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.

Click here for a QUICK DEPRESSION CHECK.

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.

Related Counseling Approach Links

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

The combination of depression and attention deficit in adults is common. Depression waxes and wanes, ADD is constant and doesn’t worsen. Both will usually require treatment. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

What is the biggest problem treating psychiatric patients? People with chronic mental illnesses over many years, often with an undulating course, continue to refuse medication and live in chronic misery. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Alternative theories try explain all kinds of disasters. Some are true. Choose logical reports that have outside verification. See who benefits from power or monetary gain. Some theories are so strange that they may be planted to discredit the logical theories.

Hyperactivity is the most poorly accepted subtype of ADHD. Highly active persons usually think it’s normal until they fall into a state of exhaustion and finally call for help. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Burnout is common. It can be due to a situation, hyperactivity, or manic behavior associated with lack of need for sleep and run-on speech. These persons often fall-out of their jobs and have significant social problems. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

People need to feel they are part of society and do something valuable even if the activity is modest. Imparting knowledge gives one a great feeling, and doing things helps with brain function and mood. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Chronic depression is a killer. Suicide attempts may even be brushed aside by the attempter as trivial. A family history, chronic course, physical symptoms including sleep and appetite troubles are hints of real illness. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

How to get a spouse with a problem to get help? Not easily, but, one strategy is to emphasize how the no-problem spouse has caused stress for the problem spouse and they need treatment for this stress. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

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Some basic life topics seem to be missing from education, like “where does money come from?”, or, “who benefits from a war?”, or, “how does the economy really get out of a crisis?”. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Depression after an event suggests the event is the cause. If it continues long-term it can be confusing whether it is biological or psychological. As caretakers we need to err on the side of “best treatment”. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Persons with ADHD often don’t even realize they have this. They can’t organize a plan, and may have mild distraction and clutter but never thought much of it until they find they are behind in life. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Questionable ethics of whether a 9 y/o can consent, even if his parents can, to have his sexual information used for political gain by Pete Buttigieg in a public forum & placed on the internet by CNN: https://t.co/YFaHgsq2yh This Could have been done privately back-stage.

Why are people stuck on certain political, religious, or other “truths about the world”? It's because children get “anchored” to a belief system & then some are trained & inherit either a stubborness to stick to their beliefs or a flexibility to entertain other ideas.

Fear of Corona is real, but so is over-fear. Up to 40k of 4 million flu infected persons have died from the 2019-20 flu, but only a small % of the population get the flu shot, and flu gets little fanfare. Fearing the flu is just, if not more important than Corona.

CNN https://t.co/rdirW02Xrx suggests the rights of 6 year-old committed to a psych hospital were infringed but shows her photo & gives out her medical information. This girl has no ability consent even if her parents do. CNN doesn’t need to breech ethics by flaunting the story.

Many persons have ups & downs of depression for so many years they tend to focus on the ups and think depression is going away. They forget that most people don’t have downs so that it’s really only downs that are just coming. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

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