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.
What about paranoia? We can give meds but what about reasoning? An “agency coming after me” is common. We try to remind people that if an agency was after them they would have been gotten already because agencies don’t like to waste time. Us: https://t.co/W6SS4mUflN
What to do when your company wants you to get a specific psychiatric intervention to return back to work, although you don’t have a problem to work? Get a Dr letter and a legal consultation. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
Many of our consultees in Japan have similar troubles, lack of exercise, don’t seek intimacy, don’t seek career development, don’t work on their language skills. Various causes, various interventions. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Infidelity, knotty problem. The truth, we as humans cannot be expected to be robots, but we need to keep the value on deep relationships over lust. How? Live humbly and safely. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
No matter how many times you tell them, some patients just never take the dose or dosing schedule recommended. This can lead to significant morbidity and mortality.
Welcome challengers to your belief system who put you up against the ropes. They will force you to learn how to justify your argument, or force you to change it. Either way will help you grow. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Look at your position in life, family, work, lifestyle. What do you need to focus on? Realize your life positions will change, family will grow, jobs have an end. Move thru the phases with forethought. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
What are “irreversible passage points”? If you wait the passage is irreversible: waiting too long for marriage or family making, waiting to study something and then getting old, a family dies with your plans still hanging, etc. Look closely at the train you are on and the stops!
The dose-response issue keeps popping up. This time it's depot injections. "I don't have symptoms so I often skip my injection days" is common. This defeats the purpose of getting depot injections to begin with.
Learn to use as needed extra doses, half doses, every other day doses, rotation schedules to avoid tolerance, and other flexibilities you'll never learn in medical school!
Antipsychotics can cause weight gain and diabetes. Psychosis can cause frightening delusions, family breakup, maybe suicide. We need to decide which side of the coin can be treated vs the risk of treating vs not treating.
Getting a handle on the cause vs trigger of depression is important. When did it start, what are the stresses, how does it relate to medications, drinking, relationships, etc. Never rush to a decision. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
Tolerance to meds is common, esp ADHD & sleepers. Starting a rotation of 2-3 types on a cycle of some days or weeks usually works like a charm. No need to give up!
Psychiatry has few objective measures. One is looking at the chronology of events vs. onset of symptoms. If the symptoms started before a discrete event there is little logic to conclude that the event is causative. Us: https://t.co/VOm63Hc41r, https://t.co/uaoP3ZvxU7
Work and reward can be addictive. Praise from others, salary, sense of accomplishment. It’s all great unless you fall into the slippery slope of burnout and quit. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
I recently hear people tell me “there’s nothing to do about it”, or “It is what it is” kind of fatalistic mind-sets. Sometimes putting fear into these people can get them out. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
Will a drop of vodka make you drunk? Same if you take too low dose of psychiatric drugs. The vodka analogy is very effective for persons unsure or reluctant of taking psychiatric drugs as prescribed. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
Couples’ fighting is like a dance: partner A’s problem bothers partner B who has a bad reaction. A then reacts to this and B reacts to that. Downward spiral that has forgotten the start of the spiral. Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V
Oversleeping? Is it depression? Is it sleep apnea? Is it sleeping meds? After you’ve treated these you need to use a morning circadian rhythm light. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
How should you react when your spouse falls off the wagon? The trick: expect relapses and work with your spouse to keep relapses to a minimum. Only retreat in stages if the situation is untenable.
Some people drink lots then stop for a while. This makes the spouse think it’s possible to help the person. The spouse’s choice is to continue to try to help and be unhappy, accept the situation and be happy, or change to a different life situation.