Douglas Berger Psychiatrist Tokyo

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.

Botulinium toxin blocks acetylcholine release leading to paralytic and autonomic symptoms of botulinium. Us:,,

MELAS: maternally inherited encephalopathy w/strokes & seizures sparing white matter. Cerebral vessel mutation load is seen. Us:,,

Skin tumors, Lisch nodules of the iris, café-au-lait spots on the skin is a sign of a mutation in the NF1 (neurofibromatosis 1 gene). Us:,,

Narcolepsy: daytime sleepiness w/sleep attacks lasting few min to 30 min & cataplexy-sudden muscle tone loss triggered by emotional factors w/REM sleep onset if spells are longer than 2 min. Us:,,

Ability to write but inability to read one's own writing is usually caused by stroke in the posterior cerebral artery. Us:,,

Gababentin & pregabalin modulate GABA through α2γ ca channels. Tigabine is a selective GABA reuptake inhibitor, vigabatrin is a GABA transaminase reuptake inhibitor, baclofen is a GABA-B agonist. Us:,,

Tokyo Counseling: Pot using teens as likely to be addicted as heroin users?

Pot using teens as likely to be addicted as heroin per Dr. Jodi Gilman: This study: says only 9% of pot users dependent,15% for cocaine 24% for heroin. Us:,,

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Tokyo Counseling: MERRF: maternally inherited mitochondrial encephalopathy

MERRF: maternally inherited mitochondrial encephalopathy w/myoclonus, epilepsy, ataxia, myopathy. Us:,,

Tokyo Counseling: Wernicke’s aphasia has fluent but meaningless speech

In Wernicke’s aphasia there is fluent but meaningless speech (called paragrammatism). with impaired comprehension due to disturbed access to the internal lexicon. Us:,,

Tokyo counseling: Sheehan’s syndrome, postpartum pituitary necrosis

Sheehan’s syndrome: postpartum pituitary necrosis-fatigue, hypotension, failure to lactate, scant menses, weight loss. Can occur months/yrs after birth. Postpartum depression onset < 4-wks after birth. Us:,,

Tokyo Counseling: GGT level is the most sensitive test for alcohol abuse

GGT liver enzyme level is the most sensitive test for alcohol abuse. Value is high in 3/4 of patients up to 8 weeks. Us:,,

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9.11: Cognitive dissonance of our expected world view vs. new reality
is mentally destabilizing: Us:,,

Inclusion myositis common > 50, unresponsive to prednisone and
immunosupressives. Dermatomyositis has a rash over the cheeks and eyes starting in childhood, 50% get neoplasms. Us:,,

Multiple Sclerosis: Interferon β1-b & Glatiramer are disease-changing, Predisone given for acute attacks reduces disease burden, Tizanidine & Liorisalare muscle relaxants that relieve spasticity. Us:,,

Transcranial Magnetic Stimulation (TMS) is indicated for depressed patients who fail one trial of antidepressants at adequate dose and duration. TMS requires 4-6 weeks of treatment. Us:,,

80% of patients with “stiff-person syndrome” have association with diabetes, polyendocrinopathy, and antibodies to glutamic acid decarboxylase. Us:,,

Vagal nerve stimulation is approved for refractory epilepsy & depression. Us:,

Article by Jodi Gilman: seems like anti-cannabis info planted by the National Institute on Drug Abuse & her work is NIDA supported i.e.: doi: 10.1523/JNEUROSCI.4745-13.201. Us:,,

Some psychiatric meds should be used with extreme caution during lactation, and/or how to mitigate effects on infants (i.e., to use formula to some degree in order to decrease daily exposure).,,

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