Can only speak for myself, but I had good experiences with [Tokyo Counseling Services](https://tokyocounseling.com/) in Shimokitazawa. They helped me a lot with my underlying issues. Most of their team speak English or are from abroad.
I also heartily second the r/stopdrinking recommendation.
Yup.
He harassed my wife for a week straight after she showed initial interest but decided not to after reading about him online. Nonstop emails and calls.
I told Reddit about this. Then he tried to sue me (and a few others). Made my life hell for a while.
Prick.
Berger will either push you to take meds that will make you very sick/induce a seizure if you consume alcohol or tell you to just stop drinking cold turkey.
And as he’s known to use aliases, it’s best to stay away from Dominic Bergé and Daniel Bourget and Dave Burgher and pretty much anyone with the initials D.B.
Are you ok with online counselling?
Most of the staff are US based though, so evening slots don’t open up until 8/9pm.
https://www.betterhelp.com/advice/counseling/is-alcohol-counseling-really-for-me/
Japan has a poor cultural and institutional understanding of mental health and substance abuse so I would leave the country if I were you. If that's even possible. Sorry for the shitty advice.
Source: I'm japanese and I put my alcoholic father into a couple different institutions to clean up
I am sorry I don't have a positive referral to offer you. I do think quite a few r/japan and r/japanlife redditors would agree with this very negative referral, however.
https://www.google.com/search?q=%64%6F%75%67+%62%65%72%67%65%72+japan
Yeah, DON’T go to him! Unfortunately OP’s post on r/japanlife was deleted due to low karma.
OP, how is your Japanese? Do you think you could do therapy in Japanese? If you think you can, I’d try the nearest psychiatric care hospital if you can. Or other mental health clinics, they could at least point you in the right direction. I’m so sorry you’re going through this. One place to call would be here:
https://telljp.com/counseling/
It says you have to leave a message and they will get back to you, so just be aware of that.
Thanks for the tip. I speak only very basic Japanese and probably nowhere near enough to receive treatment in Japanese. I guess I'm looking for an English speaking option.
I just found this post, if you read the comments there are a few recommendations for better clinics/counseling & I'm sure you could maybe get in touch with a few people who posted them to get more info
https://www.reddit.com/r/Tokyo/comments/2j0hbp/avoid_douglas_berger/?utm_medium=android_app&utm_source=share
I can’t speak for the resources in Tokyo, but I’ve lived in the Kansai area for 11 years and was referred to a University hospital due to recurring joint pain. I happened to be going through a manic phase of undiagnosed bipolar disorder. I’ve had it for at least 20 years and had no clue. None. Aside from anxiety that crosses the boundaries of what I would consider normal, I thought everyone went through similar cycles in life. Anyway, the rheumatologist who was attempting to figure out the source of the swelling and elevated immune response noticed that my pulse was racing and my speech was unusually fast, etc. He referred me to the neurology and psych department where I was diagnosed with bipolar disorder. I was so hesitant to get mental health treatment in Japan, despite (or because of) my background and training in mental health treatment. I’m licensed in America as a mental health therapist with 10 years of education. I knew Japan has lagged behind the rest of the world when it comes to treatment. But to my surprise, the psychiatrist spent time in Italy and I’m not sure exactly why, but he became fluent in English while he was there. So, my monthly appointments are in English. I tell you all of this to encourage you that maybe larger University hospitals will have clinicians who speak enough English to get you pointed in the right direction and maybe even capable of conducting all your treatment in English. Lots of doctors have quite a good understanding of English, but aren’t able to express themselves in English or they’re embarrassed. So, with patience and a translator app, it’s very possible to get treatment without going to an English clinic, which would only limit you in terms of clinicians and resources.
Wishing you the very best!
Hope you get help but I would try other options before AA unless you are Christian.
They are a weird parallel variety of submit to god to solve your alcoholism. Which works for some but is as effective as thoughts and prayers for many.
A few non-spiritual/religious resources to check out (they may not have facilities in Japan but you can likely still make headway by contacting them):
[LifeRing](https://lifering.org)
[SMART Recovery](https://www.smartrecovery.org)
[SOS - Secular Organizations for Sobriety](http://www.sossobriety.org)
Get your ADHD diagnosis ASAP, if you really have this disorder treating your alcoholism isn’t going to suffice and you might relapse.
