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.

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.

The usual suspects: "missed doses", "not needed doses", "non-compliant with dosing". They all lead to recurrent symptoms that then seem to be on a merry-go-round.

What is CNS medication "hesitancy"? "It will change my personality", "it's addictive", "It's only for crazy people", etc. While many of these persons drink, smoke, do some drugs, etc., the "brain drug" fear is a tough nut to crack.

Can you give elderly medications? Often yes, but be careful of the dose and monitor closely. Many doctors will just avoid it for "responsibility" reasons not clinical reasons.

Can we use pk and pd in the office with patients? Yes, sometimes, but in psychiatry, at the end of the day it's the subjective way the patient responds that drives dosing and/or drug-type regimen.

Risks of drugs during pregnancy? Look at the stages: fertility effects, malformations, newborn toxicity & withdrawal, lactation. There is no way to study these well & Drs not easily willing to take risk & say ok to take them. Us: https://t.co/VOm63Hc41r, https://t.co/uaoP3ZvxU7

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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

Some people hold on desperately to some past life event, “If I could just get over this I’d be fine!”. They actually need to garner something positive from the event or realize it isn’treally related to their current troubles. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

“I don’t want kids” is a common statement. Yes, there could be good rational not to have them-as long as you won’t regret this decision later. Always try to see the timeline of your life! Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

What is “Baby Rage”? It's when mom-in-law gets livid about daughter-in-law’s way of caring for a new baby. What to do? Try to make grandma think she is giving great advice and do it your way later. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Why would anyone want to date their best friend’s girlfriend?: she’s beautiful & men are lonely and horny causing a “natural addiction” to women. The problem is that dating your friend’s GF is likely to blow-up in your face. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

Even suicidal people vacillate on getting medications for help, even when depression is chronic and there are no stressors. Anchored beliefs often run against logic. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

When deciding what caused a drug response we would need to control one's lifestyle, dosing regimen, stress, and other factors. Until this is studied in a blinded fashion we are left with a subjective rating.

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