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082-261-0700
Reception hours 10:00-18:30

About clinic

Features

The Clinic Komorie is located just off the Hiroden city train.

Our clinic has been specialized in child and adult psychiatry, and psychiatric rehabilitation, which is situated within seven minutes by walk from the south exit of JR Hiroshima Station.

The first clinic is originally located in Aki Ward, Hiroshima City, and since its opening in 1965, we have been working with the local community for half a century and playing a part in regional care as a psychiatric institution.

We regard polite communications as the center of our medical services, and will continue to contribute to the improvement and development of regional medical care.

Our approach

Our hospital is a clinic that offers pharmacotherapy and psychotherapeutic intervention ranging from infants to adolescents, adults, the elderly, and people with a multicultural background. From infants to the elderly and people with multicultural backgrounds, we offer flexible engagement from a life cycle perspective.

1.Individualized treatment
We will talk with patients and their families thoroughly and provide necessary medical care according to the situation of each patient.

2.Well-balanced treatment
We will provide the most appropriate medical treatment with psychosocial interventions while keeping the amount of medicines to a minimum and listening to the needs of the patient and his/her family.

3.Early intervention is recommended
Generally, by finding the mental illness early and starting treatment, we can prevent the deterioration, chronicity and social withdrawal of the illness. We recommend starting treatment as early as possible.

4.Well-trained doctor
Our doctors have been trained well under various academic and clinical associations, and qualified as specialties in a wide variety of treatment.

5.Various programs
We are preparing various programs such as psychotherapy and group therapy.

Introduction of our clinic

The Clinic Komorie is located just off the Hiroden city train.

From Hiroshima Station South Exit, go through the underground plaza in front of the station, take Exit 9 and walk for 7 minutes (550m). By bus, it is just across the junction from the "Inaricho" bus stop. It is located between Hiroshima Station and the downtown area.



The traffic is heavy, so please be careful.
There is a "Family Mart" on the first floor of the building at the corner of the junction.
"Komorie" is on the 7th floor.






If you have any questions, please do not hesitate to ask the staff.

The staff will contact you before the examination, so please wait a moment.



We value communication and try to provide medical treatment that gives you a sense of security and trust.






For the symptoms in the fields of psychosomatic medicine and psychiatry, the therapist provides various techniques to psychologically work (psychotherapy), aiming to improve the symptoms and daily lives of the patients.
If necessary, drug therapy and lifestyle therapy may be offered together.


Not only one-on-one and parent-child interviews, but also family therapy on a family basis and group psychotherapy performed by a group of about 10 people, including staff such as doctors and psychologists.

We are also planning a parent training program for parents and a program for children to improve their social adaptability.


Komorie has a large playroom. Through play, children not only express the inside of the mind to the outside, but also emotionally interact with others, adjust their minds, and try to make contact with the outside world.

The voice of director

  I trained in neurosurgery, neurology, and critical care department, and later engaged in psychiatric general practice, education, biological research, and psychotherapy. Psychiatric care is required in a wide range of situations from child to elderly, perinatal period, and foreign residents. Hiroshima Station is designated as a priority area for redevelopment and is expected to contribute to the revitalization of the international peace city. I would like to contribute to the development of psychiatric care in the community.
Director Komorie Shigeru Toki
 

Biography

2001 Graduated from Hiroshima University (HU) School of Medicine

2007 Graduated from HU Graduate School

2007 Doctor of Hiroshima City Mental Health Welfare Center

2008 Doctor at Mihara Hospital

2010 Assistant Professor, Psychiatry Department, HU Hospital

2013 Postdoctoral Fellow, Psychiatry Department, University of Michigan

2014 Assistant Professor, HU Hospital

2015 Vice director, Mihara Hospital

2019 Director, Asada Medical Corporation Second Psychiatric Clinic Komorie

Academic Society / Certification

◇ Japanese Society of Neuropsychiatry
◇ Japanese Society for Child and Adolescent Psychiatry
◇ Japan Infant Mental Health Society
◇ Multicultural Psychiatry Association
◇ Japanese Psychoanalysis Society
◇ Japanese Psychoanalytical Psychiatry Association
◇ The Japanese Society of Clinical Neuropsychopharmacology

