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The open-label GeneSight and unblined Genomind studies are at high-risk for researcher bias and should be suspect to extreme caution. We would never allow anti-depressants to be approved with these kinds of studies (although unblinded/no-blindplacebo psychotherapy studies are unreasonably and widely “accepted” as robust data by our profession all the […]

Comment by Douglas Berger Psychiatrist in Japan on: Weighing the ...


Psychiatric Times, April 03, 2017,  By Ronald W. Pies, MD http://www.psychiatrictimes.com/blogs/deferring-mastery-death-hippocrates-judge-gorsuch-and-autonomy-fallacy We all know about the slippery slope of giving psychiatric patients to right to request suicide from a medical professional. However, terminally ill medical patients who have terrible pain and suffering and are near death (perhaps on a respirator, […]

RE: Deferring to the Mastery of Death: Hippocrates, Judge Gorsuch, ...


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http://www.psychiatrictimes.com/psychopharmacology/quiz-headaches/page/0/2 Dr. King, regarding acupuncture, perhaps you can comment on this article: Research Casts Doubt on the Value of Acupuncture, Scientific studies show that the procedure is full of holes, Scientific American, August 2016 https://www.scientificamerican.com/article/research-casts-doubt-on-the-value-of-acupuncture/ The article makes these statements below, and it seems to me that because of the […]

Dr. Douglas Berger Psychiatrist Tokyo’s response to THE QUIZ: Headaches: ...



http://www.psychiatrictimes.com/psychopharmacology/top-papers-can-change-your-practice#comment-51647 Article Originally Published in the ‘Psychiatric Times’ on February 23, 2017 Drs. Saeed and Bloch, You quoted a paper on IPT as showing IPT to be more effective than placebo or waiting list and comparable to pharmacotherapies. Did this paper, or any paper, ever study IPT with single-blinding (=subject […]

Dr. Douglas Berger’s response to “Top Papers That Can Change ...



Psychiatric Times February 27, 2017 (originally published) http://www.psychiatrictimes.com/special-reports/practical-tips-managing-agitated-patient-avoiding-violence-clinical-setting#comment-51644 Drs Lofchy and Fage write a nice article on violent patients. They rightly note that, “The risk of violence in psychiatric practice is a frightening aspect of our work”. The problem is that few of the many articles like this ever talk about […]

Douglas Berger Tokyo Psychiatrist repsonse to “Practical Tips for Managing ...


http://www.psychiatrictimes.com/cme/bereavement-grief-and-depression-clinical-update-and-implications#comment-51626 The logic of some key points of this article on complex bereavement (PCBD) has some serious problems, and I beg the senior author Dr. Bui of Harvard to reply. In the “Persistent Complex Bereavement Disorder” section the authors state that PCBD, “has been shown to be distinct from mood, […]

Douglas Berger Tokoyo Psychiatrist Responds to “Bereavement, Grief, and Depression: ...


Referenced article originally published October 26, 2016 in the Psychiatric Times:  http://www.psychiatrictimes.com/career/nonvalidated-pharmacogenetic-tests-part-i-confessions-embarrassed-psychiatry-professor/page/0/3 Dr. de Leon It is refreshing to read about a seasoned clinician backtracking on mistaken prior conclusions. I would opine to go further in limiting the need or utility of these tests. For example, you want to do CYP2D6 […]

Dr. Douglas Berger Tokyo Psychiatrist’s letter to Dr. de Leon ...



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