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 there! I’m really glad you found your way here. Whatever brought you in, I’m ready to help you navigate it. I’m Shoko Spagnoli, licensed clinical mental health counselor. I specialize in chronic pain and trauma resolution.

Does pain make it hard to get out of bed in the morning? Do you find yourself wishing you could go back to a time when you felt pain‑free—or even just had less pain than you do now? Have you seen multiple doctors or physical therapists, only to feel like nothing is truly helping?

If any of this sounds familiar, you’re in the right place.

I help people who feel stuck, exhausted, or discouraged by their pain reconnect with hope and regain a sense of control in their lives.

I’m also passionate about supporting performers—athletes, dancers, musicians, and others—especially those recovering from injuries or dealing with chronic pain while trying to get back to doing what they love.

With over 15 years of experience and two master’s degrees in both Clinical Psychology and Sport & Exercise Psychology, I take an integrative, neuroscience-based approach to address your issues. 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 a variety of populations—including but not limited to children/adolescents, chronically homeless adults, and individuals with severe trauma, addiction, and chronic pain—through evidence-based interventions such as EMDR 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 science for healing. These tools are central to my work, helping clients regulate their nervous systems, restore emotional balance, and foster personal empowerment and growth.

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 am here to provide you with a grounded and compassionate space for your 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.

Master’s Degree in Clinical Psychology

Master’s Degree in Sport and Exercise 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.


Performance Counseling and Consultation

Typical sessions are 53-55 minutes. The ultimate goal for performance counseling and consultation is to improve your performance by developing mental skills and overcoming mental blocks, chronic pain, 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 (フロリダ・ノースカロライナ州)

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 FREE 15 minutes consultation. 


Schedule a free consultation