"Worked with Dr. Chacko for over a year on my ADD and completely changed how I was doing in life. He's patient and tailors each session to whatever is going on in your life at the moment. Was struggling post-college and over a year later things have completely turned around."
"The fact that he's both a therapist and an MD adds another layer of trust, especially when navigating issues like ADHD and anxiety."
Adult ADHD often goes unrecognized for years — especially in high-achieving people who learned early to work twice as hard to get the same results. Andrew offers comprehensive ADHD evaluation, diagnosis, and ongoing care in San Francisco. Not just a prescription — a real understanding of how ADHD shapes your work, relationships, and sense of self, and a treatment plan built around your specific life. An estimated 6% of U.S. adults have received an ADHD diagnosis, with about half receiving that diagnosis for the first time in adulthood (American Psychiatric Association, 2024). Many more remain undiagnosed — a national survey found that one in four adults now suspect they may have ADHD they've never had evaluated (Ohio State University Wexner Medical Center, 2024).
Request a ConsultationDifficulty sustaining attention on tasks that aren't immediately stimulating
Chronic disorganization despite real effort to get organized
Losing things regularly — keys, phone, wallet, documents
Starting many projects but struggling to finish them
Impulsivity in decisions, purchases, or conversations
Emotional dysregulation — frustration and overwhelm that feel out of proportion
Time blindness — difficulty estimating how long things take or getting started
Restlessness or difficulty sitting with inactivity
A pattern of underperforming relative to intelligence and actual effort
ADHD is not a problem of intelligence, motivation, or character. It's a problem with the executive functions — the systems that regulate attention, initiation, and working memory. High intelligence doesn't fix this; it masks it. Smart people with ADHD often spend years being told they're lazy, careless, or not living up to their potential — when in fact they're working harder than most of their peers just to keep up. Up to 70% of children with ADHD continue to experience impairing symptoms into adulthood, even when they no longer meet full diagnostic criteria — a recognition that has fundamentally changed how the field understands ADHD as a lifespan condition (World Journal of Psychiatry, 2025).
Medication is often the most immediate lever — stimulants and non-stimulant options can produce significant improvement in attention, impulse control, and executive function. But Andrew's approach to ADHD doesn't stop at prescribing. He works with patients on the behavioral structures, systems, and strategies that build sustained functioning: time management, task initiation, organization, emotional regulation, and the relational patterns that ADHD tends to create.
ADHD rarely travels alone. Anxiety, depression, and sleep disorders co-occur at high rates — sometimes as secondary effects of untreated ADHD, sometimes as independent conditions that interact with it. Andrew evaluates and treats the full picture, adjusting the treatment plan as each piece comes into clearer focus. This comprehensive view is one of the key advantages of working with a psychiatrist rather than coordinating between separate providers.
Andrew sees patients for ADHD in person at his Pacific Heights office — conveniently located for those coming from Presidio Heights, Cow Hollow, the Marina, and Nob Hill — and via telehealth throughout California.
Andrew is accepting new patients in San Francisco. The first call is complimentary — no paperwork, no commitment.
Request a ConsultationAnything else — the complimentary phone call is the right place to ask.