Mind Kokoro Counseling, PLLC

-Where Eastern and Western approaches meet Neuroscience-based treatment for Trauma, Chronic Pain, and Performance

Online Counseling based in Asheville now servicing North Carolina and Florida

“Neurobiology of Trauma recovery helps you to learn how to move out of hopelessness, increase your capacity to feel empowered, and recognize that you are capable of living the life you want and deserve”

- Dr. Arielle Schwartz

About me

A woman with long dark hair smiling outdoors with trees in the background, wearing an orange sleeveless top.

Hi, I’m Shoko Spagnoli (LCMHC, LMHC), founder of Mind Kokoro Counseling PLLC. I offer eclectic therapy for individuals ages 6 and up, specializing in trauma recovery, chronic pain management, and performance enhancement for athletes and performers, who especially are recovering from injuries.

With over 15 years of experience and master’s degrees in both Clinical Psychology and Sport & Exercise Psychology, I take an integrative, neuroscience-based approach to mental wellness. My background includes more than eight years in progressive clinical and leadership roles within a nonprofit behavioral health organization, as well as experience in residential and private practice settings. I've supported vulnerable populations—including children/adolescents, chronically homeless adults, and individuals with severe trauma, addiction, and chronic pain—through evidence-based interventions and compassionate care.

I'm a certified EMDR therapist and have completed RYT-500 yoga teacher training along with extensive study in mindfulness-based practices and brain based tools for healing. These tools are central to my work, helping clients regulate their nervous systems, restore emotional balance, and foster personal empowerment.

Originally from Japan, I’ve received clinical training in both Japan and the United States. My cross-cultural perspective informs a respectful integration of Eastern and Western healing approaches. Whether you're recovering from trauma, managing chronic pain, or striving to perform at your best in high-pressure environments, I offer a grounded and compassionate space for growth, healing, and transformation.

It’s been a privilege to work with people from all walks of life—including professional, collegiate, and junior athletes in tennis, soccer, gymnastics, etc—and I’m passionate about helping individuals reconnect with their resilience, purpose, and inner calm.

MA in Sport and Exercise Psychology

MA in Clinical Psychology

Licensed Mental Health Counselor (LMHC) - MH11557 Florida

Qualified Supervisor for Registered Mental Health Counselor Interns - Florida

Licensed Clinical Mental Health Counselor (LCMHC) - 19680 North Carolina

EMDR Certification

Yoga RYT 200 and RYT 500 program completion

Accelerated Resolution Therapy (ART) training completion

Degree/License/Certification

A person working on a laptop doing virtual counseling at a white table, with a small potted plant and a glass of water nearby.

My services

All Services are currently done virtually.

Individual Therapy
Typical sessions are 53-55 minutes in duration, though longer sessions can be arranged and recommended based on your needs. For instance, EMDR sessions can last up to 85 minutes.


Sports Counseling and Consultation

Typical sessions are 53-55 minutes. The ultimate goal for sport counseling and consultation is to improve your performance by developing mental skills and overcoming mental blocks, injury, and/or performance anxiety.


Clinical Supervision (for RMHCI in FL)
Typical supervision (both group and individual) last 60 minutes. Shoko is a clinical supervisor for registered mental health counselor interns and has worked with many interns in variety of settings. Her approach is to encourage and train interns to equipped with up-to-date evidence based clinical interventions.

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Schedule a session

日本語でのカウンセリング

アメリカで日本語で話せる心理カウンセラーをお探しですか?
現在、オンラインでのビデオカウンセリングを行っています。海外生活の中で、こんなお悩みはありませんか?

  • 慣れない文化・環境でのストレス

  • うつ病や不安、孤独感

  • 夫婦関係や恋愛・友人関係の悩み

  • 職場の人間関係

  • 将来への不安

  • 自信を持てない、自分をもっと理解したい

  • トラウマ

  • 慢性の痛み

一人で抱え込まず、どうぞお気軽にご相談ください。あなたのお力になれるかもしれません。

(カウンセラーは日本語が母国語ですので、安心してご利用いただけます。)

日本語のページ

Traditional multi-story Japanese castle with tiered roofs, surrounded by green trees and set against a cloudy sky.

Frequently asked questions

  • I am currently in-network with BCBS NC. For out of network benefits, I will provide you with a superbill so that you can submit a claim for reimbursement.

  • Let’s have a 15 minute brief consultation. This way, I understand what you are looking for, and most importantly, you feel comfortable starting sessions with me!

  • Yes. Except for these scenarios. There is 1) an imminent danger to yourself or others, 2) a situation of child/elderly abuse and neglect (physical, sexual, and emotional).

  • I’m an inclusive, LGBTQ+ affirming practitioner. I welcome you to share as much or as little as you want with me in order to help you feel comfortable working with me.

Still have questions? Reach out!

By submitting this form via this website, you acknowledge and accept the risks of communicating your health information via this unencrypted email and electronic messaging and wish to continue despite those risks.

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Ready to make a change today?

Schedule your session now


Schedule a session