Psychiatry and Psychotherapy for Queens
Care for complicated presentations should connect symptoms, development, relationships, family context, and treatment history.
The Sheppe Group is a Midtown Manhattan practice serving adolescents, emerging adults, adults, and families from Queens. 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.
Thoughtful care when the pictureis more complicated than one symptom.
Queens patients may reach out when several concerns overlap and a simple diagnosis or isolated medication change no longer feels sufficient. Mood symptoms, anxiety, trauma, ADHD, personality functioning, relationship difficulties, school or work problems, family conflict, and prior treatment experiences can all shape the same clinical picture.
At The Sheppe Group, evaluation is organized around how these factors interact over time. The process may include developmental history, relationships, identity, family context, school or work functioning, medical and medication history, risk, strengths, and the response to earlier treatment.
For some patients, the next step is a focused psychiatric consultation. For others, it may be psychotherapy, personality assessment, medication review, family consultation, or coordination with clinicians already providing care in Queens. The goal is a clearer formulation and a treatment direction that matches the actual problem.
Reasons to seek a more complete psychiatric and psychological formulation.
A person may be functioning outwardly while privately struggling, or may have already tried treatment without a clear enough explanation for why progress stalled.
Different explanations have been offered over time.
Attention, mood, anxiety, trauma, personality functioning, developmental factors, and medication effects can overlap. A broader evaluation can help determine which distinctions actually matter for treatment.
There is already a therapist or psychiatrist, but another perspective is needed.
A focused consultation, second opinion, medication review, personality assessment, or treatment-planning evaluation may be useful without automatically replacing established care.
School, college, work, or independence has become difficult to sustain.
Care may consider identity, executive functioning, family relationships, emotional regulation, risk, academic functioning, and the developmental work of moving toward greater independence.
The patient, family, and treatment team need a more coherent direction.
Family consultation can help clarify roles, communication, boundaries, safety, expectations, and how parents or partners can participate without taking over the treatment process.
Clinical resources for Queens patients organized around the reason for seeking care.
Queens patients may arrive with a diagnosis, a treatment question, or simply a sense that the current plan is incomplete. These specialty and condition pages provide more detail about the different ways care may be organized.
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 We Help Clarify
Start by defining the question before choosing the treatment.
A consultation is used to understand why care is being sought now, what has already been tried, and whether the next step should be evaluation, psychotherapy, medication consultation, family work, coordination, or another level of care.
Clarify the concern, urgency,history, and goals.
The initial discussion reviews symptoms, functioning, treatment history, current clinicians, family context, and the specific question the patient or family hopes to answer.
Look at the pattern, not just the presenting symptom.
Evaluation may integrate diagnosis, development, personality functioning, relationships, trauma, medical history, medication response, family systems, risk, and strengths.
Recommend the treatment structure that fits the formulation.
The recommendation may involve care within The Sheppe Group, continued work with existing Queens clinicians, coordinated treatment, or referral when another setting is more appropriate.
In-person care in Midtownwith multiple Queens connections.
The office is at 122 East 42nd Street, 32nd Floor, near Grand Central. Depending on where a patient is coming from in Queens, access may include the 7 train, Long Island Rail Road service into Grand Central Madison, or other subway and bus connections into Midtown. Current MTA service should be checked before travel.
122 East 42nd Street, 32nd Floor
New York, NY 10168
Long Island City, Astoria, Sunnyside, Woodside, Jackson Heights, Forest Hills, Flushing, Jamaica, and surrounding areas.
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 from Queens.
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 Queens access, consultation, and coordinated care.
These answers are general. 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 Queens?
No. The practice is located at 122 East 42nd Street, 32nd Floor, near Grand Central in Midtown Manhattan. This page is for Queens patients considering in-person care at the Midtown office or telehealth when clinically appropriate.
Can I seek a consultation if I already have a therapist or psychiatrist in Queens?
Yes. Some patients seek a second opinion, medication review, personality assessment, complex evaluation, or help organizing a treatment plan while continuing with an existing clinician. Coordination may be considered when clinically useful and the appropriate authorization is in place.
Do you work with Queens adolescents and emerging adults who are struggling with school, college, work, or independence?
Yes. Care may examine mood, anxiety, ADHD, trauma, identity, relationships, executive functioning, family conflict, risk, school or college functioning, and the transition toward adult roles. Parent or family involvement is considered when developmentally and clinically appropriate.
Can family members participate if they live in different parts of New York?
Family participation may be useful when it helps clarify development, communication, boundaries, safety, treatment roles, or support. The format depends on age, consent, privacy, clinical need, and whether each participant can appropriately take part in person or remotely.
What if several diagnoses have been proposed and I am not sure which one is correct?
A more comprehensive evaluation can review how symptoms developed, which patterns have persisted, what changed with prior treatment, and how mood, anxiety, attention, trauma, personality functioning, relationships, sleep, medical factors, and medication effects may interact. The goal is a useful formulation rather than simply adding another label.
Is telehealth available for Queens 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 the reason for seeking care, 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 a complicated pictureinto clearer focus.
A consultation can help determine whether the right next step is complex clinical evaluation, psychotherapy, medication consultation, personality assessment, family consultation, coordination with existing clinicians, or another treatment setting.
Request a Consultation →