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.

Some people have so much anxiety that makes them go to the toilet, some “fight” back at their anxiety, and some need to give up and take meds. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Everyone is needy and lonely, and we can see this escalate during puberty. This is proof of a significant biologic element to loneliness. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Some hyperactive people just do lots of hobbies and collect lots of things. It’s not obvious they are hyperactive at first blush. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Persons often say drugs, therapeutics, or VaXs are “effective” but can’t describe what they are effective for. Think, “indication” & “endpoints”. Know what you are told you can treat before leaping into a point of no-return. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

People often consult us about family fights. They're usually caught up with the intense escalation so that we have to guide them to focus on the start of the fight which hints at the underlying cause. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx.

How to deal with difficult co-workers? Keep frustration low, realize the difficulty is a merry-go-round, try to take it as a comedy and keep out of trouble. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Connecting events from one’s past to current symptoms can be a jump of logic if a long time has passed. We like to have an event to blame. Problem is there is usually no exit from this turmoil once the person is obsessed on it. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Called an "anchor point", it's the first belief persons have about a situation. Once set, it is very difficult to change that persons' opinion even in the face of glaring evidence. This phenomena can easily be exploited to control people as well.

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People want to get a “divorce” even with small kids because they get into “0 or 1 mode” when heated and don’t realize the problem to come with the stress on children, alienation, and guilt that might ensue. Try to find creative solutions! Us: https://t.co/W6SS4mUflN

Clinical trials need proper power in subject numbers, proper endpoints, placebo control, and an understanding how all these fit together.

Patients on so many medications, what to do? Try to see what is really necessary, start and stop carefully. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Why are people overwhelmed? Most commonly, they have a lower capacity due to attention and organization. This can lead to depression and anxiety if work or other functioning fails. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

What can happen after abortion? A domino effect: Guilt---depression---break-up with one’s partner---more depression. Think carefully about what may happen ahead of time. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Common psychopharm mistakes:1. Stopping meds and thinking they are out of your system-no, 2. Thinking you will absolutely recover on restarting meds on cessation-no. Nuanced understanding is key. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Poor metabolizers and treatment resistance can be confused. Low drug doses are given for fear of toxicity, leading to poor dose response and "seemingly" treatment resistance.

Workplace harassment is common, sometimes it’s sexual. Fear of losing one’s job, fear of physical harm may make the victim frozen & unable to resist. Getting help early is key. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

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