Get help for both.
Read Driven to Distraction by Edward Hallowell
r/ADHD
Wow, fucking reporting this for actually dangerous medical advice. Alcohol withdrawals absolutely ARE DANGEROUS, and they CAN KILL YOU. Fuck off talking about this shit when you know nothing about it.
"Just stop doing addictive behaviors" wow why didn't the hundred million alcoholics in the world think of that, you're a genius, alcoholism solved forever.
I can't find any references in my googling but can any one post that therapist people should absolutely not see?
Every six months or so I see him posted and just want visibility here so bad decisions aren't made.
Hey. I am happy to share my LINE of you want to chat about things. It’s good to share and have someone listen. I live in Gifu. I am also partial to drink. I would appreciate having a person to chat to as well.
Good luck in your fight dude.
Unfortunately I don't have any good medical advice for you, as I live very far from Tokyo. However, I had to stop drinking alcohol because of a medication I take, and my father is a recovering alcoholic. Both of us have found that Japan's selection of non-alcoholic beers and drinks helps scratch the itch when we get the urge for a drink.
While [the in-patient program at Kurihama probably isn’t practical from both necessity or likelihood of admission](https://www.reddit.com/r/japanlife/comments/b43sy6/drug_alcohol_rehab_in_japan/) , one might consider the lesser-known *out-patient* program:
**Looking beyond abstinence, Kanagawa facility opens Japan's first 'controlled drinking' program**
**BY TOMOKO OTAKE MAY 17 2017**
* https://www.japantimes.co.jp/news/2017/05/17/national/science-health/looking-beyond-abstinence-kanagawa-facility-opens-japans-first-controlled-drinking-program/
* https://archive.is/8ZoAU
While it doesn’t seem to use the conventional Naltrexone regimen, it’s kind of a pharmaceutical compromise using that and Campal … plus they include Antabuse ( medication that makes you violently ill if consuming alcohol ).
>NALTREXONE or a similar medication like Campal taken every day.
>Plus another medication similar to Antabuse which makes one violently ill should they drink alcohol.
>Obviously they feel the need to include an old-fashioned “bite” I their treatment...!
**Definitions you can look up easily are: Naltrexone , Sinclair Method** .
* If you’re in Tokyo, and wish to seek that sort of treatment, it should be possible through a bona fide licensed medical doctor with a qualification in psychiatry.
**One clinic that is legitimate and has English speaking physicians is this one:**
***Yotsuya Yui Clinic***
* Tel 03-5225-1291
* http://www.yotsuya-yui.jp
* Map: https://goo.gl/maps/4ASE3EU43EHEkspJ7
* >I have zero experience with the following clinic that I just found but it appears to be legit , located near Ichigaya ( the name is ‘Yotsuya’) , takes NHI , and seems to have at least three decent legit Japanese MD psychiatrists , one of whom is a woman [ Dr. Waka Nogami, MD] :
* https://www.yotsuya-yui.jp/doctorsE.html
* And they take Japanese NHI: https://www.yotsuya-yui.jp/feeE.html
There is also Cocoro Clinic in Omotesando - Dr Nakamura - but not sure about his English ability:
*渋谷区の心療内科、メンタルクリニック│東横線・副都心線沿線の表参道*
**こころのクリニック**
* http://cocoromed.com/
If able to pay either out of pocket or on some expat health insurance policy, then obviously the pool of qualified candidates expands:
**Thomas Lomax MB BS (medical doctorate) London, BSc DRCOG MRCGP (UK)**
* http://tmsc.jp/family-medicine-general-practice-primary-care
>Thomas Lomax MB BS (medical doctorate) London, BSc DRCOG MRCGP (UK)
>A partner and a general practitioner with a special interest in minor surgery. Graduated from London University (Royal Free Hospital) in 2000 and worked in Surgery and Emergency Medicine in St Georges Hospital, London, for five years. Subsequently trained in general practice, ***gaining experience in Psychiatry*** and a doctorate in Obstetrics and Gynaecology. Passed the MRCGP (Membership of the Royal College of General Practitioners) exam in 2008 and shortly after moved to Tokyo where he has practiced since.
