Child and Adolescent Counseling Services, Tokyo Japan

Japanese version 日本語 Japanese Email Contact   |  Tel: 03-3716-6624 | +81-3-3716-6624 (Outside Japan)

   Our Services
   About Dr. Berger
   Location and Hours
   Counseling Approach
   Therapy with Children
   Therapy with Adolescents
   Therapy for ADD/ADHD
   Counseling Links
   YouTube Channel


Our service is affiliated with the Meguro Counseling Center

Tokyo Families

We provide community education on family, children, and adolescent issues through the Tokyo Families Magazine. Click the image to see the article archive.

Tokyo Pregnancy Group

We have presented on Post-Partum Depression to the Tokyo Pregnancy Group. Click the image to see information on Post-Partum Depression.


A portion of counseling proceeds are contributed to research work at the Rockefeller University Department of Neuroscience.


Tokyo Counseling

Welcome to our Tokyo counseling psychotherapy and mental health service.

Our service treats persons of all ages and we feel comfortable with children and adolescents as well of adults. Our Tokyo counseling services include problems related to stress and situations, modulating small problems in personality, and genetic/physiologic problems causing serious depression, panic attacks, OCD, and anxiety. We are pleased to see you direct in our office and can also do effective Phone or Skype counseling if you live far from the Tokyo counseling office.

Graphic Presentations

We frequently look at clinical issues in visual form to help persons in our counseling service in Tokyo.

  • Core Issues and Defenses; a flow chart of the core psychological issues people have, and the adaptive and maladaptive defenses people use.
  • Mood Effects on Psychology; a diagram of how abnormal mood can lead to feelings and behaviors that are not optimal.
  • Self Esteem Needs in Relationships; an illustration of how the mechanics of intimate relationships can lead to crashes in self-esteem.
  • Obedience and Defiance Cycle; how a cycle between obedience and defiance can lead to resentment, guilt and fear, and secondary depression, anxiety, conflict, and decreased self-assertion.

Types of therapy

Clients receiving help at our Tokyo counseling service experience a friendly and compassionate atmosphere. We take the work at hand to help these persons seriously and enjoy seeing people grow out of their distress. An eclectic counseling approach using a balance of the different 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 (i.e. trying too hard to get noticed by others or getting into unhealthy romantic relations) that can be maladaptive for the individual. Realizing that one has these defenses and how they can be maladaptive, as well as minimizing the negative feeling states related to one's core issues is a very useful tool in therapy. 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. We use CBT as an add-on treatment for depression and associated symptoms and conditions, or as a stand-alone treatment for situational distress. Analysis of dysfunctional thoughts and rational reappraisals, life planning & strategy for behavioral, social, and mood improvement can be applied in a worksheet and homework fashion to help with self-improvement. This shows how Psychopharmacology-Integrated CBT can be used together as a “medication-illness schema” to integrate with a psychology-psychotherapy scheme in order to become synergistic in effect with counseling and medication interventions.

Depression & Anxiety

Our service also has a keen focus on abnormal mood states, called either “mood disorders” that include depressions and manic spectrum (bipolar) or “anxiety” disorders. Whether depression and anxiety are part of the same underlying mood state or they are separate entities may vary from person to person. Often, psychiatric diagnoses can overlap and be vague and unclear, however, and while a “diagnosis” is used to help the directionality of treatment, there is no real absolute proof of a diagnosis like there is for a medical condition like a tumor, stroke, etc.

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. We keep up to date with the many medications used in Western countries that are not yet available in Japan. Your therapist can provide you with information and recommendations regarding psychiatric medication, and the Meguro Counseling Center works together with a number of physicians licensed in Japan who can provide a prescription as appropriate.

It is very important for us to factor in substance use and abuse when people have psychiatric symptoms. You can see this page here Alcohol Treatment in Japan. We are happy to help persons with alcohol or substance abuse issues in Tokyo or greater Japan via phone or Skype counseling.

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. The presentation is very similar to that of a major depression, and is probably caused by changes in brain chemistry that accompany the hormonal and other physiologic changes of pregnancy. Mothers who have had several children without PPD can still experience PPD at subsequent pregnancies.

A related problem is called the Baby blues or Maternity Blues. This is more commonly seen affecting up to 80% of women, is usually mild and transitory, but can last up to a few days. It usually does not require specific treatment.


Our counseling practice also sees many persons with ADD or ADHD: see our ADD/ADHD article in the Tokyo Families Magazine. ADD stands for attention deficit disorder, and ADHD stands for attention deficit and hyperactivity disorder.

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.

There are two major forms of Attention Deficit Disorder; the Predominantly Inattentive Type (ADD) and the Predominantly Hyperactive-Impulsive type (ADHD). Some persons may also have a combined type. While ADD/ADHD has become widely known in society in recent years, many persons do not realize they may have this until it is pointed out to them and explained carefully.

Our Tokyo counseling office is in Nakameguro, a town still in transition from post-war development to modern buildings with Yutenji up the hill. It is our pleasure to meet you and your family in our Tokyo counseling office suite.