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.

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

Until there is a reliable biological or genetic parameter that can validly discriminate BPD from other disorders, better modesty to admit that the diagnosis of a personality disorder, especially BPD, will still be far from a valid construct. Us: https://t.co/nCLCm8wkvq

Mindfulness has been found to alter regions of the brain associated with memory & awareness: https://t.co/ndcotXhNQF. But many activities can make brain changes, running, yoga, juggling, etc. there is no special effect to Mindfulness here. Us: https://t.co/CFTtRIymIU

The Psychiatric Times author of the ART (aka EMDR) infomercial, Dr. Wendi Waits, is also a " Master ART Therapist", a COI Psychiatric Times should note. EMDR as pseudoscience: https://t.co/PqEfLAZnq5, & on Quackwatch: https://t.co/i6MURVUfz1. Us: https://t.co/vCyo9ZNPlb.

Psychiatric Times is plugging EMDR as ART: https://t.co/IQcIwH2Zxd. Listed here as pseudoscience: https://t.co/PqEfLAZnq5, EMDR has a long history on Quackwatch: https://t.co/i6MURVUfz1. Us: https://t.co/vCyo9ZNPlb.

Borderline Personality will self-harm, ADHD persons get hyper: https://t.co/gSayzpsaks. There is really no way to differentiate these diagnoses & if a personality disorder is better explained by another disorder, the other disorder takes priority. US: https://t.co/GwwzyYyjaI

CoQ10 is now thought to be an "effective" treatment of bipolar depression: https://t.co/lmszHHrIY2. This is interesting, but only 89 subjects were randomized so that we still need a large confirmatory trial. US: https://t.co/GwwzyYyjaI

Psychiatric Times, great mag, still plugs EMDR: never single/double blind placebo study, is viewed ineffective and over-marketed, selling EMDR courses: https://t.co/PqEfLAHMyx. Also, see this https://t.co/J5SXAxPDy7. Us: https://t.co/1HKbrHrzuS

Dr. Seeman says schizophrenic females did not have flat affect and were social: https://t.co/41wUioqZna. She says low estrogen causes psychosis, could be true, but its only conjecture. Seems her patients probably had a non-schizo psychotic disorder. Us: https://t.co/bYwFMNTDK7

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https://t.co/CgpnuNNVNt: doesn’t mention the exclusion criteria for a personality disorder when the criteria can be explained by another psychiatric disorder. I.e., the diagnosis for BPD notes 7 traits that could easily be due to a mood disorder. Us: https://t.co/59gLBhYuMX

Brain changes have been reported with psychotherapy, but brain changes can be found in various activities: https://t.co/gQpNqj4Xqv found an increase in white matter underlying in a complex visuo-motor skill. Us: https://t.co/2rTavy34n4.

Dr. Steven King promotes efficacy of CBT for pain as best: https://t.co/QZzwfBWpnz, but there is no blind placebo-controlled study of CBT vs any other type of psychotherapy. Modesty in conclusion of efficacy is warranted. US: https://t.co/NExjz3T3Z3

Dr. Tasman starts on physicists questioning relativity vs quantum mechanics: https://t.co/Y0sjD2Tuos, leading to what is inner reality in psychotherapy? Dr. Tasman seems removed from understanding Einstein & Bohr's quantum discussions vs human reality. US: https://t.co/NExjz3T3Z3

Dr Moutier lists treatment modalities w/evidence for reducing suicide risk but surprisingly doesn't mention medication for agitation, anxiety, or sleep: https://t.co/5eSWg2sJOk. Neither CBT or DBT have ever had a double-blind placebo controlled study. US: https://t.co/We7OmvxoYF

Only 2 of 265 disorders in DSM-5 have known causes, PTSD & substance abuse: https://t.co/bSc3KukmiK. However, PTSD is still a subjective diagnosis: stress is known, symptoms are unprovable. US: https://t.co/We7OmvxoYF

Dr. Graham says genetics cause catastrophizing leading to anxiety: https://t.co/FuhKznWX7M. So, the symptom of a disorder is also the cause? The therapy they sell treats catastrophizing though. Us: https://t.co/FxEfrGmpKC

Could mania may be caused by beef jerky because of nitrates? https://t.co/p8CPn5zRgU. Could it also happen with hot dogs and bacon? You may not want to eat these products for other health reasons, but the mania-link is still weak at best. Us: https://t.co/FxEfrGE0Ca

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