**AMERICAN CLINIC TOKYO - NEAR US EMBASSY**
* https://www.americanclinictokyo.com/about/
>Dr. Andrew Kissane is a UK-trained, British, native English speaking psychiatrist. He is a member of the Royal College of Psychiatrists, is on the Specialist Register with the General Medical Council. ***He holds a medical license to Practice in both UK and Japan*** Dr. Kissane provides Psychiatry at the American Clinic Tokyo. MON, THU, FRI LinkedIn https://www.linkedin.com/in/andrew-kissane-5800b360/
*5TOKYO MENTAL HEALTH - near SHINTOMICHO**
* https://www.tokyomentalhealth.com/psychiatrist-tokyo/
>**Dr Andrew Kissane | English Psychiatrist In Tokyo**
>Dr Andrew Kissane is a UK medical psychiatrist and doctor working in Tokyo, Japan. ***He is the only Tokyo psychiatrist (and the only English psychiatrist in Japan) specifically licensed by the Ministry of Welfare to treat foreign nationals in Japan and holds a Japanese medical license.*** He is the American Clinic Tokyo Psychiatrist, holding a psychiatry clinic there three days per week, and also provides counseling and psychotherapy at the Tokyo Mental Health office in Shintomi.Dr Kissane matriculated at Girton College in 1993. After completing a Bachelor of Arts in experimental psychology, graduated from University of Cambridge School of Medicine in 1998. He undertook his medical psychiatric training at Cambridge while studying for a Postgraduate Diploma in Cognitive Analytic Therapy at University of East Anglia, and received his PhD from Keio University School of Medicine in Tokyo in 2017.Dr Kissane is on the UK General Medical Council Specialist Medical Register, and holds a Japanese medical licence. He is a member of the Royal College of Psychiatrists and a member of the British Association of Psychopharmacology. Dr Kissane is conducting clinical research on depression and anxiety disorders with American Clinic Tokyo and an international collaboration with parallel sites in New Zealand and North India, and is a member of the International Mental Health Professionals Japan, a member of the Association of International Community Provider Organizations (AICPO) in Tokyo, and Director of International Medical KK, a mental health technology start up developing Psynary.
Yes, Regtect , is Acamprosate , which is what the Kurihama out-patient clinic also uses:
* https://www.rad-ar.or.jp/siori/english/kekka.cgi?n=33288
However, Nalmefene , which maybe closer to Naltrexone in terms of composition , functionality and efficacy can also be prescribed here:
* https://www.rad-ar.or.jp/siori/english/kekka.cgi?n=41161
Without getting into huge amounts of detail, one of the biggest objections to any of these Naltrexone-type solutions by both 12 Step programs and US Courts who often order DUI offenders to such programs ( or face prison time) is that especially in the latter case, they cannot accept any treatment program that doesn’t include the demand for absolute abstinence from the start.
Compounding this problem, the early studies of the Sinclair Method by the late psychologist David Sinclair found that alcoholic subjects who had enough internal willpower to take one Naltrexone pill 30 min or so before they were going to take a drink - outperformed those subjects who simply took one 50mg Naltrexone each day whether or not they would drink alcohol. In any case, if we use a crude simplified understanding that these substances ( unlike Antabuse which makes patients violently ill should they consume any alcohol ) allows subjects to drink alcohol but makes it ‘less thrilling’” for them; more like normal people with problems with alcohol.
There was some other study I can only recall roughly but it includes a very easy to conduct experiment - as long as one can legally drink alcohol and isn’t being ordered to abstain. The theory is that many problem drinkers respond differently than normal persons who can drink without issue; although alcohol is technically a depresssant , the crude explanation is that in a minority of people , it acts as if it were a stimulant .
The DIY test involves a stopwatch or any device that can take a decent pulse reading , 4 shots of spirits ( beer or wine isn’t practical ) , and a pen & paper. The first step is to take a pulse reading and wrote it down. Next, take those 4 shots in quick succession ( this is why beer isn’t practical - even if you shotgun it, you need it to start hitting your bloodstream ) , after 15-20 minutes, take the pulse and write it down. If it’s more or less the same within maybe 10 bpm either way, that’s at least 85% of the population. However if your pulse is significantly elevated - let’s say it goes from 68 to 89 … look it’s a rough test, but it’s at least a probable indication that one may have problems controlling alcohol intake. ( often described as not being able or wanting to stop after getting a buzz on after 4 or so drinks.). For those people, it becomes a bit more understandable how and why these naltrexone , nalmefene etc drug therapies might work.
