Red Vase With Plant. Mobile phone photo of pastel version 1998 (Original: Oil on canvas. Circa 1954 by S. Berger). Click the painting to send an e-mail.

Tokyo Counseling Service

Douglas Berger, M.D., Ph.D.

Tel: 03-3716-6624E-mail日本語  Japanese version

Our Tokyo counseling service run by a U.S. Board-Certified psychiatrist Dr. Douglas Berger, M.D., Ph.D. strives to kindly and compassionately treat persons with psychological and mental health issues.

We are experienced in individual, couples, family, and child and adolescent counseling and psychotherapy. Our Tokyo counseling services include treating self-confidence problems, family and interpersonal relationship problems, depression and other mood disorders, eating disorders, OCD, alcohol abuse, stressful life experiences, and child and adolescent disturbances.

Charts & Graphs


Types of therapy

We use an eclectic counseling approach with the major types of therapy (cognitive/behavioral (CBT), psychodynamic, supportive, group psychotherapy and others) is used to fit with what each individual requires in order to achieve the goals set in the sessions.

Psychodynamic Psychotherapy: Our Tokyo counseling service also provides psychodynamic or insight-oriented psychotherapy. Central driving issues or “core issues” such as feeling inadequate or unloved can engender maladaptive defenses against the issues. Further description of this approach is here: Core Issue-Defense Paradigm, and here are some clinical case examples. Defenses are a common manifestation of the therapeutic work necessary related to these maladaptive behavioral styles.

Cognitive Behavioral Therapy (CBT) is also used: CBT works on negative thinking patterns that often torment and distress people.

Depression & Anxiety

This is our Depression & Anxiety Specialists page with detailed information. Sometimes an illness like severe depression or anxiety may require medication in order to allow the talk therapy to jump-start. The therapists at our counseling office have considerable experience in using both non-medical as well as psychiatric medications for these problems.


Depression & Anxiety: Check to see if you might suffer depressive symptoms:
Depression Check-Up

We can help you with alcohol or substance abuse issues in Tokyo or greater Japan via phone or Skype counseling:
Alcohol Treatment in Japan

We also see persons with Postpartum Deression (PPD) at our counseling center. The incidence of PPD is 5% to 9% of women in the first few months after childbirth but can also occur after a miscarriage. A related problem is called the Baby blues or Maternity Blues.

ADD & ADHD

Our counseling practice also sees many persons with ADD or ADHD: see our ADD/ADHD article in the Tokyo Families Magazine.

ADD/ADHD is usually first noticed in children and adolescents, but a considerable number of adults with attention deficit continue to experience symptoms such as distraction, clutter, trouble with time-management, hyper focus or "zoning" into certain activities. Hyperactive symptoms such as constantly being on-the-go, over-work, impatience, intolerance (especially of persons who seem to move slowly), and others, may also persist into adulthood. This is commonly called Adult ADHD.

We would be happy to help you with your mental health needs at our Tokyo counseling service.



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