◇ Mental health designated doctor
◇ Doctor of Medicine
◇ Japanese Society of Psychiatry and Neurology Specialist (Instructor)
◇ Clinical training instructor
◇ Japanese Society of Child and Adolescent Psychiatry Association Certified Physician
◇ Specialist in the Japanese Society of Clinical Neuropsychopharmacology
◇ Japan Medical Association certified industrial physician
◇ Dementia support doctor

List of English publications

【English publications】
1: Fujimaki K, Toki S, Yamashita H, Oyamada T, Yamawaki S. Predictors of negative
symptoms in the chronic phase of schizophrenia: A cross-sectional study.
Psychiatry Res. 2018 Apr;262:600-608.

2: Takamura M, Okamoto Y, Okada G, Toki S, Yamamoto T, Ichikawa N, Mori A,
Minagawa H, Takaishi Y, Fujii Y, Kaichi Y, Akiyama Y, Awai K, Yamawaki S.
Patients with major depressive disorder exhibit reduced reward size coding in the
striatum. Prog Neuropsychopharmacol Biol Psychiatry. 2017 Oct 3;79(Pt B):317-323.

3: Yamamoto T, Toki S, Siegle GJ, Takamura M, Takaishi Y, Yoshimura S, Okada G,
Matsumoto T, Nakao T, Muranaka H, Kaseda Y, Murakami T, Okamoto Y, Yamawaki S.
Increased amygdala reactivity following early life stress: a potential resilience
enhancer role. BMC Psychiatry. 2017 Jan 18;17(1):27.

4: Takamura M, Okamoto Y, Okada G, Toki S, Yamamoto T, Yamamoto O, Jitsuiki H,
Yokota N, Tamura T, Kurata A, Kaichi Y, Akiyama Y, Awai K, Yamawaki S. Disrupted
Brain Activation and Deactivation Pattern during Semantic Verbal Fluency Task in
Patients with Major Depression. Neuropsychobiology. 2016;74(2):69-77.

5: Kaichi Y, Okada G, Takamura M, Toki S, Akiyama Y, Higaki T, Matsubara Y,
Okamoto Y, Yamawaki S, Awai K. Changes in the regional cerebral blood flow
detected by arterial spin labeling after 6-week escitalopram treatment for major
depressive disorder. J Affect Disord. 2016 Apr;194:135-43.

6: Toki S, Yamawaki S. [Diagnostic and treatment of depression focusing on
research of neuroscience]. Nihon Jibiinkoka Gakkai Kaiho. 2015
Jul;118(7):829-32.

7: Hayashi Y, Okamoto Y, Takagaki K, Okada G, Toki S, Inoue T, Tanabe H,
Kobayakawa M, Yamawaki S. Direct and indirect influences of childhood abuse on
depression symptoms in patients with major depressive disorder. BMC Psychiatry.
2015 Oct 14;15:244.

8: Shimizu Y, Yoshimoto J, Toki S, Takamura M, Yoshimura S, Okamoto Y, Yamawaki
S, Doya K. Toward Probabilistic Diagnosis and Understanding of Depression Based
on Functional MRI Data Analysis with Logistic Group LASSO. PLoS One. 2015 May
1;10(5):e0123524.

9: Toki S, Hashimoto E, Masuda M, Machino A, Yamawaki S. A case of chronic
anorexia nervosa with child-bearing by in vitro fertilization necessitating
comprehensive team support. JRSM Open. 2014 Dec 5;5(12):2054270414560039.

