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.

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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