Psychiatry and Psychotherapy for Westchester County
When symptoms, family concerns, school or work demands, and prior treatment begin to overlap, a broader clinical formulation can help clarify what should happen next.
The Sheppe Group is a Midtown Manhattan practice serving adolescents, emerging adults, adults, parents, and families from Westchester County. 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 that connects the clinical pictureacross home, school, work, and treatment.
Westchester patients may seek consultation when the concern is not one isolated symptom, but a pattern that looks different across settings. A young person may be struggling at home while still performing in school. An adult may remain highly functional professionally while mood, anxiety, relationships, attention, trauma, or medication questions continue to interfere elsewhere.
The Sheppe Group looks at the longitudinal pattern rather than relying only on the most recent crisis or diagnosis. Evaluation may include development, personality functioning, family relationships, school or work demands, medical and medication history, previous diagnoses, treatment response, risk, strengths, and the roles of other clinicians already involved.
The goal is to develop a formulation that can support a practical treatment decision. That may mean focused consultation, psychotherapy, medication review, personality assessment, family work, coordination with existing Westchester clinicians, or referral to a different setting when another level of care is more appropriate.
A consultation can help when different settings tell different stories.
Some patients need help understanding why symptoms, relationships, family concerns, school or work functioning, and prior treatment do not seem to fit one simple explanation.
Several explanations have been considered, but none fully account for the pattern.
A broader evaluation can examine mood, anxiety, ADHD, trauma, personality functioning, development, medication response, family context, and the way difficulties change across settings.
Performance may look intact while the effort required to maintain it keeps rising.
Consultation can consider attention, anxiety, depression, identity, relationships, sleep, stress, emotional regulation, and the difference between outward achievement and internal functioning.
Parents or relatives need a clearer role in supporting treatment and independence.
Family work may address communication, boundaries, expectations, safety, support, dependence, and the way relatives participate without making the family the sole focus of care.
Previous treatment has helped, but an important part of the picture still feels unresolved.
A focused consultation may review diagnosis, medication strategy, psychotherapy approach, personality functioning, provider roles, family participation, and whether the current treatment structure should change.
Match the starting point to the clinical question that needs an answer.
Westchester patients may arrive with a known diagnosis, a need for a second opinion, or a more complicated question about why treatment has stalled or why the same difficulties keep returning.
Specialties
Integrated Psychiatry & PsychotherapyFor care that connects psychiatric evaluation, medication decisions, psychological understanding, and treatment planning.
→
Personality Assessment & DevelopmentFor recurring patterns in identity, relationships, emotional regulation, or treatment response.
→
Transference-Focused PsychotherapyFor personality-focused treatment using the therapeutic relationship as a central source of understanding.
→
Complex Clinical EvaluationFor diagnostic uncertainty, overlapping conditions, or treatment that has stalled.
→
Adolescents & Emerging AdultsFor developmentally informed care involving school, college, work, family, and independence.
→
Family ConsultationFor communication, treatment participation, boundaries, safety, and coordinated next steps.
→
Failure to LaunchFor difficulty progressing toward adult roles, independence, education, or work.
→
Conditions
Start by defining what the next decision needs to accomplish.
The consultation process is used to understand why care is being sought now, what has already been tried, how the patient is functioning across settings, and what kind of decision would be most useful.
Clarify the concern andwhere the pattern is showing up.
Symptoms, diagnoses, treatment history, relationships, family context, school or work functioning, medications, prior evaluations, and current goals help define the question.
Build a formulation that connects the relevant settings.
The formulation may integrate diagnosis, development, personality functioning, trauma, family systems, medical history, medication response, risk, strengths, and the observations of other providers.
Choose a treatment structure that follows from that formulation.
The recommendation may involve care within The Sheppe Group, collaboration with established Westchester clinicians, focused consultation, telehealth when appropriate, or referral to another setting.
Grand Central access can makeMidtown consultation more practical.
The office is at 122 East 42nd Street, 32nd Floor, near Grand Central. Metro-North serves communities throughout Westchester County, with Hudson, Harlem, and New Haven Line service connecting many stations to Grand Central. Patients may also travel by car, taxi, or rideshare depending on location and schedule.
122 East 42nd Street, 32nd Floor
New York, NY 10168
White Plains, Scarsdale, Bronxville, Rye, Larchmont, Mamaroneck, Tarrytown, and surrounding areas.
The practice provides scheduled outpatient care and is not an emergency or crisis service.
Telehealth may 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, evaluation,coordination, and family care.
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 in Westchester County?
No. The practice is located at 122 East 42nd Street, 32nd Floor, near Grand Central in Midtown Manhattan. Westchester patients may consider in-person care at the Midtown office or telehealth when clinically appropriate.
Is the Midtown office accessible from Westchester by Metro-North?
Many Westchester communities have Metro-North service to Grand Central through the Hudson, Harlem, or New Haven lines. The most practical route depends on the patient’s starting station and current service, so travel should be checked before an appointment.
Can you coordinate with a therapist, psychiatrist, physician, school, or college in Westchester?
Yes. With appropriate authorization, coordination may be useful when several professionals are involved or when treatment decisions depend on understanding the patient across home, school, work, and clinical settings.
Do you work with adolescents and emerging adults whose difficulties look different at home and at school or college?
Yes. Care may address mood, anxiety, ADHD, trauma, identity, relationships, executive functioning, family dependence, school or college disruption, risk, and the transition toward greater independence.
Can I request a second opinion without transferring all of my care?
Yes. A focused consultation may review diagnosis, medication strategy, psychotherapy approach, personality functioning, family involvement, or treatment structure without automatically requiring a full transfer of care.
Is telehealth available for Westchester 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 different settingsinto one clearer clinical picture.
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 Westchester providers, or another level of care.
Request a Consultation →