Meguro Counseling Center

Douglas Berger psychiatrist Tokyo is the Director of the Tokyo Meguro Counseling Center

Douglas Berger psychiatrist Tokyo - Meguro Counseling Center logo

The Tokyo Meguro Counseling Center is a counseling and psychology mental health service in Tokyo that provides caring and compassionate professional English speaking psychotherapy and Psychopharmacology-Integrated Psychotherapy by American therapists native to and professionally trained in the United States. The Center has provided counselling and psychological care in Tokyo for the international community, as well as counseling in Japanese for the local Japanese community since opening in 1992, and in New York City for many years before relocating to Tokyo. The therapists at the Tokyo Meguro Counseling Center are experienced in individual counseling for children, adolescents, and adults, marriage and couples counseling (particularly inter-cultural counseling for Japanese-Western couples), family counseling, divorce counseling, life counseling, career counseling and coaching, and group psychotherapy. Corporate training and conflict resolution is also available, please inquire for details. Phone or Skype distance counseling is often conducted for persons living in Kansai (Kobe, Osaka, and Kyoto) and other areas of Japan that are far from our location in Tokyo.

Some of the more common problems that the therapists at the Tokyo Meguro Counseling Center have experience treating include self-confidence problems, relationship/family problems, depression and manic depression, anxiety (GAD) and panic disorder, eating disorders, obsessive compulsive disorder (OCD) phobias, social anxiety disorder (SAD), alcohol and substance abuse, ADD and ADHD treatment, traumatic experiences (PTSD)/child abuse, feelings of unreality, sleep disturbances, psychosomatic (mind/body) disorders, women’s issues, gay, lesbian and transgender issues, sex addiction, and child and adolescent disturbances. The Tokyo Meguro Counseling Center therapists have considerable experience in the treatment of anxiety and depression in Tokyo. See an article on Depession in the Tokyo Families Magazine.

Clients who entrust the Meguro Counseling Center with their counseling needs are treated kindly and professionally, and the work at hand in the care of these persons and their issues is taken extremely seriously.

To contact Douglas Berger psychiatrist Tokyo please click here.

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

Loss of memory due to meds or underlying illness? Try changing doses, get a history. You may find an even different problem, a "hidden one", like Sleep Apnea!

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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.

Many persons with a long up & down history of mild symptoms just can't see that they are really ill, yes "mildly ill, but still ill" is harder to accept than really ill. Why? No one wants to be ill. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

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