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.

Simple mechanism of asking and documenting persons if they are suicidal work well to keep a history and record of these feelings. NO matter what happens It’s better to be prepared. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

What is the difference between nociceptive and neuropathic pain? Maybe as much as the difference as written in the definition, maybe much less because the little secret is that they may co-occur on top of or side by side each other, or, injury may exist but not be detectable.

Imagine an overactive and impatient spouse and a zoned-out and self-absorbed spouse. The overactive spouse will try to drive the zoned spouse to certain goals and the zoned will fight back, causing escalation. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G

Are timelines important? Many persons make conclusions about events and causality of symptoms in spite of the events occurring afterwards. It’s challenging to convince persons what could be causative and what could be just a bumpy road. Us: https://t.co/W6SS4mUflN

Medicines may look great on a lab bench but fail miserably in patients. It's the research scientist's job to manage the expectations of the commercial side of a company regardless of the time, effort, and and money put into the R&D, and go one milestone at a time.

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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!

Psychiatry has few objective measures. One is looking at the chronology of events vs. onset of symptoms. If the symptoms started before a discrete event there is little logic to conclude that the event is causative. Us: https://t.co/VOm63Hc41r, https://t.co/uaoP3ZvxU7

Some people have so much anxiety that makes them go to the toilet, some “fight” back at their anxiety, and some need to give up and take meds. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Everyone is needy and lonely, and we can see this escalate during puberty. This is proof of a significant biologic element to loneliness. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

Some hyperactive people just do lots of hobbies and collect lots of things. It’s not obvious they are hyperactive at first blush. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx

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How should you react when your spouse falls off the wagon? The trick: expect relapses and work with your spouse to keep relapses to a minimum. Only retreat in stages if the situation is untenable.

Some people drink lots then stop for a while. This makes the spouse think it’s possible to help the person. The spouse’s choice is to continue to try to help and be unhappy, accept the situation and be happy, or change to a different life situation.

What is the sure-fire way to stop smoking? It’s when you start coughing up blood. The only problem is that by then….it’s too late. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

Families in crisis overlook that arguments can easily lead to a “hostage situation” where the kids are ensconced in a custody battle that will be a disaster for all involved. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

What should you do if your partner is much older than you? Stay or break, either choice can be valid as long as you’re willing to stick with your choice with no regrets. https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t

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