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.

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

It is common for persons to wait until their symptoms become bad before getting help then get desperate for care once things snowball. The solution is to be sure when one is going downhill. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

Personal disaster after disaster can cause people to give up faced with further stresses and disaster, the challenge is to break this cycle. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

Many patients dislike medication, they will decline increasing current medication even if they got good help from the current dose but are still have symptoms, it’s easy to forget that a little more is probably the answer. Us: https://t.co/W6SS4mCEuf, https://t.co/urVpIy8ewg

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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

Does everything need a medication on the formulary? Some things do, some don’t. Natural remedies sound “corny” and don’t make much money for medical stakeholders.

Halving or stopping meds often leads to…nothing, but that doesn’t mean there won’t be some withdrawal or recurrence. Each step of the way in medication management requires patience.

New expensive meds gets lots of praise, old cheap meds commonly get a bad rap. How should we think? Carefully. Look at data with a discerning eye, see what entities stand to benefit or loose, that usually is the best hint.

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Young persons adapt to the idea that “things work out in life”. They don't realize there is a race against time to wake up to the fact that people in a reasonable job are those who put in a lot of effort before it’s too late. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

Under stress people can fall into inconsolable distress and fall into unshakable belief in a specific narrative. A mix of sympathy and gentle assuaging that the situation is not as dire as they think can sometimes help. Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V

Persons on medications can have vivid dreams, enough so that they can’t even tell the difference between dreams and reality. First, don’t panic and don’t rush to stop your meds! Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V

Many couples make extreme decisions during a fight, just a simple apology and a time-out can bring the game back to normality. Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V

It is common to talk about one’s positive attributes in therapy, it’s could be looking for validation from the therapist, OR, it could be a shield not to look at one’s bad attributes. Us: https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V

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