Psychiatry and Psychotherapy for Brooklyn
When symptoms, relationships, identity, family pressures, and treatment history overlap, the next step may require a broader clinical picture.
The Sheppe Group is a Midtown Manhattan practice serving adolescents, emerging adults, adults, and families from Brooklyn. Care may include complex clinical evaluation, psychodynamic psychotherapy, personality assessment and development, transference-focused psychotherapy, medication consultation, family consultation, and coordination with existing clinicians or treatment teams.
Care for patterns that do not fitneatly into a single diagnosis.
Brooklyn patients may seek consultation when outward functioning remains intact but mood, relationships, identity, attention, emotional regulation, or treatment response has become harder to understand. A person may be doing well professionally or academically while privately experiencing repeated crises, unstable relationships, persistent anxiety, depression, trauma-related symptoms, ADHD concerns, medication questions, or difficulty sustaining progress.
The Sheppe Group looks at the longitudinal pattern rather than only the most recent symptom. Evaluation may consider development, personality functioning, attachment and relationships, family systems, school or work demands, medical and medication history, previous diagnoses, risk, strengths, and the response to prior treatment.
The purpose is to arrive at a formulation that can guide a practical decision. That may mean focused consultation, psychotherapy, medication review, personality assessment, family work, coordination with an existing Brooklyn treatment team, or referral to a different setting when another level of care is more appropriate.
A consultation can help when functioning and distress tell different stories.
Some people remain productive and independent while repeated emotional, relational, family, or treatment problems continue underneath the surface.
The same conflicts keep returning in relationships or treatment.
Patterns involving identity, attachment, boundaries, self-esteem, emotional regulation, anger, avoidance, or instability may need to be understood as part of the broader personality and developmental picture.
Work or school still looks successful, but sustaining it is becoming harder.
Evaluation can look beyond performance to internal distress, sleep, anxiety, depression, attention, trauma, relationships, medication effects, and the effort required to keep functioning.
Independence has stalled or become more fragile than expected.
Emerging adults may need help sorting out mood, anxiety, ADHD, identity, family dependence, college or work disruption, relationships, and the developmental tasks involved in building a sustainable adult life.
Prior care has helped somewhat, but the overall plan still feels incomplete.
A focused consultation may review diagnosis, medication strategy, psychotherapy approach, personality functioning, family participation, provider roles, and whether a different treatment structure should be considered.
Explore care by the clinical question rather than by one symptom alone.
Brooklyn patients may come in with a specific diagnosis, a question about why treatment has stalled, or a need to understand a more complicated pattern. The resources below explain the specialty and condition-focused areas that may be relevant.
Specialties
Integrated Psychiatry & PsychotherapyFor care that connects psychiatric evaluation, medication decisions, psychological understanding, and treatment planning.
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Personality Assessment & DevelopmentFor recurring patterns in identity, relationships, emotional regulation, or treatment response.
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Transference-Focused PsychotherapyFor personality-focused treatment using the therapeutic relationship as a central source of understanding.
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Complex Clinical EvaluationFor diagnostic uncertainty, overlapping conditions, or treatment that has stalled.
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Adolescents & Emerging AdultsFor developmentally informed care involving school, college, work, family, and independence.
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Family ConsultationFor communication, treatment participation, boundaries, safety, and coordinated next steps.
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Failure to LaunchFor difficulty progressing toward adult roles, independence, education, or work.
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Conditions
The first task is understanding what needs to change.
The consultation process is used to clarify the reason for seeking care now, what has already been tried, and whether the next step should involve evaluation, psychotherapy, medication consultation, family work, coordination, or another treatment setting.
Define the problem thatbrought you to consultation.
Symptoms, treatment history, current functioning, relationships, family context, prior diagnoses, and the patient’s goals help establish the question that needs to be answered.
Build a formulation that connects the relevant parts.
The clinical picture may integrate diagnosis, development, personality functioning, trauma, relationships, medical history, medication response, family systems, risk, and strengths.
Choose a treatment structure that follows from the formulation.
The recommendation may involve care within The Sheppe Group, continued treatment with established Brooklyn clinicians, coordinated care, or referral when another setting is more appropriate.
One Midtown officewith multiple ways to reach it.
The office is at 122 East 42nd Street, 32nd Floor, near Grand Central. Patients traveling from Brooklyn may use subway, bus, taxi, or rideshare connections into Midtown, with the most practical route depending on the starting neighborhood and current service. Transit conditions should be checked before travel.
122 East 42nd Street, 32nd Floor
New York, NY 10168
Brooklyn Heights, DUMBO, Downtown Brooklyn, Cobble Hill, Carroll Gardens, Park Slope, Williamsburg, and surrounding areas.
