Dr. Sean Spelgatti

Using Talk Therapies Online: Approaches and Accessibility

Dr. Spelgatti commonly incorporates Cognitive Behavioral Therapy, which focuses on identifying and changing unhelpful thoughts and behaviors to reduce symptoms and improve functioning; CBT is often used for anxiety, depression, and stress-related concerns. He also uses Acceptance and Commitment Therapy, an approach that helps people clarify values and build psychological flexibility through acceptance and mindfulness strategies to cope with difficult thoughts and feelings. Attachment-Based Therapy is another element he draws on to explore relational patterns and how early connections shape current relationships and emotional responses.

Finding the right approach is treated as a collaborative process. The therapist partners with each person to weigh goals, preferences, and presenting difficulties, then adapts techniques from these approaches as needed rather than applying a one-size-fits-all method. This allows the work to shift over time as priorities and circumstances change.

Online therapy is offered through video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and needs. These remote formats make it possible to continue consistent work when in-person meetings are impractical, and they support ongoing skill practice, check-ins, and short-term coaching-style interactions alongside longer sessions.