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.

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

Clinical trials need proper power in subject numbers, proper endpoints, placebo control, and an understanding how all these fit together.

Patients on so many medications, what to do? Try to see what is really necessary, start and stop carefully. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Why are people overwhelmed? Most commonly, they have a lower capacity due to attention and organization. This can lead to depression and anxiety if work or other functioning fails. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

What can happen after abortion? A domino effect: Guilt---depression---break-up with one’s partner---more depression. Think carefully about what may happen ahead of time. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Common psychopharm mistakes:1. Stopping meds and thinking they are out of your system-no, 2. Thinking you will absolutely recover on restarting meds on cessation-no. Nuanced understanding is key. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

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

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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

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.

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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.

Depression, ADHD, & sleep apnea very commonly co-occur. Yes, meds for depression & ADHD but never ignore the apnea factor which can be mentally debilitating. Adjust or upgrade c-pap before overhauling medications.

Stubborn to the bone! This is the main reason couples can’t get over a fight, they both want to “win” an unwinnable, and usually meaningless, argument. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

Trouble focusing leading to anxiety when challenged inter-personally is very common. These persons often focus only on the anxiety part and the focus part needs to be pointed out. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

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

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