Douglas Berger psychiatrist Tokyo speaks fluent Japanese and English. Douglas Berger is an American board-certified psychiatrist and Director of the Tokyo Meguro Counseling Center. Dr. Berger received his M.D. and psychiatry training from New York Medical College, and his Ph.D. from the Department of Psychosomatic Medicine at the Tokyo University School of Medicine.
People want to get a “divorce” even with small kids because they get into “0 or 1 mode” when heated and don’t realize the problem to come with the stress on children, alienation, and guilt that might ensue. Try to find creative solutions! Us: https://t.co/W6SS4mUflN
Clinical trials need proper power in subject numbers, proper endpoints, placebo control, and an understanding how all these fit together.
Patients on so many medications, what to do? Try to see what is really necessary, start and stop carefully. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Why are people overwhelmed? Most commonly, they have a lower capacity due to attention and organization. This can lead to depression and anxiety if work or other functioning fails. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
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
Persons often say drugs, therapeutics, or VaXs are “effective” but can’t describe what they are effective for. Think, “indication” & “endpoints”. Know what you are told you can treat before leaping into a point of no-return. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
People often consult us about family fights. They're usually caught up with the intense escalation so that we have to guide them to focus on the start of the fight which hints at the underlying cause. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx.
Smoking, drinking, ADHD, SSRI wgt gain, ongoing depression & anxiety is common. Set 1 cigarette an hour, use stimulants for ADHD that may help with wgt gain, use low SSRI doses w/other antidepressants, use antabuse as needed. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
The answer to chronically messy person? Set up a cleaning schedule to do a small amount of specific chores each day of the week! Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
While medications have side effects that doesn't mean the med is not effective. It may mean the medication needs to be changed, but it doesn't mean to give up on helping the patient.
Depression, ADHD, & sleep apnea very commonly co-occur. Yes, meds for depression & ADHD but never ignore the apnea factor which can be mentally debilitating. Adjust or upgrade c-pap before overhauling medications.