by law, such as a serious risk of harm. I'll explain them clearly in our first session.
Can my faith be part of counseling?
Yes, and I would love for it to be. Faith matters, and it's welcome in the work.
How long will I need therapy?
It depends on what you're working on. Many people notice a difference within the first several sessions. We'll check progress together and adjust as we go.
What if we're not a good fit?
Tell me. Fit matters, and I'll help you find someone who suits you better.
What if I'm in crisis?
Call or text 988, the Suicide & Crisis Lifeline, or call 911. Therapy sessions aren't an emergency service.
Now booking
Ready when you are
Book your first session on Headway. It takes a few minutes, and you'll see your cost before you confirm.
Book on HeadwayQuestions first? Email Sean@neuriah.com
Beyond the counseling room
Co-founder of Phineas by Neuriah
I'm also the co-founder of Neuriah, the company behind Phineas at PhineasChat.com. Phineas is an AI wellness companion that brings the whole-person way I work to everyday conversations about stress, sleep, relationships, and the things people carry between appointments.
Visit PhineasChat.comBuilt on whole-person care
Phineas grows out of Integrated Human Therapy, my framework for mind, body, and relationships together.
Support between sessions
A place to talk things through, practice new skills, and keep track of what's helping, any time of day.
Paying it forward
Unused subscription minutes help fund free wellness access for other people.
Phineas is a wellness tool, not therapy, and it's separate from my counseling practice. If you're in crisis, call or text 988.