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.

It is common for persons to wait until their symptoms become bad before getting help then get desperate for care once things snowball. The solution is to be sure when one is going downhill. Us:,

Personal disaster after disaster can cause people to give up faced with further stresses and disaster, the challenge is to break this cycle. Us:,

Many patients dislike medication, they will decline increasing current medication even if they got good help from the current dose but are still have symptoms, it’s easy to forget that a little more is probably the answer. Us:,

What is the best way to stay mentally healthy? Have friends, talk to people, do exercise, have love, do interesting things. Answer, work on all of them! Us:,

“Many patients have depression”, True? Low moods are common but who is “ill” with depression, just has stress, or has something else? We can only "guess” & treat because psychiatric diagnoses are actually unprovable. Us:,

“Interminable” that’s the only way to describe the way certain couples fight. Each side magically thinks the other will agree with them someday The answer is: how do you want to spend your short time on the earth? Us:,

Acne is common, not knowing how to treat it is more common. First, skin needs to breathe! To let it breathe, wash frequently, use acne creams, some people need antibiotics, & be sure to change masks frequently.. Us:,

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:,

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Does everything need a medication on the formulary? Some things do, some don’t. Natural remedies sound “corny” and don’t make much money for medical stakeholders.

Halving or stopping meds often leads to…nothing, but that doesn’t mean there won’t be some withdrawal or recurrence. Each step of the way in medication management requires patience.

New expensive meds gets lots of praise, old cheap meds commonly get a bad rap. How should we think? Carefully. Look at data with a discerning eye, see what entities stand to benefit or loose, that usually is the best hint.

How to evaluate research? Just read the abstract? Don’t look at the funding or who can gain profit? Don’t read related papers? Don’t see the methods? Don’t see if the authors are related to the publication? If you said yes to these then take a course in evaluating research.

What medications are the "best"? Efficacy, safety, metabolism, dose, social & physical environment, medical illness, family history...besides a few to avoid at all costs, at the end of the day it's largely trial and error.

When mood is up people tend to stop mood medications, when down they restart. Life can be a continual cycle of mild misery, worse misery, and improvement. The number of total years in bad shape can be debilitating.

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.

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Persons on medications can have vivid dreams, enough so that they can’t even tell the difference between dreams and reality. First, don’t panic and don’t rush to stop your meds! Us:,

Many couples make extreme decisions during a fight, just a simple apology and a time-out can bring the game back to normality. Us:,

It is common to talk about one’s positive attributes in therapy, it’s could be looking for validation from the therapist, OR, it could be a shield not to look at one’s bad attributes. Us:,

What’s the most common cause of relapse in depression? Stress? Bad genes? Bad diet? Stopping meds? Answer: sometimes stress, often stopping meds. Tread life carefully! Us:,

Hyper people sometimes start to do great things. They may start a great career course, but commonly they start a few things at a time and get off the track. Good therapy will warn them ahead of time. Us:,

Mild voices and unstable moods, mostly down, what is it? Some will say bipolar but psychotic depression is just as likely but less well known. Us:,

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:,

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:,

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