Approach of Douglas Berger Psychiatrist Tokyo


The Tokyo Meguro Counseling Center cares for persons with a wide variety of psycho-social problems. The Center is also experienced in Alcohol Treatment in Japan, and is happy to help persons with alcohol or substance abuse issues in Tokyo or greater Japan via phone or Skype counseling. Douglas Berger, the  psychiatrist of Tokyo, takes a measured approach to psychiatry.  You can find  information about that here and at the Meguro Counseling Center.

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Cognitive Behavioral Therapy (CBT): CBT is helpful to delineate maladaptive and negative thinking patterns that often torment and distress people. CBT is particularly useful as an adjunctive and rehabilitation treatment for depression and other problems including low self esteem, anxiety, and other issues. Lists of thought distortions, records of dysfunctional thoughts and their rational reappraisal, life planning strategies that can overcome one’s usual negative pattern of behavior etc. are often given in a work-book fashion that can be an effective method toward self-improvement. This is an example of Psychopharmacology-Integrated CBT (Cognitive-Behavioral Therapy), where a medication-illness paradigm is integrated with a psychology-psychotherapy paradigm in order to boost treatment effects from both angles.

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Depression & Anxiety: Sometimes an illness like severe depression or anxiety may require medication in order to allow the talk therapy to jump-start. The therapists at the Meguro Counseling Center have considerable experience in using psychiatric medications and keep up to date with the many medications used in Western countries that are not yet available in Japan. Your therapist can provide you with information and recommendations regarding psychiatric medication, and the Meguro Counseling Center works together with a number of physicians licensed in Japan who can provide a prescription as appropriate.

Some of the more common problems that the therapists at the Tokyo Meguro Counseling Center have experience treating includes self-confidence problems, relationship/family problems, depression and manic depression, anxiety/panic, eating disorders, obsessive-compulsive disorder, phobias, substance and alcohol abuse, history of traumatic experiences (PTSD)/child abuse, feelings of unreality, sleep disturbances, psychosomatic (mind/body) disorders, women’s issues, gay and lesbian issues, and child and adolescent disturbances. The Tokyo Meguro Counseling Center has considerable experience in the treatment of depression. Corporate training and conflict resolution is also available, please inquire for details. In addition, Phone or Skype counseling is often provided for persons living in the Kansai area (Kobe, Osaka, and Kyoto). See the Tokyo Meguro Counseling Center’s web site for more details.

Charts & Graphs. The Meguro Counseling Center often uses charts and graphs in order to conceptualize clinical issues in visual form. These are some examples of the many files used with clients at the Center (the graphs require individual discussion in order to make sense in context of each unique situation):

  • Core Issues and Defenses; a flow chart of the core psychological issues people have and the adaptive and maladaptive defenses people use.
  • Mood Effects On Psychology; a diagram of how abnormal mood can lead to feelings and behaviors that are not optimal.
  • Self Esteem Needs In Relationships; an illustration of how the mechanics of intimate relationships can lead to crashes in self esteem.
  • Obedience and Defiance Cycle; how a cycle between obedience and defiance can lead to resentment, guilt and fear, and secondary depression, anxiety, conflict, and decreased self-assertion.

Douglas Berger psychiatrist Tokyo - Meguro Counseling Center logoThe Tokyo Meguro Counseling Center strives to create a friendly and compassionate atmosphere in its counseling style. An eclectic counseling approach using a balance of the different major types of therapy (cognitive/behavioral (CBT), psychodynamic, supportive, group psychotherapy and others) is employed to fit with what each individual requires in order to achieve the goals set in the sessions.

Psychodynamic Psychotherapy: Also called insight-oriented psychotherapy. A central theme in therapy is that everyone has certain core issues like feeling inadequate or unloved that one sometimes makes maladaptive defenses against (ie. trying too hard to get noticed by others or getting into unhealthy romantic relations) that can lead to trouble for the individual. Understanding and re-working these defenses and how they lead to trouble, as well as minimizing the effects of one’s core issues is a very useful tool in therapy. A detailed description of this approach can be found here: Core Issue-Defense Paradigm, and this page illustrates some clinical case examples. This is a related paper on how defenses can be used in psychotherapy to help one understand and work-through maladaptive behavioral styles.

