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.

Counseling Service in Tokyo: Suboxone use & pharmacodynamics.

Suboxone (buprenorphine/naloxone) used sublingual or film-strip @ 4-16mg/day is a μ opiate receptor agonist/antagonist used for opioid relapse prevention. Above 40mg only antagonism. Us:,

Counseling Service Tokyo: Sleep apnea is common, can be confused with depression and cause daytime sleepiness & cardiac complications.

Sleep apnea is common, can be confused with depression and cause daytime sleepiness & cardiac complications. Nocturnal polysomnography is the investigation of choice. Us:,,

Tokyo Counseling: MDMA may cause hyperthermia when used at raves, but not under laboratory conditions

MDMA may cause hyperthermia when used at raves, but not in laboratory conditions. Unfortunetely, negative MDMA info soured by the Ricaurte et al. retraction of dopamine neurotox due to NIDA disinfo makes all warnings suspect. Us:,

Tokyo Counseling: Aspirin for stroke recurrence prevention.

Aspirin given within 48hrs of an ischemic stroke reduces the combined risk for recurrent stroke, MI and vascular death by 25% . Us:,,

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Here in Japan (& in China), many persons do Tai Chi every morning. There is no need for advice from a medical doctor nor to bill patients or insurance companies for "Tai Chi therapy". Us: , ,

Bad ethics of the BBC providing a mental diagnosis of a young girl on public news by Dougal Shaw: -autistic children do not wish to have friends to begin with. In any case, they don't need to increase ratings with private medical info.

Persons with social phobia have fear of embarrassment and avoid relationships. It’s crucial for them to know the possible life choices they can make to avoid a life of solitude. Us:,,

Carbamazepine is a vasopression agonist and thus acts as an antidiuretic that can cause hyponatremia. Us: , , .

Parkinson’s: there must be loss > 80% of dopaminergic cell bodies to have clinical symptoms. 15% of relatives have the disorder. Alpha-synuclein as Lewy bodies make Parkinson’s a synucleinopathy. Us:,,

Botulinium toxin blocks acetylcholine release leading to paralytic and autonomic symptoms of botulinium. Us:,,

MELAS: maternally inherited encephalopathy w/strokes & seizures sparing white matter. Cerebral vessel mutation load is seen. Us:,,

Skin tumors, Lisch nodules of the iris, café-au-lait spots on the skin is a sign of a mutation in the NF1 (neurofibromatosis 1 gene). Us:,,

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