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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Euphoria & racing thoughts, classic symptoms of (hypo)mania, just a side-effect of antidepressants, or just good things going on? Some patients can stay well like this, but keep an eye out for change to serious mania. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
You have a 1 yr-old child, your wife is difficult, and you want to leave for a new girlfriend. It’s unclear what you should do but it is clear you’ve been making decisions without thinking about the complications. Us: https://t.co/VOm63Hc41r, https://t.co/uaoP3ZvxU7
Say you are near 60 and don’t like your job but it’s stable, well paid, and guaranteed until 70. Very risky at 60 to change jobs unless you are financially stable for life and can take the huge risk that your new job may only last a few years.
Career confusion? Search for your terms, like “graphic designer Tokyo” on a job site. What skills do they want: language, software, that you need to already have mastered. Then you’ll see the hurdles you need to clear and the path you need to take realistically.
Medical science is more fuzzy than Drs will admit. Not because they are lying, but mainly because they weren't taught and don't see the fuzzy nuances in the real science or the mechanisms how that specialty makes money by certain narratives that become unquestionable truth.
“I can’t stand failure so I don’t try” is common in depression. These persons need to see that depression causes low self-esteem which causes the fear of failure. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Persons often ask what therapy, meds, doses etc., they may need. Understandable, but there is only general info. Patients need to understand there is no data about THEM until we get it from trial and error of treatments. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Look carefully at what is required for the career path you want to go down. If the environment is tough are you tough enough? If the field requires obsessive detail are you detailed enough? If the job requires patient compassion are you patient & compassionate enough?
What is “insight” in psychiatry? It’s the ability to see oneself. If it’s poor, then patients frequently do not cooperate to get treatment and don’t get well. What to do? When all fails, have the serenity to accept the person is not going to get better.
Arguments are one thing, escalations are another, some parties stubbornly refuse to stop arguing about little things. Answer? One party agrees to give-in as a default strategy to decrease fights.. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
He drives too fast, pushes me if I’m in the way, always doing lots of sports, wants me to hike 5 hours when I’m newly pregnant, why? If he needs to sleep then probably he’s hyperactive. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
Will everyone be depressed after death of a parent? Not necessarily. A death can make one realize life is short and move-on in their lifeline: get married, start their own family, go to school, etc. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
Disability benefits can be life-saving, or they can spoil one’s drive and motivation to work and thrive, causing low-grade depression and loss of purpose in life because these beneficiaries are straight-jacketed from working or lose their benefits. Us: https://t.co/xJKjtzIjZq