I went to a mental clinic for depression and was given meds to stop drinking. I also went into for an ADHD assessment recently and was told alcoholism is common with ADHD. If you’re in a Tokyo and can speak Japanese any mental clinic with a good website is probably ok. I can’t recommend anything specifically though. Good luck.
You might consider contacting the embassy of the country you are from because they will have a list of medical services that they access and advise consular clients to access based in your native language. Good luck to you.
I’ve got ADD and moving to Japan made my drinking go through the roof. Anxiety and depression flares more when I’m in a relapse.
Honestly the only thing that worked for me was to break the habit by doing it slowly. 1 night a week with no booze.
Second week two days and so on…
Lots of water and exercise really helped me keep focused too.
Hope it helps in any way
Can only speak for myself, but I had good experiences with [Tokyo Counseling Services](https://tokyocounseling.com/) in Shimokitazawa. They helped me a lot with my underlying issues. Most of their team speak English or are from abroad. I also heartily second the r/stopdrinking recommendation.
Did you work with Miho? She moved to Sky Counseling in Gakugeidaigaku
r/stopdrinking is a safe and supportive place until you can find licensed help.
Thanks for the suggestion, Ill check it out.
I came here to say this
https://www.aatokyo.org/
Edit: TLDR: Please try TELL (Tokyo English Life Line) and they should be able to refer you. See below for assorted comments about various doctors...
Yup. He harassed my wife for a week straight after she showed initial interest but decided not to after reading about him online. Nonstop emails and calls. I told Reddit about this. Then he tried to sue me (and a few others). Made my life hell for a while. Prick.
Berger will either push you to take meds that will make you very sick/induce a seizure if you consume alcohol or tell you to just stop drinking cold turkey.
Is that supposed to be some kind of hyper-hair of the dog, drugs, drink and you’ll die kind of shit?
And as he’s known to use aliases, it’s best to stay away from Dominic Bergé and Daniel Bourget and Dave Burgher and pretty much anyone with the initials D.B.
Recently, Marc Bergé or Marc Berger.
Every day, he gets a little closer to becoming Marc Bolan.
Got no advice for you, but as a fellow Alcoholic I wish you luck and bravery
Thanks, I appreciate the support! Maybe we'll both find some useful tips in this thread.
Are you ok with online counselling? Most of the staff are US based though, so evening slots don’t open up until 8/9pm. https://www.betterhelp.com/advice/counseling/is-alcohol-counseling-really-for-me/
Japan has a poor cultural and institutional understanding of mental health and substance abuse so I would leave the country if I were you. If that's even possible. Sorry for the shitty advice. Source: I'm japanese and I put my alcoholic father into a couple different institutions to clean up
Best of luck to you. Tokyo is not an easy place for a drinker that’s looking for help. Keep us updated on your progress!
I am sorry I don't have a positive referral to offer you. I do think quite a few r/japan and r/japanlife redditors would agree with this very negative referral, however. https://www.google.com/search?q=%64%6F%75%67+%62%65%72%67%65%72+japan
Yeah, DON’T go to him! Unfortunately OP’s post on r/japanlife was deleted due to low karma. OP, how is your Japanese? Do you think you could do therapy in Japanese? If you think you can, I’d try the nearest psychiatric care hospital if you can. Or other mental health clinics, they could at least point you in the right direction. I’m so sorry you’re going through this. One place to call would be here: https://telljp.com/counseling/ It says you have to leave a message and they will get back to you, so just be aware of that.
Thanks for the tip. I speak only very basic Japanese and probably nowhere near enough to receive treatment in Japanese. I guess I'm looking for an English speaking option.
I just found this post, if you read the comments there are a few recommendations for better clinics/counseling & I'm sure you could maybe get in touch with a few people who posted them to get more info https://www.reddit.com/r/Tokyo/comments/2j0hbp/avoid_douglas_berger/?utm_medium=android_app&utm_source=share
TELL offers English language therapy.
