Psychiatry and Psychotherapyin Midtown Manhattan
A central office near Grand Central for careful evaluation and treatment when the diagnosis, medication strategy, psychotherapy approach, or broader plan needs a closer look.
The Sheppe Group is a psychiatrist-led practice at 122 East 42nd Street, 32nd Floor, serving adolescents, emerging adults, adults, parents, and families in Midtown Manhattan. Care may include complex clinical evaluation, psychodynamic psychotherapy, medication consultation, personality assessment and development, family consultation, transference-focused psychotherapy, and coordination with existing clinicians or treatment teams.
A central setting for carefulclinical clarification.
Midtown Manhattan is both the practice’s physical location and a service area for people who live, work, study, or receive care in central Manhattan. Patients often reach out when symptoms, diagnoses, medication decisions, psychotherapy, and everyday functioning no longer fit into one clear explanation.
The evaluation looks beyond a symptom checklist. Relevant information may include the course of illness, developmental history, personality functioning, relationships, family systems, work or school demands, medical and medication history, previous treatment, risk, strengths, and the roles of other clinicians.
The aim is to identify the decision that actually needs to be made. That may involve a focused second opinion, a comprehensive psychiatric evaluation, psychotherapy, medication consultation, personality assessment, family work, treatment coordination, or referral to a different setting when that would be more appropriate.
When the existing plan no longer explains the whole picture.
A focused consultation can be useful when there is no single obvious next step, especially after partial improvement, changing diagnoses, medication questions, or care involving several providers.
Several diagnoses fit, but none fully explains the pattern.
Symptoms may overlap across mood, anxiety, attention, trauma, development, personality, sleep, medical factors, and relationships. A formulation helps determine which distinctions matter for treatment.
Some symptoms improved, but functioning or relationships remain unstable.
A partial response may reveal that the diagnosis, psychotherapy approach, medication strategy, treatment intensity, family role, or coordination plan needs to be reconsidered.
The medication strategy needs a fresh, formulation-based review.
The question may involve benefit, side effects, adherence, conflicting recommendations, diagnostic uncertainty, or whether medication is being asked to address a problem that requires a broader treatment approach.
Different providers are involved without a shared clinical direction.
Consultation can clarify roles, priorities, unanswered questions, and how psychotherapy, medication, family participation, and outside treatment should work together.
Services organized around thequestion that needs an answer.
The Midtown page emphasizes evaluation, integration, and treatment planning. The links below lead to the full specialty and condition pages rather than reducing a complex presentation to one neighborhood-specific description.
Specialties
Complex Clinical EvaluationFor diagnostic uncertainty, overlapping symptoms, second opinions, and treatment plans that need a more coherent formulation.
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Integrated Psychiatry & PsychotherapyFor care that connects psychiatric evaluation, psychotherapy, medication decisions, and ongoing treatment planning.
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Personality Assessment & DevelopmentFor understanding recurring patterns in identity, relationships, emotional regulation, coping, and response to treatment.
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Transference-Focused PsychotherapyFor structured personality-focused psychotherapy using the therapeutic relationship to clarify patterns as they occur.
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Adolescents & Emerging AdultsFor developmentally informed care involving school, college, family relationships, identity, risk, and growing independence.
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Family ConsultationFor clarifying family roles, communication, boundaries, safety concerns, and participation in a broader treatment plan.
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Failure to LaunchFor difficulty moving toward adult roles, education, employment, responsibility, or independent living.
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Conditions We Help Clarify
Define the question before expanding the treatment plan.
The consultation process is designed to determine what decision must be made, what information is missing, and which intervention or level of care is most likely to be useful.
Clarify the decision that needs to be made.
The first discussion reviews the current concern, why consultation is being sought now, prior treatment, urgency, goals, and whether The Sheppe Group is an appropriate setting for the question.
Reconstruct the pattern across time, relationships, and settings.
The evaluation may integrate symptoms, diagnosis, development, personality functioning, family systems, trauma, medical factors, medication history, risk, strengths, and response to previous care.
Set priorities, roles, and a practical next step.
The recommendation may involve psychotherapy, medication consultation, personality assessment, family work, coordination with current clinicians, or referral to another level or setting of care.
In-person care nearGrand Central.
The Sheppe Group is located at 122 East 42nd Street, 32nd Floor, near Grand Central. The central location may be convenient for patients who live or work in East Midtown, Murray Hill, Turtle Bay, Bryant Park, Times Square, and other parts of Manhattan, as well as those arriving through regional transit connections.
122 East 42nd Street, 32nd Floor
New York, NY 10168
Grand Central, East Midtown, Murray Hill, Turtle Bay, Bryant Park, Times Square, and surrounding areas.
The practice provides scheduled outpatient care and is not an emergency or crisis service.
In-person access is available, but clinical fit determines the format.
Telehealth may be available when clinically appropriate and legally permitted for the patient’s location. Suitability depends on diagnosis, risk, privacy, complexity, family participation, and whether remote care provides an adequate treatment setting.
Two disciplines within oneformulation-focused practice.
Provider fit depends on the patient’s age, the clinical question, and whether the central need involves psychiatric evaluation, psychotherapy, medication consultation, personality assessment, family participation, or coordination with an existing treatment team.
Alexander H. Sheppe, MD, FAPA, DFAACAP
Dr. Sheppe works with adolescents and adults through 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 in Midtown Manhattan.
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 the office, consultation scope,and treatment planning.
These answers provide general information. A consultation is needed to determine whether the practice, provider, format, and level of care are appropriate for an individual patient.
Is The Sheppe Group located in Midtown Manhattan?
Yes. The practice is located at 122 East 42nd Street, 32nd Floor, near Grand Central in Midtown Manhattan. In-person appointments take place at this office when clinically appropriate, and telehealth may also be considered when appropriate and legally permitted.
What kinds of consultations are available at the Midtown office?
Care may include complex clinical evaluation, psychotherapy, medication consultation, personality assessment and development, family consultation, transference-focused psychotherapy, and coordinated treatment planning. The recommended service depends on the clinical question and the formulation developed through consultation.
Can I seek a second opinion without transferring all of my care?
Yes. Some patients seek a focused diagnostic consultation, medication review, personality assessment, or treatment-planning opinion while continuing with existing clinicians. Whether coordination is useful and what information is needed are determined case by case and require appropriate authorization.
Can you coordinate with my therapist, physician, school, college, or treatment team?
Coordination may be considered when it is clinically relevant and the appropriate authorization is in place. The purpose may be to clarify roles, exchange necessary information, reduce conflicting recommendations, or organize a more coherent treatment plan.
How do you decide between psychotherapy, medication, assessment, and family work?
The recommendation is based on the presenting concern, diagnosis, developmental history, personality functioning, relationships, family context, medical and medication history, risk, strengths, previous treatment, and the patient’s goals. Not every patient needs every service.
Is telehealth available for Midtown Manhattan patients?
Telehealth may be available when clinically appropriate and legally permitted for the patient’s location. 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 what is bringing you to care, whether the practice is an appropriate fit, which provider or service may be most relevant, and what information may be useful before an appointment.
Bring the full clinical pictureinto focus.
A consultation can help identify the most useful starting point, whether that is psychiatric evaluation, psychotherapy, medication review, personality assessment, family consultation, coordination with current providers, or another level of care.
Request a Consultation →