Credentials & Publications – About Douglas Berger Psychiatrist Tokyo


Credential Verifications

Dr. Berger’s medical degree is from the United States, he is well-versed in the use of psychiatric medication and can guide the use of psychiatric medications integrated with psychotherapy through the physicians affiliated with his counseling practice (he does not directly practice medical care in Japan). Further information on Dr. Berger can be seen on his personal home page.

Publications by Dr. Douglas Berger, psychiatrist in Tokyo

Berger D: DOUBLE-BLINDING AND BIAS IN MEDICATION AND COGNITIVE-BEHAVIORAL THERAPY TRIALS FOR MAJOR DEPRESSIVE DISORDER, F1000Research 2016, 4:638 (doi: 10.12688/f1000research.6953.2). U.S. National Library of Medicine version.

Berger D: DOUBLE BLINDING REQUIREMENT FOR VALIDITY CLAIMS IN COGNITIVE-BEHAVIORAL THERAPY INTERVENTION TRIALS FOR MAJOR DEPRESSIVE DISORDER. Analysis of Hollon S, et al., Effect of cognitive therapy with antidepressant medications vs antidepressants alone on the rate of recovery in major depressive disorder: a randomized clinical trial, F1000Research 2015, 4:639 (doi: 10.12688/f1000research.6954.1). U.S. National Library of Medicine version.

Articles by Douglas Berger, M.D., Ph.D. for Tokyo Families magazine.

Click here to see a full list of articles.

Dr. Douglas Berger, M.D., Ph.D., Meguro Counseling Center Director

Douglas Berger, M.D., Ph.D., a fully bilingual American board certified psychiatrist, is the Director of the Tokyo Meguro Counseling Center. Dr. Doug Berger is a graduate of New York Medical College where he completed a 4-year residency program in psychiatry. He then finished a fellowship in Psychosomatic Medicine at the Albert Einstein College of Medicine. Now based in Tokyo, he had served on the Faculty of the Albert Einstein College of Medicine Department of Psychiatry in New York as an Assistant Professor of Psychiatry and licensed practicing U.S. physician. Dr. Berger’s Japanese qualifications include a Ph.D. from the University of Tokyo School of Medicine received for psychiatric research done while at the Tokyo University Department of Psychosomatic Medicine.

Dr. Berger came to Japan as a medical exchange student and psychiatric researcher at the Tokai University School of Medicine on a research fellowship from the Matsumae International Foundation. He later returned to Japan to do further psychiatric research at the Tokyo University Department of Psychosomatic Medicine and the Tokyo Institute of Psychiatry. Dr. Berger speaks native-level Japanese and regularly conducts psychotherapy for mixed-cultural couples as well as the local Japanese community. This page lists Dr. Berger’s research activity, and this page is an archive of community education articles for the Tokyo Families Magazine written by Dr. Berger. Dr. Berger also works extensively with children as Director of the Tokyo Child & Adolescent Counseling Service. Dr. Berger is a legal permanent resident of Japan.

 

Reach out to Douglas Berger psychiatrist Tokyo here.

Halving or stopping meds often leads to…nothing, but that doesn’t mean there won’t be some withdrawal or recurrence. Each step of the way in medication management requires patience.

New expensive meds gets lots of praise, old cheap meds commonly get a bad rap. How should we think? Carefully. Look at data with a discerning eye, see what entities stand to benefit or loose, that usually is the best hint.

How to evaluate research? Just read the abstract? Don’t look at the funding or who can gain profit? Don’t read related papers? Don’t see the methods? Don’t see if the authors are related to the publication? If you said yes to these then take a course in evaluating research.

What medications are the "best"? Efficacy, safety, metabolism, dose, social & physical environment, medical illness, family history...besides a few to avoid at all costs, at the end of the day it's largely trial and error.

When mood is up people tend to stop mood medications, when down they restart. Life can be a continual cycle of mild misery, worse misery, and improvement. The number of total years in bad shape can be debilitating.

Drugs need time to work, too many persons aren't patient enough to wait and give up. Sometimes persons will even run into getting treatments that are un- or poorly proven, leading to a disaster. Proper degree of patience is the answer!

Many psychiatric patients are on a cycle of taking and stopping their meds, why? They don't want to accept being sick so they try to stop, the med is still in them they feel better so they conclude they are better...until they crash, and repeat the cycle.

Tolerance to a drug? Yes common, especially in the CNS where nerves need to adapt to changing environments and protect the brain quickly. This makes CNS drugs loose effects. The remedy is pulse dosing, rotations, and adaptive changes.

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Personal disaster after disaster can cause people to give up faced with further stresses and disaster, the challenge is to break this cycle. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

Many patients dislike medication, they will decline increasing current medication even if they got good help from the current dose but are still have symptoms, it’s easy to forget that a little more is probably the answer. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

What is the best way to stay mentally healthy? Have friends, talk to people, do exercise, have love, do interesting things. Answer, work on all of them! Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

“Many patients have depression”, True? Low moods are common but who is “ill” with depression, just has stress, or has something else? We can only "guess” & treat because psychiatric diagnoses are actually unprovable. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

“Interminable” that’s the only way to describe the way certain couples fight. Each side magically thinks the other will agree with them someday The answer is: how do you want to spend your short time on the earth? Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

Acne is common, not knowing how to treat it is more common. First, skin needs to breathe! To let it breathe, wash frequently, use acne creams, some people need antibiotics, & be sure to change masks frequently.. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Friends change, w/kids or w/o becomes a big distance, afraid or not to go out becomes a big distance. What to do? Change your expectation and take a crisis as an opportunity, this is called “crisitunity”. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

What keeps people from finding romance? Lack of confidence, finds it troublesome, fear of rejection. In most people something eventually sparks, but not all… Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

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