Andrew Chacko, MD — Psychiatrist in City and County of San Francisco, CA

I’m beyond grateful for Dr. Chacko. Over the years, I’ve worked with several therapists and none of them were the right fit. I usually left feeling misunderstood, stuck, and frustrated with a lack of progress. I’m also not someone who typically writes reviews, so the fact that I’m taking the time to write this says a lot about how strongly I feel. I first reached out to Dr. Chacko for help with depression, anxiety, and ADHD. Now 4+ years later, I can say without hesitation that he has been a genuinely transformative force in my life. What makes Dr. C stand out is how fundamentally different he is from any therapist I’ve ever worked with. He deeply cares about his patients. He goes above and beyond. He’s honest, straightforward, and a good human. He says the things you need to hear and always with compassion. He’s deeply empathetic, emotional, and genuine. There’s no clinical distance or therapist “mask.” He’s right there with you as a real person. And he’s also not afraid to get vulnerable himself. Sometimes he’ll ask if he can share a personal story to help make a point, which means a lot to me. Those moments make our sessions feel more human and meaningful. It’s not the typical one-way therapist-patient relationship. He takes the time to really understand you. Not just your symptoms, but who you are, how you think, and what you actually need, and because of this, he gets to know you deeply over time. The fact that he’s both a therapist and an MD adds another layer of trust, especially when navigating issues like ADHD and anxiety. I can say without hesitation that working with Dr. C has changed my life for the better. I’m grateful every time I walk into his office, and I can’t recommend him highly enough.

I’m a combat veteran and Dr Chacko has helped me immensely with psychotherapy to help me with my anxiety. He’s super veteran friendly as he is a former veteran himself, and is able to really understand my needs really well because of that, I’m so glad that I found him!

As a clinician, and all around amazing human, Dr. Chacko is the real deal. In the course of couples therapy, we're still in awe, and perpetually grateful for choosing to seek help from Dr. C, and making the investment in a lasting relationship. We’ve put his advice and communication tools to use every day, and I highly recommend his help to anyone looking to invest in their relationship and themselves.