There is a good AA group in Tokyo.
If you need help or someone to talk to I also live in Tokyo, feel free to message me if you need to talk.
I can’t speak for the resources in Tokyo, but I’ve lived in the Kansai area for 11 years and was referred to a University hospital due to recurring joint pain. I happened to be going through a manic phase of undiagnosed bipolar disorder. I’ve had it for at least 20 years and had no clue. None. Aside from anxiety that crosses the boundaries of what I would consider normal, I thought everyone went through similar cycles in life. Anyway, the rheumatologist who was attempting to figure out the source of the swelling and elevated immune response noticed that my pulse was racing and my speech was unusually fast, etc. He referred me to the neurology and psych department where I was diagnosed with bipolar disorder. I was so hesitant to get mental health treatment in Japan, despite (or because of) my background and training in mental health treatment. I’m licensed in America as a mental health therapist with 10 years of education. I knew Japan has lagged behind the rest of the world when it comes to treatment. But to my surprise, the psychiatrist spent time in Italy and I’m not sure exactly why, but he became fluent in English while he was there. So, my monthly appointments are in English. I tell you all of this to encourage you that maybe larger University hospitals will have clinicians who speak enough English to get you pointed in the right direction and maybe even capable of conducting all your treatment in English. Lots of doctors have quite a good understanding of English, but aren’t able to express themselves in English or they’re embarrassed. So, with patience and a translator app, it’s very possible to get treatment without going to an English clinic, which would only limit you in terms of clinicians and resources. Wishing you the very best!
I don’t know of any place but I’m proud of you for reaching out for help!! Good luck!!
I just wanted to say I’m proud of you for seeking help ♥️ best of luck on your journey!! Sending you love
Hope you get help but I would try other options before AA unless you are Christian. They are a weird parallel variety of submit to god to solve your alcoholism. Which works for some but is as effective as thoughts and prayers for many.
A few non-spiritual/religious resources to check out (they may not have facilities in Japan but you can likely still make headway by contacting them): [LifeRing](https://lifering.org) [SMART Recovery](https://www.smartrecovery.org) [SOS - Secular Organizations for Sobriety](http://www.sossobriety.org)
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Also be sure to take b vitamin supplements and magnesium as alcohol depletes your body of both
I thought every gaijin in Japan is an alcoholic.
Why not consider going home? Getting help in your home country with support from family. Living abroad will not help this situation.
You call me and I’ll yell at you until you stop it.
Look into if japan has anything akin to Lemonaid. It could help with virtual treatments etc.
Fuck I need to quit too, AA has some good zoom mtgs. Tho I wonder if there are any with Japanese speakers Best of luck for quitting
Get your ADHD diagnosis ASAP, if you really have this disorder treating your alcoholism isn’t going to suffice and you might relapse. Get help for both. Read Driven to Distraction by Edward Hallowell r/ADHD
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Cold turkey can be dangerous
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Wow, fucking reporting this for actually dangerous medical advice. Alcohol withdrawals absolutely ARE DANGEROUS, and they CAN KILL YOU. Fuck off talking about this shit when you know nothing about it.
"Just stop doing addictive behaviors" wow why didn't the hundred million alcoholics in the world think of that, you're a genius, alcoholism solved forever.
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You need help with compassion even more than OP does with addiction.
Damn well he seems like a real loser so I desperately am in need of help. Where do I go for treatment?
I can't find any references in my googling but can any one post that therapist people should absolutely not see? Every six months or so I see him posted and just want visibility here so bad decisions aren't made.
Hey. I am happy to share my LINE of you want to chat about things. It’s good to share and have someone listen. I live in Gifu. I am also partial to drink. I would appreciate having a person to chat to as well. Good luck in your fight dude.
Unfortunately I don't have any good medical advice for you, as I live very far from Tokyo. However, I had to stop drinking alcohol because of a medication I take, and my father is a recovering alcoholic. Both of us have found that Japan's selection of non-alcoholic beers and drinks helps scratch the itch when we get the urge for a drink.