10: Yoshimura Y, Okamoto Y, Onoda K, Okada G, Toki S, Yoshino A, Yamashita H,
Yamawaki S. Psychosocial functioning is correlated with activation in the
anterior cingulate cortex and left lateral prefrontal cortex during a verbal
fluency task in euthymic bipolar disorder: a preliminary fMRI study. Psychiatry
Clin Neurosci. 2014 Mar;68(3):188-96.

11: Hayashi A, Okamoto Y, Yoshimura S, Yoshino A, Toki S, Yamashita H, Matsuda F,
Yamawaki S. Visual imagery while reading concrete and abstract Japanese kanji
words: an fMRI study. Neurosci Res. 2014 Feb;79:61-6.

12: Yoshino A, Okamoto Y, Yoshimura S, Shishida K, Toki S, Doi M, Machino A,
Fukumoto T, Yamashita H, Yamawaki S. Distinctive neural responses to pain stimuli
during induced sadness in patients with somatoform pain disorder: An fMRI study.
Neuroimage Clin. 2013 Jun 12;2:782-9.

13: Toki S, Okamoto Y, Onoda K, Kinoshita A, Shishida K, Machino A, Fukumoto T,
Yamashita H, Yoshida H, Yamawaki S. Automatic and intentional brain responses
during evaluation of face approachability: correlations with trait anxiety.
Neuropsychobiology. 2013;68(3):156-67.

14: Toki S, Okamoto Y, Onoda K, Matsumoto T, Yoshimura S, Kunisato Y, Okada G,
Shishida K, Kobayakawa M, Fukumoto T, Machino A, Inagaki M, Yamawaki S.
Hippocampal activation during associative encoding of word pairs and its relation
to symptomatic improvement in depression: a functional and volumetric MRI study.
J Affect Disord. 2014 Jan;152-154:462-7.

15: Yoshino A, Okamoto Y, Onoda K, Shishida K, Yoshimura S, Kunisato Y, Demoto Y,
Okada G, Toki S, Yamashita H, Yamawaki S. Sadness enhances the experience of pain
and affects pain-evoked cortical activities: an MEG study. J Pain. 2012
Jul;13(7):628-35.

16: Okamoto Y, Yoshimura S, Okada G, Jinnin R, Nishiyama Y, Yoshino A, Toki S,
Yamawaki S. [Cognition, behavior and emotion in psychotherapy--an example of
cognitive behavioral therapy for depression]. Seishin Shinkeigaku Zasshi.
2011;113(11):1088-94.

17: Okada G, Okamoto Y, Kunisato Y, Aoyama S, Nishiyama Y, Yoshimura S, Onoda K,
Toki S, Yamashita H, Yamawaki S. The effect of negative and positive emotionality
on associative memory: an FMRI study. PLoS One. 2011;6(9):e24862.

18: Onoda K, Okamoto Y, Toki S, Ueda K, Shishida K, Kinoshita A, Yoshimura S,
Yamashita H, Yamawaki S. Anterior cingulate cortex modulates preparatory
activation during certain anticipation of negative picture. Neuropsychologia.
2008 Jan 15;46(1):102-10. Epub 2007 Aug 15.

19: Toki S, Morinobu S, Imanaka A, Yamamoto S, Yamawaki S, Honma K. Importance of
early lighting conditions in maternal care by dam as well as anxiety and memory
later in life of offspring. Eur J Neurosci. 2007 Feb;25(3):815-29.

20: Imanaka A, Morinobu S, Toki S, Yamawaki S. Importance of early environment in
the development of post-traumatic stress disorder-like behaviors. Behav Brain
Res. 2006 Oct 2;173(1):129-37. Epub 2006 Jul 24.

21: Toki S, Morinobu S, Yoshino A, Yamawaki S. A case of venous thromboembolism
probably associated with hyperprolactinemia after the addition of olanzapine to
typical antipsychotics. J Clin Psychiatry. 2004 Nov;65(11):1576-7.

Reception days

Mon Thu Wed Thu Fri Sat Sun

a.m. Reception hours 10:00-13:00
p.m. Reception hours 15:00-18:30
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