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.

What is the difference between nociceptive and neuropathic pain? Maybe as much as the difference as written in the definition, maybe much less because the little secret is that they may co-occur on top of or side by side each other, or, injury may exist but not be detectable.

Imagine an overactive and impatient spouse and a zoned-out and self-absorbed spouse. The overactive spouse will try to drive the zoned spouse to certain goals and the zoned will fight back, causing escalation. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Are timelines important? Many persons make conclusions about events and causality of symptoms in spite of the events occurring afterwards. It’s challenging to convince persons what could be causative and what could be just a bumpy road. Us: https://t.co/W6SS4mUflN

Medicines may look great on a lab bench but fail miserably in patients. It's the research scientist's job to manage the expectations of the commercial side of a company regardless of the time, effort, and and money put into the R&D, and go one milestone at a time.

Driven and competitive persons don’t easily give-in to their spouses in an argument, essentially falling into the quicksand of making both parties losers. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Some medical interventions seem "invasive" but are even less invasive than some "non-invasive" interventions. Some treatments are reversible and some are not though patients often don't realize which is which unless it's carefully explained.

If one has hyperactivity, this can cause one to give oneself an amount of work greater than one’s capacity, i.e., for one to be the cause of their own trouble. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

People want to get a “divorce” even with small kids because they get into “0 or 1 mode” when heated and don’t realize the problem to come with the stress on children, alienation, and guilt that might ensue. Try to find creative solutions! Us: https://t.co/W6SS4mUflN

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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

Some people have so much anxiety that makes them go to the toilet, some “fight” back at their anxiety, and some need to give up and take meds. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Everyone is needy and lonely, and we can see this escalate during puberty. This is proof of a significant biologic element to loneliness. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Some hyperactive people just do lots of hobbies and collect lots of things. It’s not obvious they are hyperactive at first blush. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Persons often say drugs, therapeutics, or VaXs are “effective” but can’t describe what they are effective for. Think, “indication” & “endpoints”. Know what you are told you can treat before leaping into a point of no-return. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

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

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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.

What is the sure-fire way to stop smoking? It’s when you start coughing up blood. The only problem is that by then….it’s too late. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

Families in crisis overlook that arguments can easily lead to a “hostage situation” where the kids are ensconced in a custody battle that will be a disaster for all involved. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

What should you do if your partner is much older than you? Stay or break, either choice can be valid as long as you’re willing to stick with your choice with no regrets. https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

Smoking, drinking, ADHD, SSRI wgt gain, ongoing depression & anxiety is common. Set 1 cigarette an hour, use stimulants for ADHD that may help with wgt gain, use low SSRI doses w/other antidepressants, use antabuse as needed. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

The answer to chronically messy person? Set up a cleaning schedule to do a small amount of specific chores each day of the week! Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

While medications have side effects that doesn't mean the med is not effective. It may mean the medication needs to be changed, but it doesn't mean to give up on helping the patient.

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