Douglas Berger psychiatrist Tokyo is the Director of the Tokyo Meguro Counseling Center
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.
Lately everybody and their grandma have become proud armchair epidemiologists, virologists, maskologists, and vaccinologists. If I disagree with something and remind them, “actually I have a license to practice medicine”, sparks can fly. Very disconcerting.
If a clinical trial endpoint is subjective like depression, there must be a blind placebo control group. If you will blast a building and want to measure the damage, you don't need a placebo control group because this is objective. Clearly, a no-blast will show no damage.
Clinical trials require that the data collection is going to be exact. Many a trial fails when the data is audited. This is called Good Clinical Practice. #clinicaltrials
Poor sleep and meds: many people give-up quickly when there is plenty of chance to adjust dose, type, and regimen where a rotation of drug-type is often effective. #insomnia
Medication doses and formulations can differ from country to country. Creative adjustments of dose breaking pills or emptying capsules and close monitoring until the patient moves into a new stable state are good ways to handle this issue. #drugformulation #medications
Anxiety the chameleon: sleep disturbance, nail biting, intrusive thoughts, can’t make decisions, etc. First nail-down the diagnosis! Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
Many people are controlling in style. They don’t realize they get aggravated when others stand up for themselves, and they get upset trying to control others. Us: https://t.co/W6SS4mDcjN, https://t.co/urVpIy8MlO
Many persons stable on a medication regimen want to change to something else they hear about or friends tell them. Caution is the word! Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg
Why do some people continue to subject themselves to abuse both physically and psychologically? It’s complex but often results from a “comfort” to have distress to fight against. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Chronic mild depression that is up and down mixed with actual social stress often results in confusion in the person as to whether they are really ill or if it’s situational. These persons can go for decades without real help. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg