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

Antipsychiatry groups have famous proponents who get the ire of the American Psychiatry Association whose debunking only heats up the on-line chatter about these groups and the high-cost alternative therapies they sell. Us: https://t.co/bYwFMNC2lx

Has CGT shown "efficacy"? https://t.co/wf3TZAv4tS -not if you think a study needs double-blinding, patient+therapist not just rater blind, and blind placebo as would the FDA to approve a medical treatment of a subjective psychiatric disorder like grief. https://t.co/GwwzyYyjaI

Bui and Shear coauthor “..CLINICAL INTERVIEW FOR COMPLICATED GRIEF…” https://t.co/hbPds7lVil Bui: says though the CG diagnosis is yet to be validated, “The SCI-CG can be used as validated instrument…” Ergo, we can validate an instrument even when diagnosis is not validated?

Bui: Complicated grief treatment (CGT) has “shown efficacy…across 3...trials” authored by Shear https://t.co/wf3TZAv4tS. Bui has worked with Shear, Director of the “Center for Complicated Grief”, which charge fees for workshops up to $600, https://t.co/h6XFgIwROp

Dr. Bui continues, "...studies have found no...differences between bereavement-related depressive syndromes and non-bereavement related depressive syndromes…The bereavement exclusion was dropped in DSM-5 …”: https://t.co/0ao28lbPRt What's going on here?

Dr. Bui: “Persistent Complex Bereavement Disorder PCBD, ” “has been shown to be distinct from mood, anxiety, and other trauma-related disorders despite.. overlap”. But, “…risk factors for PCBD are similar to those for other bereavement-related conditions: https://t.co/0ao28lbPRt

This move will also spur on use of other indications and targets in adults. I may also show add important information to adverse effect profiles. Us: https://t.co/8JFYE38tUu

The chart doesn't speak to the interaction of diseases-i.e., obesity and diabetes, or smoking and drinking w/mortality. Note, psychiatric conditions aren't on the graph, though they have strong correlations with the big killers. Morbidity is a crucial factor leading to morality.

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The Guardian conflates "success", "hereditary", & "mental illness". Success HAS connection w/soc status, traits are hereditary, & mental illness is qualitative (labels) AND quantitative (severity). The future will be a genetic library of illness labels. https://t.co/tReJRfcSMp

Most of the patients we see with attention deficit seem to have many problems in focus, organization, and planning. Perhaps auditory processing is a stand-alone disorder in some people (https://t.co/KzJ2T1Tuq7) but the evidence is still scant. Us: https://t.co/U25UYBBzlm

Anti-mental health groups and their celebrity adherents are heating up rhetoric lately. Official organizations like the Am. Psychiatry Assn (https://t.co/HGmxFumpqu) stupidly argue with these celebrities only to increase the news for these groups. Us: https://t.co/fZvIDnPlcs

Narcissists should feel rage when unpraised- Likely, the modest praise gave satisfaction-blush, and inflated praise gave proud feeling. The study's problems: subjects' age, validity of personality tests, unblinded nature of researchers, lack of placebo. https://t.co/59gLBhYuMX

NYT “Tell it about You Mother” suggests psychoanalysis caused brain changes https://t.co/pgQ8YqXBv3. There is 1 fMRI image of 1 patient, no results nor analysis & the 1-patient data is a personal contact from the authors to the NYT. NYT should rewrite. https://t.co/We7OmvxoYF

Sorry to interject economics, science, and politics, in our mental health tweeting. But if this is true then we can still save jobs and our coastlines! Its BIG stuff. Us: https://t.co/2rTavy34n4

There is indeed more acceptance of mental illness AT work, but not more acceptance of seeing a history of mental illness on an application FOR work. All else being equal, management will likely choose the person without problems. How to change this is the question.

The Army Study to Assess Risk and Resilience in Service members found 1/2 of soldiers had some mental disorder at enlistment: https://t.co/R6m6bs75NU It is challenging to mitigate morbidity as many persons enter the military with mental health problems. https://t.co/59gLBhYuMX

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