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.

 

> Dr. Berger’s credentials & publications can be found on this page.
> Click here for more information about his practice
> To read reviews from some of Dr. Berger’s patients.

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

"HUMANS DON'T ACT until there’s a crisis” someone told me today. How true! Career, finances, medical care, finding or leaving a romance, family affairs, keeping an eye on your child. Few people who plan and act regret it, those that act on crises usually end in regret.

So is a belief bubble ok? Say all you can see is that candidates are electable by voting, but you can’t see that all the candidates (from every party) on the ballot are all loyal to a hidden entity that places them on the ballot even if their stated platform is different.

What is a “belief bubble”? It’s a set of looking at some aspect of the world that doesn’t take the larger picture into account. The person’s behavior and thinking will be determined by the attributes of the bubble’s assumptions. Is this bad? See next week’s tweet.

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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

“Burned to the wick”- when someone has so much energy, does so much, then they start a job and in a few months they are depressed? They were hyperactive and have burnt-out their flame into a depression. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Are traumas decades ago the cause of current mental illness? This is hard to prove or disprove, persons need to be treated by multiple angles to really tease apart cause, trigger, and unconnected symptoms. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

“What is actual reality?” patients frequently ask, especially those who have a changing sense of reality. I explain that our sense organs evolved with our environment to exquisitely mirror it-so we have to consider this is reality. Us: https://t.co/VOm63Hc41r

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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”.

Depression can cause “slow death”. It can rob you of your career, family, even your life. Treatment is usually good, it requires a diagnosis and acceptance of the diagnosis. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

Child was doing ok up to high school then he’s absorbed in video games, why? Looking carefully, the child was really having some troubles from before: messy, cutting corners, etc. It’s easy to try to boss the child out of the gaming, but that always leads to conflict.

Children who have a mix of being fondled, teased, or bullied, can get depression from these things OR they can get depression regardless of these things, because both of these things are common, and common things frequently overlap with no inter-causality. That’s just math.

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