Doug Berger Psychiatrist, Japan

Counseling service for Kansai Japan

Meguro Counseling Center

Tel: 03-3716-6624E-mail日本語  Japanese

The Meguro Counseling Center provides caring and compassionate psychological counseling, psychotherapy, marital/divorce and family counseling, and psychopharmacology-integrated psychotherapy. We are open from 7:30am-12:00pm Mon-Sat; 6:45pm-11:15pm Mon-Thurs. Physically located in Tokyo, we frequently help persons in Kansai (Nagoya, Kyoto, Osaka, Kobe) by Skype or phone. Japanese medication prescriptions can also be mailed to your home anywhere in Japan through our integrated medical services. We are LGBTQ+ friendly.


The Meguro Counseling Center is run by a native English speaking and fully Japanese bilingual U.S. Licensed American board-certified psychiatrist from New York. We are English and Japanese speaking, providing psychotherapy and psychopharmacology-integrated psychotherapy in Japan. The therapists at the Meguro Counseling Center are experienced in individual counseling for children or adults, marriage and couples counseling, (particularly Japanese-Western couples), life coaching, career counseling, and group psychotherapy.

We treat self-confidence problems, relationship/family problems, depression and manic depression, anxiety (GAD) and panic disorder, eating disorders, obsessive compulsive disorder (OCD) phobias, social anxiety disorder (SAD), ADD and ADHD, traumatic experiences (PTSD), gay, lesbian, and transgender issues, child and adolescent disturbances, and anxiety and depression. See an article on Depession in the Tokyo Families Magazine.


APPROACH: The first step in determining the appropriate approach is to perform a thorough evaluation. One of our educational videos, Major Problems & Treatment Methods, desribes the approaches most commonly used in counseling. Insight-oriented psychodynamic psychotherapy, CBT (cognitive behavioral psychotherapy), supportive psychology counseling, and other forms of psychotherapy and mental health care are practiced at The Meguro Counseling Center. Please see the Counseling Approach page for further details.

MARRIAGE COUNSELING & DIVORCE: The Meguro Counseling Center sees many couples in crisis and has considerable experience with marriage and couples counseling. The Meguro Counseling Center also works closely with a Japan and U.S. barred divorce Lawyer in Tokyo, and can provide advice and counseling on child custody, child abduction, and divorce. See an article on International Divorce in the Tokyo Families Magazine.

CHILD & ADOLESCENT COUNSELING: The Meguro Counseling Center sees children and adolescents who have developmental, academic, behavioral, and peer-relationship issues. See our related site the Child and Adolescent Counseling Service. Articles written by the Center on Student's Self Esteem, ADD/ADHD, and Friendships and Parental Resentment, can be see in the Tokyo Families Magazine.


  • Core Issues & Defenses; This chart is used to help people understand the fundamental working of, and the weakness and strengths, in their personality makeup.
  • Mood Effects on Psychology; how abnormal mood can lead to negative self conclusions which then promote feelings and behaviors that are not optimal.
  • Self Esteem Needs in Relationships; how the mechanics of intimate relationships can lead to crashes in self esteem.
  • Obedience & Defiance Cycle; how a cycle between obedience and defiance can lead to resentment, guilt and fear, secondary depression, anxiety, conflict, and decreased self-assertion. This graph is also used in this case illustration video.

PSYCHOPHARMACOLOGY-INTEGRATED PSYCHOTHERAPY: Your therapist can provide you with information and make specific recommendations to you for psychiatric medication that can be received from our licensed Japanese physician. This is an educational video on Psychopharmacology-Integrated Marriage Counseling for ADHD. For mild depression, psychotherapy and other non-medical interventions may be of benefit. These interventions may include using certain supplements, special exercises, and biorhythm therapies. The Depression & Anxiety page has further information on the types of anxiety and depression seen at the Meguro Counseling Center.

RESEARCH ACTIVITIES: This page lists the Center Director Dr. Douglas Berger's research activity. Dr. Berger also sponsors The Douglas M. Berger Psychopharmacology Research Fellowship in Japan, and the Meguro Counseling Center contributes a portion of counseling proceeds to research work at the Rockefeller University Department of Neuroscience.

COMMUNITY EDUCATION through the Tokyo Families Magazine that can be read on the articles archive page.

COMMUNITY SPEAKING: on counseling and psychiatric issues (i.e., how psychotherapy works, post-partum depression, child and adolescent issues, etc.).

Therapist Staff.

  • Doug Bergé, M.D., Ph.D, a fully bilingual American Board-Certified Psychiatrist and licensed U.S. medical doctor. He is a graduate of New York Medical College and has a Ph.D. from the University of Tokyo Department of Psychosomatic Medicine. Dr. Bergé's Credential Verifications here.
  • Ms. Meena Sukirti, M.A. in applied psychology, is an Indian psychologist and career counselor.
  • Ms. Akiko Owada, M.S., a Japan-Certified Psychologist in Tokyo.
  • See the Therapist Profiles page for more details.

Location. Sessions are conducted by Skype or phone for persons living at a distance from our offices in Tokyo.

We would be pleased to lend you or a loved one a helping hand.

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