Dr. Chacko treats adult mental health conditions where psychiatry and therapy meet — one trusted relationship, one ongoing clinical relationship for all of it.
A San Francisco psychiatrist and therapist treating adult mental health — where medication, therapy, and the ongoing clinical relationship are handled in one place, not across multiple providers.
The most common reasons adults seek therapy and psychiatric care — and they frequently occur together. Andrew treats both in the same relationship, integrating talk therapy and medication management without referral elsewhere.
San Francisco's high-performance culture doesn't leave much room for slowing down — until the body forces it. Andrew's Naval service and Stanford training give him a rare lens on what exhaustion from sustained excellence actually looks like, and what recovery requires.
Individual therapy for relationship struggles, attachment wounds, and life transitions — and couples therapy for partners seeking a clinical space to do real work together. Andrew sees the psychological and the relational as inseparable.
Adult ADHD evaluation, diagnosis, and ongoing care in San Francisco. Not just a medication question — a full understanding of how ADHD shapes your work, relationships, and daily functioning, with a treatment plan built around your specific life.
The only civilian selected for a military psychiatric residency, Andrew brings specialized trauma training most private-practice therapists and psychiatrists in San Francisco don't have — including EMDR, Accelerated Resolution Therapy, and prescribing authority, in one relationship.
Sexual health, intimacy, and desire — individual and couples work in a clinical space explicitly free of shame or judgment. Andrew treats the medical and relational dimensions together, including concerns that intersect with anxiety, trauma, or medication.
Andrew practices in person in Pacific Heights, San Francisco — accessible from Presidio Heights, Cow Hollow, the Marina, and Nob Hill — with telehealth available for established patients throughout California.
Andrew is accepting new patients in San Francisco. Most are seen within 1–2 weeks. A complimentary phone call — no paperwork, no commitment — is where it starts. View fees & insurance →