http://www.psychiatrictimes.com/anxiety/deconstructing-and-reconstructing-goldwater-rule Ron, I like your logic here and I agree with your conclusions. However, you penned this article on the assumption that psychiatric nosology is a validated classification, and that a diagnosis would be known to a psychiatrist if they could directly examine a patient. I think you well aware […]

An interesting letter regarding DSM classifications.


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(Unpublished) By Douglas Berger, Tokyo Psychiatrist Shermer states that a copy of your memories is no different than your twin but twins never had the same memories to begin with. If one’s genes and connectomes could be exactly copied and functional then there would be two of “you”, both exactly the same at […]

Scientific American Letter to the Editors, “Who Are You?”, July ...



(Unpublished) By Douglas Berger, Tokyo Psychiatrist Schermer states that accused witches who provide false and unverifiable information are an example of why torture is not effective. Comparing the value and verifiability of various forms of interrogation may give data on the value of torture in a population of interrogees, but doesn’t say […]

A response to: “On Witches and Terrorists, Why torture doesn’t ...


Douglas Berger, Tokyo Psychiatrist “Brain Trust” in the March issue left me with 2 questions. 1. there is no proof that less cortical surface are resulted from poverty vs. that poverty is the result of smaller cortical surface area in parents that then genetically pass this problem along to their […]

Scientific American Letter to the Editors: “Brain Trust” A Rare ...


May 31, 2017 | By Christopher G. Fichtner, MD and Howard B. Moss, MD. Comment by Doug Berger, Psychiatirst in Tokyo, Japan This article seems quite reasonable, and is in severe contradistinction to other recent articles in the PT on marijuana: 1. Marijuana and the Psychiatric Patient, Psychiatric Times April […]

Medical Marijuana and Mental Health: Cannabis Use in Psychiatric Practice



May 31, 2017, By Rahil R. Jummani, MD, Emily Hirsch, and Glenn S. Hirsch, MD. Comment by Douglas Berger, Psychiatrist in Tokyo, Japan This is a good article, though with some fuzzy parts: 1.    The authors go to great lengths to describe the difference in DSM-5 and ICD-10 diagnostic criteria […]

Are We Overdiagnosing and Overtreating ADHD?


Douglas Berger Psychiatrist Tokyo, writes a Letter to the Editor in Psychiatric Times (date unknown) In their article “Are Placebo Controls Ethical in Antidepressant Clinical Trials?” (Psychiatric Times April 2000) Khan and Khan state that the FDA’s double-blind placebo controlled trial requirement for new antidepressant approval is not necessary in […]

Douglas Berger Psychiatrist Tokyo, Letter to the Editor in Psychiatric ...


Doug Berger*, Douglas Eames, Pablo Prados-Ruano Meguro Counseling Center, Tokyo, Japan Received 3 April 2008; accepted 9 April 2008 Abstract This paper describes the current state of mental health care for Western expatriates in Tokyo, Japan. Types of therapists, patient demographics, illness breakdown, and psychiatric medications in Japan are discussed […]

Mental health care of Western expatriates in Tokyo



Psychiatry is the branch of medicine focused on the diagnosis, treatment and prevention of mental, emotional and behavioral disorders. A psychiatrist is a medical doctor (an M.D. or D.O.) who specializes in mental health, including substance use disorders. Psychiatrists are qualified to assess both the mental and physical aspects of […]

What Is Psychiatry?