Douglas Berger psychiatrist Tokyo is an American board certified psychiatrist and is the Director of the Tokyo Meguro Counseling Center. He’s also fully bilingual in Japanese and English. Dr. Berger received his M.D. and psychiatry training from New York Medical College, and his Ph.D. from the Department of Psychosomatic Medicine at the Tokyo University School of Medicine. He speaks native-level Japanese. Dr. Berger utilizes a variety of approaches to psychiatry, which you can find here, and on the Tokyo Meguro Counseling Center’s home page.
Dr. Berger can be contacted by phone: 03-3716-6624 (+81-3-3716-6624 from outside of Japan). Please use this form if you wish to contact Dr. Douglas Berger psychiatrist in Tokyo.
Medical science is more fuzzy than Drs will admit. Not because they are lying, but mainly because they weren't taught and don't see the fuzzy nuances in the real science or the mechanisms how that specialty makes money by certain narratives that become unquestionable truth.
“I can’t stand failure so I don’t try” is common in depression. These persons need to see that depression causes low self-esteem which causes the fear of failure. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Persons often ask what therapy, meds, doses etc., they may need. Understandable, but there is only general info. Patients need to understand there is no data about THEM until we get it from trial and error of treatments. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Look carefully at what is required for the career path you want to go down. If the environment is tough are you tough enough? If the field requires obsessive detail are you detailed enough? If the job requires patient compassion are you patient & compassionate enough?
Are humans’ thought processes malleable by authority? Not everyone, but persons fearful of removing their masks in an empty park or on a deserted street may be an example. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Inattentive persons can “zone-out” into video games, books, science, and even flirting on-line. It’s the flirting that often causes marital conflict and visit for couples counseling when the spouse finds out. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
“Never miss a chance to shut-up!”. A motto that can lead to lots of trouble at work or in one’s personal life. Sometimes it’s better to clamor, sometimes not. A targeted strategy is the best. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
What is it about persons who are clingy and jealous? It seems they are just like children who get upset when alone. If you as their partner are willing to comfort them, then everyone can be happy. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Euphoria & racing thoughts, classic symptoms of (hypo)mania, just a side-effect of antidepressants, or just good things going on? Some patients can stay well like this, but keep an eye out for change to serious mania. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
You have a 1 yr-old child, your wife is difficult, and you want to leave for a new girlfriend. It’s unclear what you should do but it is clear you’ve been making decisions without thinking about the complications. Us: https://t.co/VOm63Hc41r, https://t.co/uaoP3ZvxU7
Say you are near 60 and don’t like your job but it’s stable, well paid, and guaranteed until 70. Very risky at 60 to change jobs unless you are financially stable for life and can take the huge risk that your new job may only last a few years.
Career confusion? Search for your terms, like “graphic designer Tokyo” on a job site. What skills do they want: language, software, that you need to already have mastered. Then you’ll see the hurdles you need to clear and the path you need to take realistically.
Is divorce stressful? Usually yes. It’s a break of contract, feeling, hope, and failed relationships, lawyers usually make these worse. If we could just coach people to be reasonable. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
What kinds of patients “Bargain?” Usually persons who drink too much. Why? They don’t want to give up the good feeling they get from drinking even if it is ruining their lives. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
Some persons with a temper may improve just by the act of making appointments and/or getting prescriptions even if the meds don’t really do anything. It’s the power of being reminded to stay calm. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
Can you talk yourself out of trauma? Maybe, maybe not. You can try to use it to your advantage to learn what not to, but it is very hard to prove trauma is connected to a specific psychiatric illness later in life. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
What is “insight” in psychiatry? It’s the ability to see oneself. If it’s poor, then patients frequently do not cooperate to get treatment and don’t get well. What to do? When all fails, have the serenity to accept the person is not going to get better.
Arguments are one thing, escalations are another, some parties stubbornly refuse to stop arguing about little things. Answer? One party agrees to give-in as a default strategy to decrease fights.. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
He drives too fast, pushes me if I’m in the way, always doing lots of sports, wants me to hike 5 hours when I’m newly pregnant, why? If he needs to sleep then probably he’s hyperactive. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
Will everyone be depressed after death of a parent? Not necessarily. A death can make one realize life is short and move-on in their lifeline: get married, start their own family, go to school, etc. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
Disability benefits can be life-saving, or they can spoil one’s drive and motivation to work and thrive, causing low-grade depression and loss of purpose in life because these beneficiaries are straight-jacketed from working or lose their benefits. Us: https://t.co/xJKjtzIjZq
Heavy alcohol drinking can be both a cause for, or a result of, mental health problems. It can be logical to treat the alcohol first, or the mental health problem first, depending. Treatments then give data on what is cause and what is consequence. Us: https://t.co/xJKjtzIjZq
How can you be sure someone is the right partner? Look at them objectively before you get to know them. Are they the right age, have the right ideas on life, the right motivations, do they have any problems that will make trouble later? This is the “objective look” stage”.