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.

Friends change, w/kids or w/o becomes a big distance, afraid or not to go out becomes a big distance. What to do? Change your expectation and take a crisis as an opportunity, this is called “crisitunity”. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

What keeps people from finding romance? Lack of confidence, finds it troublesome, fear of rejection. In most people something eventually sparks, but not all… Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

Some people hold on desperately to some past life event, “If I could just get over this I’d be fine!”. They actually need to garner something positive from the event or realize it isn’treally related to their current troubles. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

“I don’t want kids” is a common statement. Yes, there could be good rational not to have them-as long as you won’t regret this decision later. Always try to see the timeline of your life! Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

What is “Baby Rage”? It's when mom-in-law gets livid about daughter-in-law’s way of caring for a new baby. What to do? Try to make grandma think she is giving great advice and do it your way later. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Why would anyone want to date their best friend’s girlfriend?: she’s beautiful & men are lonely and horny causing a “natural addiction” to women. The problem is that dating your friend’s GF is likely to blow-up in your face. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

Even suicidal people vacillate on getting medications for help, even when depression is chronic and there are no stressors. Anchored beliefs often run against logic. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

When deciding what caused a drug response we would need to control one's lifestyle, dosing regimen, stress, and other factors. Until this is studied in a blinded fashion we are left with a subjective rating.

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Drugs need time to work, too many persons aren't patient enough to wait and give up. Sometimes persons will even run into getting treatments that are un- or poorly proven, leading to a disaster. Proper degree of patience is the answer!

Many psychiatric patients are on a cycle of taking and stopping their meds, why? They don't want to accept being sick so they try to stop, the med is still in them they feel better so they conclude they are better...until they crash, and repeat the cycle.

Tolerance to a drug? Yes common, especially in the CNS where nerves need to adapt to changing environments and protect the brain quickly. This makes CNS drugs loose effects. The remedy is pulse dosing, rotations, and adaptive changes.

The usual suspects: "missed doses", "not needed doses", "non-compliant with dosing". They all lead to recurrent symptoms that then seem to be on a merry-go-round.

What is CNS medication "hesitancy"? "It will change my personality", "it's addictive", "It's only for crazy people", etc. While many of these persons drink, smoke, do some drugs, etc., the "brain drug" fear is a tough nut to crack.

Can you give elderly medications? Often yes, but be careful of the dose and monitor closely. Many doctors will just avoid it for "responsibility" reasons not clinical reasons.

Can we use pk and pd in the office with patients? Yes, sometimes, but in psychiatry, at the end of the day it's the subjective way the patient responds that drives dosing and/or drug-type regimen.

Risks of drugs during pregnancy? Look at the stages: fertility effects, malformations, newborn toxicity & withdrawal, lactation. There is no way to study these well & Drs not easily willing to take risk & say ok to take them. Us: https://t.co/VOm63Hc41r, https://t.co/uaoP3ZvxU7

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Connecting the dots from having difficult parents to adult depression, common topic. Is it true? Maybe. The problem is there are many difficult parents and most kids don’t grow up with depression. Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V

Some persons have panic attacks or rage attacks. They focus on these as the problems but usually a more pervasive problem underlies like depression or anxiety disorder. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

Person has 3 problems, what to treat first? Depends on 1. Which problem is priority, 2. Which treatment has fewer side-effects, 3. Time to effect-onset, and others. Look carefully! Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V

People often have heated arguments. How to fix this? Usually people agree to about 90% of things, find these things and all will be well! Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

Why don’t people look things up and figure out what to do in life? They are stuck in a hole and don’t think there is anything else to see. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

Is it possible to lose weight on SSRIs? Supposedly not, but MAYBE. Psychiatry is a fuzzy and irregular science. It takes time to have a full appreciation of this. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

"Hotheads" can result from a number of problems: irritable depression, manic depression, ADHD, personality issues. There should only be rare occasions to get worked-up!. Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V

A recurring problem in Japan is the pharmacist trying to give advice in a 3-min meeting to a patient in front of the whole waiting room…often leading to the patient not wanting to talk. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

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