The practice provides scheduled outpatient care and is not an emergency or crisis service.
Telehealth can make ongoing care easier when regular travel into Midtown is not practical.
For patients located in New York, telehealth may be available when clinically appropriate and legally permitted. Suitability depends on diagnosis, risk, privacy, complexity, family participation, and whether remote care provides an adequate treatment setting.
Psychiatry and clinical psychologyfor complex presentations.
Provider recommendations depend on the reason for consultation, the patient’s age and needs, and whether the central question involves psychiatric evaluation, psychotherapy, medication, personality assessment, family work, or coordinated care.
Alexander H. Sheppe, MD, FAPA, DFAACAP
Dr. Sheppe provides complex clinical evaluation, psychodynamic psychotherapy, medication consultation, personality-focused assessment, family consultation, and coordinated treatment planning.
View Dr. Sheppe’s Profile →
Aliza Spruch-Feiner, PhD
Dr. Spruch-Feiner provides diagnostic and personality assessment and feedback, individual, couples, and family psychotherapy, and coordinated treatment for adults and adolescents.
The Sheppe Group Testimonials
“His guidance is much appreciated.”
MM · Zocdoc review · Read source“Very helpful! Great experience!”
Amy A. · Zocdoc review · Read source“His responses to my questions were so thorough, accurate, and reassuring…”
NS · Zocdoc review · Read source“Dr. Sheppe is honest and down-to-earth…”
RM · Zocdoc review · Read source“He is clear, coherent, and thorough.”
CB · Zocdoc review · Read source“Warm and comprehensive consult.”
YH · Healthgrades review · Read source“He was really patient with me and was so thorough.”
TP · Healthgrades review · Read source“His guidance is much appreciated.”
MM · Zocdoc review · Read source“Very helpful! Great experience!”
Amy A. · Zocdoc review · Read source“His responses to my questions were so thorough, accurate, and reassuring…”
NS · Zocdoc review · Read source“Dr. Sheppe is honest and down-to-earth…”
RM · Zocdoc review · Read source“He is clear, coherent, and thorough.”
CB · Zocdoc review · Read source“Warm and comprehensive consult.”
YH · Healthgrades review · Read source“He was really patient with me and was so thorough.”
TP · Healthgrades review · Read sourceQuestions about consultation, treatment fit, family involvement, and access.
These answers provide general information. A consultation is needed to determine whether the practice, provider, treatment format, and level of care are appropriate for an individual patient.
Is The Sheppe Group located in Brooklyn?
No. The practice is located at 122 East 42nd Street, 32nd Floor, near Grand Central in Midtown Manhattan. This page is for Brooklyn patients considering in-person care at the Midtown office or telehealth when clinically appropriate.
Can I request a second opinion while continuing with my current Brooklyn therapist or psychiatrist?
Yes. A patient may seek a focused diagnostic consultation, medication review, personality assessment, or treatment-planning opinion without automatically transferring all care. Coordination with existing clinicians may be considered when it is clinically useful and the appropriate authorization is in place.
Do you work with adolescents and emerging adults whose independence is becoming difficult to sustain?
Yes. Care may address mood, anxiety, ADHD, trauma, identity, relationships, executive functioning, school or college disruption, work difficulties, family dependence, risk, and the transition toward adult roles. Parent or family involvement is considered when developmentally and clinically appropriate.
Can family consultation be useful when relatives live in different parts of New York?
Yes. Family participation may help clarify communication, boundaries, support, safety, expectations, or treatment roles. The format depends on age, consent, privacy, clinical need, and whether each participant can appropriately take part in person or remotely.
Can an evaluation help when someone functions well in one area of life but repeatedly struggles in another?
Yes. Strong work or academic performance does not rule out significant difficulties involving mood, anxiety, trauma, attention, identity, relationships, emotional regulation, personality functioning, or medication response. A broader formulation looks at the pattern across settings rather than judging the situation from performance alone.
Is telehealth available for Brooklyn patients?
Telehealth may be available for patients located in New York when clinically appropriate and legally permitted. Suitability depends on diagnosis, safety, privacy, complexity, family participation, and whether remote care provides an adequate treatment setting.
How do I begin?
Use the contact page to request a consultation. The initial discussion helps clarify why care is being sought, whether The Sheppe Group is an appropriate fit, which provider or service may be most relevant, and what records or background information may be useful before an appointment.
Find the pattern beneathwhat keeps repeating.
A consultation can help determine whether the next step should involve complex clinical evaluation, psychotherapy, medication consultation, personality assessment, family consultation, coordination with current clinicians, or another treatment setting.
Request a Consultation →