Contact Douglas Berger psychiatrist Tokyo, Japan

No matter what the complexity of placebo and antidepressant mix is, the placebo group has an average placebo effect for the group, and the active drug has an active drug effect for the group. Individual responses are can not be clearly determined. Us: https://t.co/YPkgcvMBAl

Society can not expect universities to function as mental health clinics-and neither do they wish to be so: https://t.co/pUtfjkCfJr. Universities’ main fear is of law suits due to morbidity and mortality of mentally disordered students. Us: https://t.co/CFTtRIymIU.

Stimulation of the Vagus & other nerves are treating headaches, opioid withdrawal, & possibly autoimmune-related diseases: https://t.co/oM6XLNcvCg. The future of this modality is fascinating. Us: https://t.co/K330lNOED8

AI is helping screen for potential for new drugs: https://t.co/Vzrg9QLxAs. AI helps go thru the vast possible molecules via "virtual libraries" of drug structures and properties. Great hope for the future. Us: https://t.co/QzztBjh4ck

A Chinese study looked at ADHD risk w/diet. High minerals/protein (m/p) gave 47% reduced risk of ADHD: https://t.co/vFAigpgqZT, 57% of low m/p had ADHD vs 39% of high m/p w/ADHD. 39% is still 68% of the 57%, so 68% on high m/p still had ADHD. Us: https://t.co/GwwzyYyjaI

There are no biologically measurables for psychiatric diagnoses: https://t.co/YDUdkfEHwB. There is considerable overlap between criteria sets & even the DSMs do not purport to classify conditions based on etiology much less objective measures. Us: https://t.co/03IryHDFhX

DSM classifications attempt to avoid under or over diagnosing, reimbursement & special interest groups: https://t.co/YDUdkfEHwB. Diagnostic names change over the generations of new DSMs with little concern for diagnostic validity. Us: https://t.co/QzztBjh4ck

Do HLA testing before giving CBZ to Asians? https://t.co/BrQ4eBcq0R. Best not to give CBZ to Asians, or use oxcarbazepine. Until utility is proven, genetic tests should stay in the research lab or in drug development, not in clinical psychiatry. Us: https://t.co/vCyo9ZNPlb

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Far from everyone on antidepressants gets antidepressant response even if the dose is high enough: https://t.co/0ZXob3J2AN Any patient can have a robust drug response, we just don’t know who that will be from a clinical trial of hundreds of persons. Us: https://t.co/OIlRSaN7oC

Douglas Berger, MD, PhD, Tokyo, Japan: 1.) New York Medical College Graduation Diploma; 2.) New York Medical College, Psychiatric residency Completion; 3.) U.S. Board-Certification in Psychiatry. Originals displayed in the Tokyo counseling office.

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Neuro-chemicals of persons with psychosis is abnormal: https://t.co/mN0RYEq9W5. That biochemical abnormalities exist in psychosis is strong: https://t.co/lg4v2j3SYa. Many psychiatrists are calling for an overhaul of the bio-psycho-social model. Us: https://t.co/Fp4G4mtROK

iGen or the ("Internet Generation) is said to have a correlation of time on digital media and mental problems: https://t.co/C3wb1H6jUh. Public shaming has more real-life negatives than just one's thoughts. Us: https://t.co/zoQhPY52RF

Encapsulated cells may escape immune rejection: https://t.co/VUld071QK7. They can secrete molecules to treat many illnesses like diabetes, scarring, hemophilia, glaucoma, and others. Us: https://t.co/WGBeQYN1YA

Octopuses given MDMA-Ecstasy-began to act in-love with other octopuses: https://t.co/jU6aAhbNj6. This suggests that human brain regions that produce this behavior wasn't developed until much later because Octopuses do not have these areas developed. Us: https://t.co/edDvtd6zbo

Amber lens therapy is said to “work” for bipolar disorder: https://t.co/DA8sEQSSzN But this is only a preliminary unblinded case series with no blind placebo control. It is not yet valid to say Amber lens therapy works for bipolar disorder. Us: https://t.co/We7OmvxoYF

800 gay participants shared 2 regions of the genome, 1 on the X chromosome & 1 on chromosome 8: https://t.co/frxyPFPPJS. Same-sex desire doesn’t lead to reproduction as frequently as opposite-sex desire so it must be a smaller % of the population. Us: https://t.co/FxEfrGmpKC

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