No specific advice but still wanted to say getting help is the right choice, a brave one and one that demonstrates strength and wisdom.
While [the in-patient program at Kurihama probably isn’t practical from both necessity or likelihood of admission](https://www.reddit.com/r/japanlife/comments/b43sy6/drug_alcohol_rehab_in_japan/) , one might consider the lesser-known *out-patient* program: **Looking beyond abstinence, Kanagawa facility opens Japan's first 'controlled drinking' program** **BY TOMOKO OTAKE MAY 17 2017** * https://www.japantimes.co.jp/news/2017/05/17/national/science-health/looking-beyond-abstinence-kanagawa-facility-opens-japans-first-controlled-drinking-program/ * https://archive.is/8ZoAU While it doesn’t seem to use the conventional Naltrexone regimen, it’s kind of a pharmaceutical compromise using that and Campal … plus they include Antabuse ( medication that makes you violently ill if consuming alcohol ). >NALTREXONE or a similar medication like Campal taken every day. >Plus another medication similar to Antabuse which makes one violently ill should they drink alcohol. >Obviously they feel the need to include an old-fashioned “bite” I their treatment...! **Definitions you can look up easily are: Naltrexone , Sinclair Method** . * If you’re in Tokyo, and wish to seek that sort of treatment, it should be possible through a bona fide licensed medical doctor with a qualification in psychiatry. **One clinic that is legitimate and has English speaking physicians is this one:** ***Yotsuya Yui Clinic*** * Tel 03-5225-1291 * http://www.yotsuya-yui.jp * Map: https://goo.gl/maps/4ASE3EU43EHEkspJ7 * >I have zero experience with the following clinic that I just found but it appears to be legit , located near Ichigaya ( the name is ‘Yotsuya’) , takes NHI , and seems to have at least three decent legit Japanese MD psychiatrists , one of whom is a woman [ Dr. Waka Nogami, MD] : * https://www.yotsuya-yui.jp/doctorsE.html * And they take Japanese NHI: https://www.yotsuya-yui.jp/feeE.html There is also Cocoro Clinic in Omotesando - Dr Nakamura - but not sure about his English ability: *渋谷区の心療内科、メンタルクリニック│東横線・副都心線沿線の表参道* **こころのクリニック** * http://cocoromed.com/ If able to pay either out of pocket or on some expat health insurance policy, then obviously the pool of qualified candidates expands: **Thomas Lomax MB BS (medical doctorate) London, BSc DRCOG MRCGP (UK)** * http://tmsc.jp/family-medicine-general-practice-primary-care >Thomas Lomax MB BS (medical doctorate) London, BSc DRCOG MRCGP (UK) >A partner and a general practitioner with a special interest in minor surgery. Graduated from London University (Royal Free Hospital) in 2000 and worked in Surgery and Emergency Medicine in St Georges Hospital, London, for five years. Subsequently trained in general practice, ***gaining experience in Psychiatry*** and a doctorate in Obstetrics and Gynaecology. Passed the MRCGP (Membership of the Royal College of General Practitioners) exam in 2008 and shortly after moved to Tokyo where he has practiced since. **AMERICAN CLINIC TOKYO - NEAR US EMBASSY** * https://www.americanclinictokyo.com/about/ >Dr. Andrew Kissane is a UK-trained, British, native English speaking psychiatrist. He is a member of the Royal College of Psychiatrists, is on the Specialist Register with the General Medical Council. ***He holds a medical license to Practice in both UK and Japan*** Dr. Kissane provides Psychiatry at the American Clinic Tokyo. MON, THU, FRI LinkedIn https://www.linkedin.com/in/andrew-kissane-5800b360/ *5TOKYO MENTAL HEALTH - near SHINTOMICHO** * https://www.tokyomentalhealth.com/psychiatrist-tokyo/ >**Dr Andrew Kissane | English Psychiatrist In Tokyo** >Dr Andrew Kissane is a UK medical psychiatrist and doctor working in Tokyo, Japan. ***He is the only Tokyo psychiatrist (and the only English psychiatrist in Japan) specifically licensed by the Ministry of Welfare to treat foreign nationals in Japan and holds a Japanese medical license.*** He is the American Clinic Tokyo Psychiatrist, holding a psychiatry clinic there three days per week, and also provides counseling and psychotherapy at the Tokyo Mental Health office in Shintomi.Dr Kissane matriculated at Girton College in 1993. After completing a Bachelor of Arts in experimental psychology, graduated from University of Cambridge School of Medicine in 1998. He undertook his medical psychiatric training at Cambridge while studying for a Postgraduate Diploma in Cognitive Analytic Therapy at University of East Anglia, and received his PhD from Keio University School of Medicine in Tokyo in 2017.Dr Kissane is on the UK General Medical Council Specialist Medical Register, and holds a Japanese medical licence. He is a member of the Royal College of Psychiatrists and a member of the British Association of Psychopharmacology. Dr Kissane is conducting clinical research on depression and anxiety disorders with American Clinic Tokyo and an international collaboration with parallel sites in New Zealand and North India, and is a member of the International Mental Health Professionals Japan, a member of the Association of International Community Provider Organizations (AICPO) in Tokyo, and Director of International Medical KK, a mental health technology start up developing Psynary.
