Psychiatry and Psychotherapyfor Long Island
Complex care should still make sense when patients, families, and existing clinicians are spread across Nassau County, Suffolk County, and Manhattan.
The Sheppe Group is a Midtown Manhattan practice serving adolescents, emerging adults, adults, parents, and families from Long Island. 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.
Complex care that can connectLong Island and Manhattan.
Long Island patients may seek consultation when treatment has become fragmented across multiple providers, when several diagnoses overlap, or when the next step is unclear despite substantial prior care. Mood symptoms, anxiety, ADHD, trauma, personality functioning, relationship problems, school or work disruption, medication questions, and family stress may all need to be understood together.
The Sheppe Group considers the longitudinal pattern rather than only the most recent problem. Evaluation may include development, identity, relationships, family systems, medical and medication history, previous diagnoses, school or work functioning, treatment response, risk, strengths, and the roles of existing clinicians.
The goal is to develop a formulation that can guide a practical decision. That may mean focused consultation, psychotherapy, medication review, personality assessment, family work, collaboration with existing Long Island clinicians, or referral to a different treatment setting when another level of care is more appropriate.
Sometimes the missing piece is not another treatment but a better formulation.
A consultation may help when previous care has produced partial gains, several clinicians are involved, family decisions are becoming difficult, or the next treatment step needs to be clarified.
The diagnosis or treatment plan still does not fully explain the pattern.
A focused review can reconsider diagnosis, medication strategy, psychotherapy approach, personality functioning, family involvement, and whether the existing treatment structure is still appropriate.
Several Long Island clinicians are involved and the roles need to fit together.
With appropriate authorization, consultation may help clarify how psychiatry, psychotherapy, medication management, family work, school or college supports, and other services should interact.
Independence, college, work, or family relationships are becoming harder to sustain.
Care may address mood, anxiety, ADHD, trauma, identity, executive functioning, family dependence, relationships, risk, and the developmental transition toward adult roles.
Parents or relatives need a clearer role in what happens next.
Family consultation can help define boundaries, communication, support, expectations, safety, and participation without assuming that every clinical problem should be solved inside the family.
Start with the clinical question that still needs an answer.
Some Long Island patients arrive with a specific diagnosis. Others are trying to understand why treatment has stalled, why several conditions appear to overlap, or how to coordinate care already happening closer to home.
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
Clarify the question before adding another layer of treatment.
The consultation process is used to understand why care is being sought now, what has already been tried, which providers are involved, and what decision would be most useful to make next.
Review the history anddefine the unresolved question.
Symptoms, prior diagnoses, medications, psychotherapy history, family context, school or work functioning, relationships, risk, and current goals help establish what needs clarification.
Build a formulation that connects the relevant pieces.
The formulation may integrate diagnosis, personality functioning, development, trauma, medical history, medication response, family systems, strengths, and the roles of existing providers.
Choose a treatment structure that can work across locations.
The recommendation may involve care at The Sheppe Group, telehealth when appropriate, collaboration with Long Island clinicians, focused consultation, or referral to another treatment setting.
Grand Central access can makeMidtown care more practical.
The office is at 122 East 42nd Street, 32nd Floor, near Grand Central. Long Island Rail Road service to Grand Central Madison provides direct East Midtown access from many Nassau and Suffolk communities, while other patients may travel by car, subway connection, taxi, or rideshare depending on their location and schedule.
122 East 42nd Street, 32nd Floor
New York, NY 10168
Nassau County, Suffolk County, North Shore, South Shore, and surrounding communities.
The practice provides scheduled outpatient care and is not an emergency or crisis service.
Telehealth can reduce the need to travel into Manhattan for every appointment.
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 access, second opinions,coordination, and telehealth.
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 on Long Island?
No. The practice is located at 122 East 42nd Street, 32nd Floor, near Grand Central in Midtown Manhattan. Long Island patients may consider in-person care at the Midtown office or telehealth when clinically appropriate.
Can I seek a second opinion while continuing with my current Long Island clinicians?
Yes. A focused consultation may review diagnosis, medication strategy, personality functioning, psychotherapy approach, family involvement, or treatment structure without automatically transferring all of your care.
Can you coordinate with a therapist, psychiatrist, school, college, or physician on Long Island?
Yes. With appropriate authorization, coordination may be useful when several professionals are involved or when treatment decisions depend on understanding the patient across settings.
Do Long Island patients need to travel into Manhattan for every appointment?
Not necessarily. Telehealth may be available for patients located in New York when clinically appropriate and legally permitted. The right format depends on diagnosis, risk, privacy, complexity, family participation, and whether remote care provides an adequate treatment setting.
Can family members participate if they live in different parts of Nassau or Suffolk County?
Potentially. Family participation may occur in person or remotely when clinically appropriate. The format depends on age, consent, privacy, safety, and the role relatives need to play in treatment.
Is telehealth available for Long Island 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.
Bring the pieces togetherbefore choosing the next step.
A consultation can help determine whether the most useful next step is complex clinical evaluation, psychotherapy, medication review, personality assessment, family consultation, coordination with current Long Island providers, or another level of care.
Request a Consultation →