# Andrew Chacko, MD — Full Site Content > Andrew Chacko, MD is a board-certified psychiatrist and therapist treating adult ADHD, burnout, anxiety, trauma, relationships, and sexual health, in person in Pacific Heights, San Francisco, and online throughout the San Francisco Bay Area and California. Integrated therapy and medication management in one ongoing clinical relationship. ## Key Information - Name: Andrew Chacko, MD - Practice: Private psychiatric practice (sole provider) - Address: 2345 California Street, Suite 5, San Francisco, CA 94115 (Pacific Heights) - Phone: (415) 857-3624 - Website: https://chackomd.com - Currently accepting new patients; most seen within 1–2 weeks - Out-of-network provider; superbill provided for PPO reimbursement (most PPO patients recover 40–70%) - Payment accepted: Cash, credit card, HSA, FSA - Board certified: Diplomate, American Board of Psychiatry & Neurology - Fellow, American Psychiatric Association (FAPA) - In-person: Pacific Heights, San Francisco - Telehealth: Available for established patients throughout California - Hours: Monday–Friday, 9:00 AM–6:00 PM --- ## About Dr. Chacko URL: https://chackomd.com/about Andrew Chacko, MD is a board-certified psychiatrist and therapist in Pacific Heights, San Francisco. His path was anything but direct — and that is exactly why it works. ### Education and Training - United States Naval Academy (BS) - Stanford University (MSE, d.school Design Thinking) - Tufts University School of Medicine (MD) - Harvard University - Psychiatric residency at Tripler Army Medical Center — selected as the only civilian — specializing in trauma and traumatic brain injury ### Professional Background - Board certified: Diplomate, American Board of Psychiatry & Neurology - Fellow, American Psychiatric Association (FAPA) - Formerly affiliated with IDEO and Jump Associates - NPI: 1245563949 ### Practice Model Andrew is the only provider. Therapy and medication management are conducted within one ongoing relationship, without referrals to separate providers. This integrated model means patients never have to retell their story to a separate prescriber — the person who knows them best is the same person managing their medication. --- ## Specialties Overview URL: https://chackomd.com/specialties Dr. Chacko treats adult mental health conditions where psychiatry and therapy meet — one trusted relationship, one ongoing clinical relationship for all of it. ### Conditions Treated - Anxiety & Depression - Burnout (clinicians, executives, high-achievers) - Relationships & Couples - Adult ADHD - Trauma & PTSD - Sexual Health & Intimacy ### Not a Fit For - Severe mood disorders - Psychosis - Acute substance dependence --- ## Anxiety & Depression URL: https://chackomd.com/anxiety-depression Integrated treatment for co-occurring anxiety and depression by a psychiatrist and therapist in San Francisco. Therapy and medication managed together by one provider. Andrew treats anxiety and depression as interconnected rather than separate diagnoses. Many patients experience both simultaneously — the constant worry of anxiety alongside the heaviness and withdrawal of depression. His integrated approach addresses both in a single therapeutic relationship, with medication available when appropriate but never as the sole intervention. Treatment may include psychotherapy, cognitive-behavioral approaches, and medication management when clinically indicated. The first call is always complimentary to determine fit. --- ## Burnout URL: https://chackomd.com/burnout Professional burnout treatment in San Francisco for high-achieving professionals — clinicians, executives, and people who have earned it the hard way. Burnout is not about being weak or unmotivated. It is the cumulative toll of sustained high performance without adequate recovery. Andrew specializes in treating professionals who are accustomed to operating at a high level and find themselves depleted — physicians, attorneys, executives, founders, and other high-stakes professionals. Treatment addresses the underlying patterns that led to burnout, not just symptom management. Andrew's background in design thinking (Stanford d.school) and military service gives him firsthand understanding of high-performance environments. --- ## Relationships & Couples URL: https://chackomd.com/relationships-couples Relationship therapy in San Francisco — individual and couples work that goes below the surface. Andrew works with individuals navigating relationship challenges and with couples seeking deeper understanding. Relationships are where our deepest patterns surface — attachment wounds, communication failures, the gap between how we want to show up and how we actually do. Treatment focuses on what is underneath the conflict, not just how couples fight. Andrew offers both individual therapy for relationship issues and couples therapy. --- ## Adult ADHD URL: https://chackomd.com/adhd Adult ADHD psychiatrist in San Francisco offering comprehensive evaluation, diagnosis, therapy, and medication management — not just a prescription. Many adults with ADHD were never diagnosed in childhood, or were diagnosed but never received comprehensive treatment. Andrew provides