Psychiatry and Psychotherapy for the Upper East Side
Complex minds deserve more than a rushed diagnosis or a fragmented treatment plan.
The Sheppe Group is a psychiatrist-led Midtown Manhattan practice serving adolescents, emerging adults, adults, and families from the Upper East Side. 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 organized around thewhole clinical picture.
People often look for a psychiatrist or psychotherapist near the Upper East Side when symptoms have become difficult to understand, prior treatment has only partly helped, or several concerns are overlapping at once. Depression may coexist with anxiety, trauma, ADHD, personality difficulties, relationship conflict, developmental transitions, medication questions, or family stress.
The Sheppe Group begins by clarifying what is happening and how the different parts fit together. That process considers symptom history, relationships, development, identity, family context, school or work functioning, medical and medication history, risk, strengths, and prior response to care.
The goal is not to assign the longest possible list of diagnoses. It is to arrive at a formulation that is specific enough to guide treatment. Some patients need psychiatric consultation. Others need psychotherapy, personality assessment, medication review, family consultation, or a coordinated plan involving several clinicians.
Common reasons Upper East Side patients seek a more complete evaluation.
The presenting concern may be clear, or the person may only know that current treatment, functioning, or relationships no longer feel sustainable.
The diagnosis does not fully explain the person.
Symptoms may have changed over time, several diagnoses may have been proposed, or the person may feel that important developmental, relational, or personality factors have been missed.
Therapy or medication has helped, but only somewhat.
Evaluation can review what improved, what remained unchanged, whether the original formulation still fits, and whether the treatment structure needs to change.
School, work, or autonomy has become difficult.
Adolescents and emerging adults may need care that considers identity, family relationships, executive functioning, risk, autonomy, and the pressures surrounding the transition into adulthood.
Several people are involved without a shared plan.
Parents, partners, therapists, psychiatrists, schools, colleges, or treatment programs may need a clearer division of roles and a more coherent direction.
Specialty care and condition-focused pages connected to this local page.
The service-area page should help a local visitor find the right clinical resource instead of acting as a thin page that funnels every search to the same generic destination.
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
A clearer starting point before a treatment commitment.
The first step is not automatically weekly therapy or a medication change. It is determining what question needs to be answered and what type of clinician or treatment structure is most appropriate.
Understand the concern and thereason for seeking care now.
The consultation reviews current symptoms, treatment history, functioning, goals, urgency, and whether The Sheppe Group is an appropriate setting for the question being presented.
Clarify what may be driving the difficulty.
Evaluation may consider diagnosis, development, personality functioning, relationships, family systems, medical and medication history, trauma, risk, and prior treatment response.
Recommend the right next step, not every possible service.
The recommendation may involve psychotherapy, medication consultation, family consultation, coordinated treatment, or referral to another clinician or level of care.
From the Upper East Sideto Midtown Manhattan.
The office is at 122 East 42nd Street, 32nd Floor, near Grand Central. Upper East Side patients commonly reach the practice through the Lexington Avenue corridor or Second Avenue. Current transit conditions should be checked before travel.
122 East 42nd Street, 32nd Floor
New York, NY 10168
Lenox Hill, Carnegie Hill, Yorkville, and nearby East Side neighborhoods.
The practice provides scheduled outpatient care and is not an emergency or crisis service.
Telehealth may provide another way to begin.
Telehealth may be available when clinically appropriate and legally permitted for the patient’s location. Suitability depends on diagnosis, risk, privacy, complexity, family involvement, 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 the Upper East Side.
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, evaluation, and starting care.
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 on the Upper East Side?
No. The practice is located at 122 East 42nd Street, 32nd Floor, near Grand Central in Midtown Manhattan. This page is for patients who live, work, study, or receive care on the Upper East Side and are considering treatment at the Midtown office or by telehealth when appropriate.
Do you provide both psychiatry and psychotherapy?
Yes. The practice provides psychiatric evaluation, psychotherapy, medication consultation, personality assessment, family consultation, and coordinated treatment planning. The recommended service depends on the presenting question and the clinical formulation.
Do you work with adolescents and emerging adults from the Upper East Side?
Yes. Care may address personality, mood, anxiety, ADHD, trauma, identity, relationships, school or college functioning, independence, family conflict, and complex diagnostic questions. Parent or family involvement is considered when developmentally and clinically appropriate.
Can I schedule a consultation if I already have a therapist or psychiatrist?
Yes. Some patients seek a focused consultation, second opinion, medication review, personality assessment, or help organizing a complicated treatment plan. Coordination with existing clinicians may be considered with appropriate authorization.
What if previous treatment has only partly helped?
A partial response can provide important diagnostic information. The evaluation may examine whether the diagnosis, medication strategy, psychotherapy approach, treatment structure, family involvement, provider coordination, or level of care should be reconsidered.
Is telehealth available for Upper East Side 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.
Ready to takethe next step?
A consultation can help determine whether the right starting point is psychiatric evaluation, psychotherapy, medication review, personality assessment, family consultation, or coordination with an existing treatment team.
Request a Consultation →