Douglas Berger Psychiatrist Tokyo – Counseling Service in Tokyo

Douglas Berger psychiatrist Tokyo is a fully bilingual American board certified psychiatrist and is the Director of the Tokyo Meguro Counseling Center. Dr. Berger received his M.D. and psychiatry training from New York Medical College, and his Ph.D. from the Department of Psychosomatic Medicine at the Tokyo University School of Medicine. He speaks native-level Japanese. Dr. Berger utilizes a variety of different approaches to psychiatry, which you can find here.

> Dr. Berger’s therapist profile can be found: here
> For more information about his practice details: click here
> If you want to contact Douglas Berger psychiatrist Tokyo: visit this page
> To read reviews from some of Dr. Berger’s patients: click here

Dr. Berger can be contacted by phone: 03-3716-6624 (+81-3-3716-6624 from outside of Japan)

Douglas Berger Psychiatrist Tokyo - enryakuji

If one is used to taking certain meds they may not want to make any changes. People get attached to a certain make, certain doses, immediate vs. delayed release, etc. Sometimes there is an actual reason to keep the regimen, sometimes changing is just a "nocebo" effect.

Is polypharmacy ok or not? Fewer drugs are better of course, but while polypharm regimen A may cause troubles, polypharm regimen B may work well.

Patient, "Is this drug effective?", Dr, "Clinical trials show efficacy in persons with problems similar to yours, but THERE IS NO DATA ABOUT YOU, so we need to carefully look at this as treatment progresses". #clinicaltrials #Psychiatry

What are “irreversible passage points”? If you wait the passage is irreversible: waiting too long for marriage or family making, waiting to study something and then getting old, a family dies with your plans still hanging, etc. Look closely at the train you are on and the stops!

The dose-response issue keeps popping up. This time it's depot injections. "I don't have symptoms so I often skip my injection days" is common. This defeats the purpose of getting depot injections to begin with.

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“Do you feel ill or not ill?”, “Do you want the full treatment or not?” We try to see clearly what people need and go from there. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

What’s the answer to finding the right therapist? The one who tells you, “We have to find out what will work by some trial and error”. Not the one who says “This is what to do”. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

Many persons with a history of depression, even suicidality, continue to have lingering symptoms many years later. The problem is that they don’t want to believe it’s them, they want to blame their environment. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg #depression

What about paranoia? We can give meds but what about reasoning? An “agency coming after me” is common. We try to remind people that if an agency was after them they would have been gotten already because agencies don’t like to waste time. Us: https://t.co/W6SS4mUflN

What to do when your company wants you to get a specific psychiatric intervention to return back to work, although you don’t have a problem to work? Get a Dr letter and a legal consultation. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

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Your spouse was difficult before marriage, now w/child & things worse. If therapy or living close-by but separately doesn't fly, then choices are bleak: bad-outcome divorce court or risky escape w/kids to your home country. Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V

Inconsistencies: look for them in your environment, the TV, what others say, etc., and decide on your own if they make sense with reality or not. Always think, “maybe I’m wrong”. Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V

Concerns about side effects reasonable? Meds can be adjusted, changed, stopped etc. so usually very safe. Surgery, certain injections, radiation, and others are irreversible, unremovable, and often with little antidote. Think carefully about the former, deeply about the latter!

Work and reward can be addictive. Praise from others, salary, sense of accomplishment. It’s all great unless you fall into the slippery slope of burnout and quit. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

I recently hear people tell me “there’s nothing to do about it”, or “It is what it is” kind of fatalistic mind-sets. Sometimes putting fear into these people can get them out. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

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