Counseling 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 and counseling 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 counseling, which you can find here.

> Dr. Berger’s therapist profile.
> For more information about his counseling practice details, including the cancellation policy.
> Read reviews from some of Dr. Berger’s patients.

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

If you wish to contact Douglas Berger psychiatrist Tokyo, click here.

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.

Welcome challengers to your belief system who put you up against the ropes. They will force you to learn how to justify your argument, or force you to change it. Either way will help you grow. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

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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

Tolerance to meds is common, esp ADHD & sleepers. Starting a rotation of 2-3 types on a cycle of some days or weeks usually works like a charm. No need to give up!

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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

Oversleeping? Is it depression? Is it sleep apnea? Is it sleeping meds? After you’ve treated these you need to use a morning circadian rhythm light. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

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