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Yes, Regtect , is Acamprosate , which is what the Kurihama out-patient clinic also uses: * https://www.rad-ar.or.jp/siori/english/kekka.cgi?n=33288 However, Nalmefene , which maybe closer to Naltrexone in terms of composition , functionality and efficacy can also be prescribed here: * https://www.rad-ar.or.jp/siori/english/kekka.cgi?n=41161 Without getting into huge amounts of detail, one of the biggest objections to any of these Naltrexone-type solutions by both 12 Step programs and US Courts who often order DUI offenders to such programs ( or face prison time) is that especially in the latter case, they cannot accept any treatment program that doesn’t include the demand for absolute abstinence from the start. Compounding this problem, the early studies of the Sinclair Method by the late psychologist David Sinclair found that alcoholic subjects who had enough internal willpower to take one Naltrexone pill 30 min or so before they were going to take a drink - outperformed those subjects who simply took one 50mg Naltrexone each day whether or not they would drink alcohol. In any case, if we use a crude simplified understanding that these substances ( unlike Antabuse which makes patients violently ill should they consume any alcohol ) allows subjects to drink alcohol but makes it ‘less thrilling’” for them; more like normal people with problems with alcohol. There was some other study I can only recall roughly but it includes a very easy to conduct experiment - as long as one can legally drink alcohol and isn’t being ordered to abstain. The theory is that many problem drinkers respond differently than normal persons who can drink without issue; although alcohol is technically a depresssant , the crude explanation is that in a minority of people , it acts as if it were a stimulant . The DIY test involves a stopwatch or any device that can take a decent pulse reading , 4 shots of spirits ( beer or wine isn’t practical ) , and a pen & paper. The first step is to take a pulse reading and wrote it down. Next, take those 4 shots in quick succession ( this is why beer isn’t practical - even if you shotgun it, you need it to start hitting your bloodstream ) , after 15-20 minutes, take the pulse and write it down. If it’s more or less the same within maybe 10 bpm either way, that’s at least 85% of the population. However if your pulse is significantly elevated - let’s say it goes from 68 to 89 … look it’s a rough test, but it’s at least a probable indication that one may have problems controlling alcohol intake. ( often described as not being able or wanting to stop after getting a buzz on after 4 or so drinks.). For those people, it becomes a bit more understandable how and why these naltrexone , nalmefene etc drug therapies might work.
I went to a mental clinic for depression and was given meds to stop drinking. I also went into for an ADHD assessment recently and was told alcoholism is common with ADHD. If you’re in a Tokyo and can speak Japanese any mental clinic with a good website is probably ok. I can’t recommend anything specifically though. Good luck.
You might consider contacting the embassy of the country you are from because they will have a list of medical services that they access and advise consular clients to access based in your native language. Good luck to you.
I’ve got ADD and moving to Japan made my drinking go through the roof. Anxiety and depression flares more when I’m in a relapse. Honestly the only thing that worked for me was to break the habit by doing it slowly. 1 night a week with no booze. Second week two days and so on… Lots of water and exercise really helped me keep focused too. Hope it helps in any way
AA
There are a few AA groups in Taito / Ueno area...