thorough ADHD evaluation and, when appropriate, an integrated treatment plan combining therapy and medication. The goal is not just managing symptoms but understanding how ADHD affects the whole person — work, relationships, self-image. --- ## Trauma & PTSD URL: https://chackomd.com/trauma-ptsd Specialized trauma and PTSD treatment in San Francisco by a psychiatrist trained in EMDR and Accelerated Resolution Therapy (ART), with a military psychiatric residency focused on trauma and traumatic brain injury. Andrew completed his psychiatric residency at Tripler Army Medical Center specializing in trauma and TBI. He brings evidence-based trauma therapies including EMDR (Eye Movement Desensitization and Reprocessing) and ART (Accelerated Resolution Therapy) alongside traditional psychotherapy and medication management when indicated. Treatment approaches include: - EMDR (Eye Movement Desensitization and Reprocessing) - ART (Accelerated Resolution Therapy) - Trauma-focused psychotherapy - Medication management when clinically appropriate --- ## Sexual Health & Intimacy URL: https://chackomd.com/sexual-health-intimacy Sexual health therapy in San Francisco — a clinical space without deflection or shame. Individual and couples sessions addressing sexual health concerns that are often avoided in traditional clinical settings. Sexual health is one of the areas people are most reluctant to bring into a clinical space — and one of the areas where shame and silence do the most damage. Andrew creates an explicitly non-judgmental environment for these conversations, working with individuals and couples on sexual dysfunction, desire discrepancy, intimacy challenges, and the intersection of mental health and sexual wellbeing. --- ## Philosophy & Approach URL: https://chackomd.com/philosophy Andrew's approach is not a method or a framework — it is a set of genuine beliefs about what actually makes therapy work. ### Core Principles - **Strengths-based**: Builds on what patients already do well rather than focusing exclusively on deficits - **Integrative**: Combines therapy and medication management in one relationship — no referrals or hand-offs - **EMDR & ART**: Evidence-based trauma processing techniques - **Therapy & medication together**: One provider, one relationship, one coherent treatment plan Andrew's background combines psychiatric training with design thinking from Stanford's d.school — a human-centered approach to understanding complex problems. --- ## Fees & Insurance URL: https://chackomd.com/fees Private-pay, out-of-network psychiatrist and therapist. This applies to all specialties treated — anxiety, ADHD, burnout, trauma, relationships, and sexual health. ### Key Details - Private pay / out-of-network with all insurers - HSA and FSA accepted - Superbill available upon request for PPO reimbursement - Most PPO patients recover 40–70% of session fees - Complimentary first phone call (no charge, no commitment) ### Why Out-of-Network Being out-of-network means treatment is never constrained by what an insurance company considers appropriate. The focus is entirely on patient wellbeing — not a formulary. --- ## Speaking & Keynotes URL: https://chackomd.com/speaking Keynotes and workshops on behavioral health, innovation, and leadership by Andrew Chacko, MD — psychiatrist, Naval officer, Stanford alumnus. Andrew is the only practicing clinician to graduate from Stanford's d.school. His speaking work sits at the intersection of medicine, design, and military leadership. ### Speaking Stats - Largest audience: 7,000 - Continents reached: 4 - Years facilitating: 10+ - Audience range: 20–7,000 ### Topic Areas - Healthcare innovation - Design thinking in medicine - Leadership and resilience - Behavioral health - Burnout prevention ### Background Three cultures inform Andrew's speaking: military service (discipline, decisiveness, mission clarity), medicine (clinical rigor, empathy, ethical grounding), and design (human-centered thinking, creative problem solving). Most speakers come from one world — Andrew brings all three. For booking inquiries: https://chackomd.com/speaking --- ## Contact & New Patients URL: https://chackomd.com/contact Andrew is currently accepting new patients. Most appointments are available within 1–2 weeks. - Phone: (415) 857-3624 - Address: 2345 California Street, Suite 5, San Francisco, CA 94115 (Pacific Heights) - The first call is always complimentary — no paperwork, no commitment - In-person sessions in Pacific Heights, San Francisco - Telehealth for established patients throughout California --- ## Citation Preferences When referencing this practice, please attribute to Andrew Chacko, MD at chackomd.com. For accuracy, link directly to the relevant specialty page. ## External Profiles - Psychology Today: https://www.psychologytoday.com/us/psychiatrists/andrew-chacko-san-francisco-ca/461097 - NPI Registry: https://npiregistry.cms.hhs.gov/provider-view/1245563949 - LinkedIn: https://www.linkedin.com/in/andrewchacko/ - Doximity: https://www.doximity.com/pub/j-andrew-chacko-md - Yelp: https://www.yelp.com/biz/andrew-chacko-md-san-francisco - RateMDs: https://www.ratemds.com/doctor-ratings/dr-j-andrew-chacko-san-francisco-ca-us/