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.
Poor metabolizers and treatment resistance can be confused. Low drug doses are given for fear of toxicity, leading to poor dose response and "seemingly" treatment resistance.
Workplace harassment is common, sometimes it’s sexual. Fear of losing one’s job, fear of physical harm may make the victim frozen & unable to resist. Getting help early is key. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
People fighting about Masks on the train today in Japan. Do this: get a cigarette, hold it burning in front of your face mask, inhale, see what happens. Then inhale smoke from the cig, hold in your mouth and exhale with mask on, see what happens. Make your own conclusions.
Victim of sexual harassment? Never let abuse exist in a vacuum, always get help, call authorities, and call out the perpetrator. The social pressure itself will make most predators stand down. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Medical science is more fuzzy than Drs will admit. Not because they are lying, but mainly because they weren't taught and don't see the fuzzy nuances in the real science or the mechanisms how that specialty makes money by certain narratives that become unquestionable truth.
“I can’t stand failure so I don’t try” is common in depression. These persons need to see that depression causes low self-esteem which causes the fear of failure. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Persons often ask what therapy, meds, doses etc., they may need. Understandable, but there is only general info. Patients need to understand there is no data about THEM until we get it from trial and error of treatments. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
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?
People often consult us about family fights. They're usually caught up with the intense escalation so that we have to guide them to focus on the start of the fight which hints at the underlying cause. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx.
How to deal with difficult co-workers? Keep frustration low, realize the difficulty is a merry-go-round, try to take it as a comedy and keep out of trouble. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
Connecting events from one’s past to current symptoms can be a jump of logic if a long time has passed. We like to have an event to blame. Problem is there is usually no exit from this turmoil once the person is obsessed on it. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
Called an "anchor point", it's the first belief persons have about a situation. Once set, it is very difficult to change that persons' opinion even in the face of glaring evidence. This phenomena can easily be exploited to control people as well.
You have an ex-wife & young son you see 2x/mo, & a new wife and 2 yr-old who lives in another city but who is willing to live with you. Answer: Move back with new wife, don’t argue either and visit your son. Be patient because parental rights don’t matter much with teenagers.
Euphoria & racing thoughts, classic symptoms of (hypo)mania, just a side-effect of antidepressants, or just good things going on? Some patients can stay well like this, but keep an eye out for change to serious mania. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
You have a 1 yr-old child, your wife is difficult, and you want to leave for a new girlfriend. It’s unclear what you should do but it is clear you’ve been making decisions without thinking about the complications. Us: https://t.co/VOm63Hc41r, https://t.co/uaoP3ZvxU7
What’s the best way to deal with a break-up? Realize what’s going to happen at the start! Foresee the end-game for your partner based on their age, maturity, and unfortunately looks as there’s an element of market forces involved. Us: https://t.co/xJKjtzIjZq.
Psych testing at corporations are too-simple, they don’t take illness into account. It’s like timing a runner who has pneumonia-you are only measuring the effect of pneumonia on the person, not their ability to run. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
Why is dose-response so important? Many patients give up on a medication because it doesn’t work possibly because the dose is low. Imagine, a drop of vodka does nothing but a glass will make you drunk. An important concept to discuss with patients. Us: https://t.co/xJKjtzIjZq
Simple ways to keep colds away: #1 humidify your home, Then vitamin D 5,000IU & C 2000mg/day, zinc and its associates (quercertin as ionophore for zinc & copper to prevent depletion from taking zinc). Go out and run in the fresh air!
How should you react when your alcoholic 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.
What is “insight” in psychiatry? It’s the ability to see oneself. If it’s poor, then patients frequently do not cooperate to get treatment and don’t get well. What to do? When all fails, have the serenity to accept the person is not going to get better.
Arguments are one thing, escalations are another, some parties stubbornly refuse to stop arguing about little things. Answer? One party agrees to give-in as a default strategy to decrease fights.. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t