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.
Botulinium toxin blocks acetylcholine release leading to paralytic and autonomic symptoms of botulinium. Us: https://t.co/WLIjKdXqXL, https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G.
MELAS: maternally inherited encephalopathy w/strokes & seizures sparing white matter. Cerebral vessel mutation load is seen. Us: https://t.co/WLIjKdXqXL, https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G.
Skin tumors, Lisch nodules of the iris, café-au-lait spots on the skin is a sign of a mutation in the NF1 (neurofibromatosis 1 gene). Us: https://t.co/WLIjKdXqXL, https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G.
Narcolepsy: daytime sleepiness w/sleep attacks lasting few min to 30 min & cataplexy-sudden muscle tone loss triggered by emotional factors w/REM sleep onset if spells are longer than 2 min. Us: https://t.co/tReJReVhnP, https://t.co/RyG3aQt9vL, https://t.co/H5KcK7jzxZ.
Tokyo Counseling: Nicotine withdrawal https://t.co/d2FLnxPdtg
Nicotine withdrawal includes depressed mood, insomnia, irritability, anxiety, and increased heart rate. Us: https://t.co/2cyfo9FRgl, https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx.
Gender Identity: personal sense of one's gender. https://t.co/krfwwaW2Sh
Tokyo Counseling: MERRF: maternally inherited mitochondrial encephalopathy https://t.co/OlO7KQ9qua
9.11: Cognitive dissonance of our expected world view vs. new reality
is mentally destabilizing: https://t.co/Ie6jbc5Bc6. Us: https://t.co/DnZXryRTna, https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t.
Inclusion myositis common > 50, unresponsive to prednisone and
immunosupressives. Dermatomyositis has a rash over the cheeks and eyes starting in childhood, 50% get neoplasms. Us: https://t.co/DnZXryRTna,
Multiple Sclerosis: Interferon β1-b & Glatiramer are disease-changing, Predisone given for acute attacks reduces disease burden, Tizanidine & Liorisalare muscle relaxants that relieve spasticity. Us: https://t.co/DnZXryAivC, https://t.co/xJKjtzqJ7S, https://t.co/bggAMvGq8V
Transcranial Magnetic Stimulation (TMS) is indicated for depressed patients who fail one trial of antidepressants at adequate dose and duration. TMS requires 4-6 weeks of treatment. Us: https://t.co/xRzwbqd5dq, https://t.co/oOTzE4A2YJ, https://t.co/vi64mkcH2D.