Psychiatry and Psychotherapyfor Tribeca and SoHo
When capable, independent functioning coexists with repeated instability in mood, identity, relationships, or treatment, a broader formulation can reveal what has been missed.
The Sheppe Group is a psychiatrist-led practice near Grand Central in Midtown Manhattan, serving adolescents, emerging adults, adults, parents, and families from Tribeca and SoHo. 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.
Care that makes room for complexitybeneath a capable exterior.
Tribeca and SoHo patients may seek consultation when professional, creative, academic, or family responsibilities remain intact while emotional or relational patterns become harder to contain. Symptoms may involve anxiety, depression, trauma, attention, medication questions, identity, self-esteem, emotional regulation, or repeated conflict that has not been adequately explained by earlier treatment.
The Sheppe Group examines the longitudinal pattern rather than only the latest crisis. The evaluation may include development, personality functioning, relationships, family systems, work or school demands, medical and medication history, previous diagnoses, treatment response, risk, strengths, and the roles of other providers.
The purpose is to develop a formulation that can guide a practical decision. That may mean focused consultation, ongoing psychotherapy, medication review, personality assessment, family work, coordination with an existing team, or referral to a different setting or level of care.
Recurring patterns deserve more than another isolated intervention.
Consultation can be useful when symptoms, diagnoses, relationships, and previous treatment no longer fit together into one coherent explanation.
The same conflicts or ruptures continue across intimate, family, professional, or treatment relationships.
Assessment may clarify patterns involving trust, attachment, boundaries, identity, self-esteem, emotional regulation, and the expectations brought into relationships.
Different clinicians have emphasized different diagnoses without resolving the overall picture.
A complex evaluation can examine how mood, anxiety, trauma, attention, development, personality, sleep, medical factors, and substance use or medication effects interact.
A young person’s distress is affecting the entire family system.
Consultation may help define developmental needs, risk, boundaries, parent participation, school or college concerns, and how family involvement should support rather than replace treatment.
Care is active, but the treatment roles and priorities are not clearly aligned.
Coordination can identify the central clinical question, reduce contradictory recommendations, clarify provider roles, and determine whether the current level of care remains appropriate.
Pathways for persistent patterns,diagnostic uncertainty, and complex care.
This page gives greater weight to personality functioning, recurring relationship patterns, complex assessment, family systems, and coordination across providers. The linked pages explain each service and condition in full.
Specialties
Complex Clinical EvaluationFor changing diagnoses, overlapping symptoms, partial treatment response, and cases that require a more integrated formulation.
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Personality Assessment & DevelopmentFor understanding identity, self-esteem, emotional regulation, relationships, coping, and recurring responses to treatment.
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Transference-Focused PsychotherapyFor structured personality-focused psychotherapy that studies relational patterns as they emerge in treatment.
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Integrated Psychiatry & PsychotherapyFor care that connects psychiatric evaluation, psychotherapy, medication decisions, and longer-term treatment planning.
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Family ConsultationFor clarifying family roles, communication, boundaries, safety, and participation in a coordinated care plan.
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Adolescents & Emerging AdultsFor developmentally informed care involving identity, family relationships, school or college, risk, and growing independence.
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Failure to LaunchFor difficulty moving toward adult roles, education, work, responsibility, or independent living.
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Conditions We Help Clarify
Understand what keeps repeating before choosing another intervention.
The consultation process organizes symptoms, development, personality, relationships, family context, and treatment history around the decision that now needs to be made.
Clarify what continues to happen despite prior effort or treatment.
The initial discussion reviews current symptoms, repeated patterns, functioning, earlier diagnoses, previous care, urgency, goals, and whether The Sheppe Group is an appropriate setting.
Examine how the pattern developed across time, relationships, and settings.
The evaluation may consider diagnosis, personality functioning, trauma, identity, family systems, work or school demands, medical and medication history, risk, strengths, and treatment response.
Match the recommendation to the formulation rather than to one isolated symptom.
The next step may involve psychotherapy, medication consultation, personality development, family work, coordination with current providers, or referral to another level or setting of care.
From Lower Manhattanto the Midtown office.
The Sheppe Group is located at 122 East 42nd Street, 32nd Floor, near Grand Central. The practice does not have an office in Tribeca or SoHo. Patients may travel through downtown subway routes and transfers, or use taxi or rideshare service to reach the Midtown office. Current travel conditions should be considered when planning an appointment.
122 East 42nd Street, 32nd Floor
New York, NY 10168
Tribeca, SoHo, Hudson Square, Nolita, Civic Center, and nearby Lower Manhattan areas.
The practice provides scheduled outpatient care and is not an emergency or crisis service.
Telehealth may be considered when remote care provides an appropriate setting.
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 can support the necessary depth and structure of treatment.
Psychiatry and psychology organized aroundone coherent formulation.
The appropriate provider depends on the patient’s age, the purpose of consultation, and whether the central need involves psychiatric evaluation, psychotherapy, medication consultation, personality assessment, family participation, or treatment coordination.
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 from Tribeca and SoHo.
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 recurring patterns, consultation,family care, and access.
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 Tribeca or SoHo?
No. The practice is located at 122 East 42nd Street, 32nd Floor, near Grand Central in Midtown Manhattan. This page is for people who live, work, study, or receive care in Tribeca or SoHo and are considering treatment at the Midtown office or by telehealth when appropriate.
Can you help when the same relationship or emotional patterns keep recurring?
Yes. A consultation may examine identity, self-esteem, attachment, boundaries, emotional regulation, trauma, personality functioning, and the ways patterns repeat across intimate, family, professional, or treatment relationships. The recommended approach depends on the full formulation.
What if different clinicians have given me different diagnoses?
Changing or competing diagnoses can be important clinical information. The evaluation may review the course of symptoms, development, personality functioning, relationships, trauma, attention, sleep, medical factors, medication effects, and response to previous treatment to determine which distinctions matter for the next decision.
Can I request a consultation or 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. Coordination may be considered with appropriate authorization when it would improve the clarity or safety of care.
Do you involve parents or families when appropriate?
Yes. Family participation may be useful for adolescents, emerging adults, or adults when it helps clarify development, risk, communication, boundaries, support, or treatment roles. The extent of involvement depends on age, consent, privacy, diagnosis, and clinical need.
Is telehealth available for Tribeca and SoHo 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 recurring patternsinto clearer view.
A consultation can help determine whether the next step should be psychiatric evaluation, psychotherapy, medication review, personality assessment, family consultation, coordination with existing providers, or another level of care.
Request a Consultation →