For professionals navigating burnout, anxiety, and the weight of high-stakes lives — one trusted relationship where medication and therapy work together.
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.
Are you tired of feeling like a number? Of the endless run-around to get the care you want? Andrew left well-known medical institutions to build something genuinely different — a private practice that is, at times, unconventional, but always deeply personal.
He works as a team with his patients. Not an authority telling you what to fix, but a more objective lens through which to look at your life together — to understand what's keeping you from where you want to be, and how to get there.
He's non-judgmental by nature and tries to embody that in everything he does. He's never lived your life, and he won't approach you as if he has. He also welcomes feedback — as an engineer-turned-doctor, he knows it's an essential ingredient in any good outcome.
I strive to be the therapist I would like to have — a cross between the welcome familiarity of a small town doc, a skilled scientist, a coach seasoned by years of experience, and a friend.
Andrew's practice is deliberately focused — designed to go deep with the right patients. Here's who it tends to serve well, and where it isn't the right match.
If you're not certain, the complimentary phone call is the right place to find out. No commitment required.
Most new patients are seen within 1–2 weeks. Andrew believes his job is to figure out what life you want to create, understand what's keeping you from it, and find a path there. That starts with a phone call — at no charge.
No paperwork, no commitment. You get a sense of Andrew and his approach. He gets a sense of what brings you in. First consultations are always at no charge.
60–90 minutes. Focused on what's actually bringing you in — not a full life history review. Andrew meets you where you are.
Figure out what life you want to create. Understand what's keeping you from it. Find a way forward — built together, not handed down.
One provider for all of it. Therapy, medication when it's right, continuity throughout. One relationship that gets richer over time.
If you don't see what you're looking for, the complimentary phone call is the right place to ask — no commitment required.
"I've worked with several therapists over the years and none of them were the right fit. I usually left feeling misunderstood, stuck, and frustrated with a lack of progress. Now 4+ years later, I can say without hesitation that Dr. Chacko has been a genuinely transformative force in my life. There's no clinical distance or therapist 'mask.' He's right there with you as a real person."
"As a licensed clinical mental health professional, I feel very lucky to have found Dr. Chacko — he is truly an outstanding clinician. He naturally exudes empathy and compassion, and reframes complex situations in a simple way that makes even the hardest situations more manageable."
Andrew is currently accepting new patients. Most appointments are available within 1–2 weeks. The initial phone consultation is complimentary — no commitment required.
All inquiries are confidential. Andrew or his office will follow up within one business day. The first call is always at no charge.