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?



Doug Berger, MD, PhD Dr Berger is in private practice in Japan. Article originally published May 12, 2009, in Psychiatric Times “An Epidemic of Depression” by Wakefield and Horwitz (Psychiatric Times, November 2008, page 44) raised the issue that DSM does not take into account the context in which symptoms […]

An Epidemic of Depression


The most commonly prescribed psychiatric drugs are antidepressants. They treat depression and anxiety. The first ones, isoniazid and iproniazid, were discovered by accident. They were developed after the Second World War by a Swiss pharmaceutical company (from leftover German V2 rocket fuel!) as tuberculosis treatments. Some tubercular patients taking the drugs became energetic and even rowdy, […]

The fascinating history of antidepressants.


Imagine being so overwhelmed with fear and anxiety that you never venture outside of your house and that, being so overcome by social anxiety, you withdraw completely from any social interaction. This is the harsh reality for a growing number of people made completely immobilized by their mental health condition. […]

A fascinating article about Hikikomori — severe social anxiety



Psychiatry got its name as a medical specialty in the early 1800s. For the first century of its existence, the field concerned itself with severely disordered individuals confined to asylums or hospitals. These patients were generally psychotic, severely depressed or manic, or suffered conditions we would now recognize as medical: dementia, brain […]

Read about the fascinating history of psychiatry.