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.

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

Douglas Berger Psychiatrist Tokyo - enryakuji

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.

Learn to use as needed extra doses, half doses, every other day doses, rotation schedules to avoid tolerance, and other flexibilities you'll never learn in medical school!

Antipsychotics can cause weight gain and diabetes. Psychosis can cause frightening delusions, family breakup, maybe suicide. We need to decide which side of the coin can be treated vs the risk of treating vs not treating.

Getting a handle on the cause vs trigger of depression is important. When did it start, what are the stresses, how does it relate to medications, drinking, relationships, etc. Never rush to a decision. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

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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

Many of our consultees in Japan have similar troubles, lack of exercise, don’t seek intimacy, don’t seek career development, don’t work on their language skills. Various causes, various interventions. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Infidelity, knotty problem. The truth, we as humans cannot be expected to be robots, but we need to keep the value on deep relationships over lust. How? Live humbly and safely. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

No matter how many times you tell them, some patients just never take the dose or dosing schedule recommended. This can lead to significant morbidity and mortality.

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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

Will a drop of vodka make you drunk? Same if you take too low dose of psychiatric drugs. The vodka analogy is very effective for persons unsure or reluctant of taking psychiatric drugs as prescribed. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

Couples’ fighting is like a dance: partner A’s problem bothers partner B who has a bad reaction. A then reacts to this and B reacts to that. Downward spiral that has forgotten the start of the spiral. Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V

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