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.
Here in Japan (& in China), many persons do Tai Chi every morning. There is no need for advice from a medical doctor nor to bill patients or insurance companies for "Tai Chi therapy". Us: https://t.co/WLIjKdXqXL , https://t.co/RyG3aQt9vL , https://t.co/J7ZPFKUqAp.
Bad ethics of the BBC providing a mental diagnosis of a young girl on public news by Dougal Shaw: https://t.co/aLtaECOi5q. -autistic children do not wish to have friends to begin with. In any case, they don't need to increase ratings with private medical info.
Persons with social phobia have fear of embarrassment and avoid relationships. It’s crucial for them to know the possible life choices they can make to avoid a life of solitude. Us: https://t.co/tReJRfcSMp, https://t.co/RyG3aQKKUl, https://t.co/H5KcK7BaWz.
Carbamazepine is a vasopression agonist and thus acts as an antidiuretic that can cause hyponatremia. Us: https://t.co/WLIjKdXqXL , https://t.co/W6SS4mUflN , https://t.co/urVpIxQD7G .
Parkinson’s: there must be loss > 80% of dopaminergic cell bodies to have clinical symptoms. 15% of relatives have the disorder. Alpha-synuclein as Lewy bodies make Parkinson’s a synucleinopathy. Us: https://t.co/WLIjKdXqXL, https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G.
Botulinium toxin blocks acetylcholine release leading to paralytic and autonomic symptoms of botulinium. Us: https://t.co/WLIjKdXqXL, https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G.
MELAS: maternally inherited encephalopathy w/strokes & seizures sparing white matter. Cerebral vessel mutation load is seen. Us: https://t.co/WLIjKdXqXL, https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G.
Counseling Service in Tokyo: Suboxone use & pharmacodynamics. https://t.co/QdFrHQUgQR
Suboxone (buprenorphine/naloxone) used sublingual or film-strip @ 4-16mg/day is a μ opiate receptor agonist/antagonist used for opioid relapse prevention. Above 40mg only antagonism. Us: https://t.co/2cyfo9FRgl, https://t.co/VOm63HtESZ.
Counseling Service Tokyo: Sleep apnea is common, can be confused with depression and cause daytime sleepiness & cardiac complications. https://t.co/odxtbcTITP
Sleep apnea is common, can be confused with depression and cause daytime sleepiness & cardiac complications. Nocturnal polysomnography is the investigation of choice. Us: https://t.co/EM6ss7NILt, https://t.co/eGw7GaNOQn,
Tokyo Counseling: MDMA may cause hyperthermia when used at raves, but not under laboratory conditions https://t.co/9Q6f20wijs
MDMA may cause hyperthermia when used at raves, but not in laboratory conditions. Unfortunetely, negative MDMA info soured by the Ricaurte et al. retraction of dopamine neurotox due to NIDA disinfo makes all warnings suspect. Us: https://t.co/2cyfo9FRgl, https://t.co/VOm63HtESZ
Tokyo Counseling: Aspirin for stroke recurrence prevention. https://t.co/u8zSd53rp3
Tuberous Sclerosis: autosomal dominant w/ash leaf spot, adenoma sebaceucum, shagreen spots, retinal/cortical hamartomas. Neurofibromatosis 1: café-au-lait, neurofibromas, axillary freckling, Lisch nodules & iridial hamartomas. Us: https://t.co/DnZXryRTna , https://t.co/xJKjtzIjZq
Cocaine can cause paranoia, hallucinations, euphoria, and irritability. Heavy use can cause central vision lights, as well as seeing black dots on one's skin and in the environment. Us: https://t.co/xRzwbqd5dq, https://t.co/oOTzE4A2YJ, https://t.co/vi64mkcH2D.
Memory: episodic, procedural, semantic. Episodic is for explicit events, semantic is memory of the word for an explicit item/event, procedural is for conducting tasks. Us: https://t.co/RAlSHUb0Cy https://t.co/fpsjj9URam, https://t.co/bggAMvY10t.
Herpes is the most common cause of encephalitis. There is increased
CSF pressure with lymphocytic pleocytosis, proven by biopsy or polymerase chain reaction. Us: https://t.co/DnZXryRTna, https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t.
9.11: Cognitive dissonance of our expected world view vs. new reality
is mentally destabilizing: https://t.co/Ie6jbc5Bc6. Us: https://t.co/DnZXryRTna, https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t.
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: https://t.co/DnZXryRTna,
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: https://t.co/DnZXryAivC, https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V
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: https://t.co/xRzwbqd5dq, https://t.co/oOTzE4A2YJ, https://t.co/vi64mkcH2D.