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

“What is actual reality?” patients frequently ask, especially those who have a changing sense of reality. I explain that our sense organs evolved with our environment to exquisitely mirror it-so we have to consider this is reality. Us: https://t.co/VOm63Hc41r

What’s the secret in dating a foreign national? Tolerance & ability to accept & sacrifice. I.e., to accept the partner will not have the best job, or that you may need to move to the partner’s country someday. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Why is it common for young persons to start a career that is interesting to them but unpractical? Simply, they don’t realize what aging and the real world of life will bring upon them. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Do “Partridge families work?” Some do and some don’t. If you are a parent in one, the answer is to know if the kids are able to tolerate the situation and flexibly change who lives with who as necessary. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Divorce in Japan? Following the family court leads to the same cookie-cutter outcome no matter what discussion is in the cookie machine. Answer: get out of the cookie cutter machine! How? There are many ways to negotiate using social pressure that a lawyer will never tell you.

What do you do when your estranged parents all of a sudden give a large gift to your child’s school? You can tell the school not to give out your child’s connection to the gift, but we don’t know where it will go next. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Postpartum depression: new baby stress, sleep poor, husband not available, etc. Lots of stressors to blame, but the real cause in most cases are disrupted hormones and neurotransmitters, not as easy to see as the stress. Us: https://t.co/VOm63Hc41r, https://t.co/uaoP3ZvxU7

Depressed people do many impulsive things: change jobs, go with unhealthy partners, use substances. It’s all due to illness not intent or ignorance. Us: https://t.co/VOm63Hc41r, https://t.co/uaoP3ZvxU7

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"HUMANS DON'T ACT until there’s a crisis” someone told me today. How true! Career, finances, medical care, finding or leaving a romance, family affairs, keeping an eye on your child. Few people who plan and act regret it, those that act on crises usually end in regret.

So is a belief bubble ok? Say all you can see is that candidates are electable by voting, but you can’t see that all the candidates (from every party) on the ballot are all loyal to a hidden entity that places them on the ballot even if their stated platform is different.

What is a “belief bubble”? It’s a set of looking at some aspect of the world that doesn’t take the larger picture into account. The person’s behavior and thinking will be determined by the attributes of the bubble’s assumptions. Is this bad? See next week’s tweet.

Covid prevention & treatments right under our noses! Vits D & C, zinc, quercetin (in place of hydroxychloroquine), macrolides like erythromycin used for acne, baby aspirin, amantadine (flu drug), BCG vaccine, and more, go look! Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

The Covid deaths/pop in Japan as of today 972/125,930,000=0.0000077. In the US 129,654/331,002,651=0.00039. The ratio of deaths to pop of Japan vs US 0.0000077/0.00039=0.0197, about 2%. Something is very strange with biology, cultural norms, or the way stats are taken or a mix.

In >200 persons at our center from all over Japan in the last 6 months, only 3 had a few weeks of rough cold symptoms, and all recovered at home on no meds (none were tested for Covid). 1 had loss of smell & taste. Incidence rate of 1.5%, death rate of 0%.

People can have acne then pick on it and have acne & a big red spot. Similarly, people can have anxiety and then get anxious and blow-up many areas of their life. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

“My dad is a terrible person” is a common complaint. It should be “my dad is terrible to be with”. This is because these dads have mental issues out of their control. Getting away from dad is still the answer but realizing dad is not well can be eye-opening.

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