Pacheco Family Psychiatry

Patient-tailored, high-quality psychiatric evaluation and treatment, with immediate availability.

Our Approach

We are a Washington, D.C. (Dupont Circle) based psychiatry practice that serves the D.C., Maryland, and Virginia area via in-person and telemedicine appointments. Dr. Pacheco and Dr. Chen are medically trained physicians with experience working in hospitals, clinics, and rural settings. Our specialization — mental health throughout the lifespan — is informed by our training in medicine across the entirety of the body’s systems. We use our experience to identify data-driven diagnoses and treatments for each unique patient. At Pacheco Family Psychiatry, we work with individuals with a range of mental health needs and differentiate ourselves by our dedication to understanding the details. Above all, we will approach your care with partnership, humility, and compassion.

Drs Pacheco and Chen in DC office

Key Offerings

  • Comprehensive psychiatric evaluation and diagnosis with personalized treatment recommendations

  • In-person or telemedicine appointments with immediate availability

  • Evening appointment times on Mondays

  • Close collaboration with your therapist, referring doctor, and other parties where appropriate (school, family member, etc.)

  • Targeted laboratory evaluations that guide treatment — particularly inflammatory, hormonal, and vitamin markers with evidence-backed implications in mood disorders

  • Special interest and expertise in difficult-to-treat depression (also called treatment-resistant depression) that may require special considerations or creative solutions

  • Session-limited therapy focused on CBT-I (cognitive behavioral therapy for insomnia)

  • ERP (exposure and response prevention for OCD or exposure treatment for anxiety and phobias)

  • PMT (parent management training for ADHD and behavioral concerns)

  • Psychodynamic therapy will be considered in special circumstances

Local Washington, DC area

We do not limit the scope of our practice and strive to treat all psychiatric concerns to the best of our ability. This includes but is not limited to:Depression, Anxiety, Schizophrenia, Bipolar Disorder, Obsessive Compulsive Disorder, ADHD, Autism, Addiction, among others

Why Choose Us

Patient-Tailored Care

Every treatment plan is uniquely designed with you by a medical doctor and always with an emphasis on long-term wellbeing

Connections to the Area

Working relationship to Georgetown Hospital, Children’s National Hospital, the NIH in addition to a deep understanding of local resources

Compassionate Environment

We prioritize empathy, trust, and confidentiality

Family-Focused Nature

Experience treating all ages and supporting our younger patients with an eye towards the family

Frequently Asked Questions

Do you accept insurance?

We are out-of-network with insurance providers at this time. After each visit, we provide you with a superbill that you can submit to your insurance company for out-of-network reimbursement.

What is a superbill, and how do I use it?

A superbill is a detailed receipt of your visit, including diagnosis and procedure codes, that you submit directly to your insurance company as an out-of-network claim. Your insurer will then determine your reimbursement amount based on your specific plan.

How much will I be reimbursed?

Reimbursement varies by insurance plan and depends on your specific out-of-network benefits. We recommend contacting your insurance provider directly to understand your coverage before your first visit.

Do I need a referral to book an appointment?

No referral or pre-screening consultation is required. You can book directly for an initial evaluation.

How soon can I be seen?

We offer immediate availability for both in-person and telemedicine appointments, including evening appointment times on Mondays.

Do you offer virtual appointments?

Yes, we offer both in-person appointments at our Dupont Circle office and telemedicine appointments for patients throughout DC, Maryland, and Virginia.

What happens after I book?

Following your booking, a provider will contact you directly to confirm your appointment.

What conditions do you treat?

We do not limit the scope of our practice and treat all psychiatric concerns to the best of our ability, including depression, anxiety, schizophrenia, bipolar disorder, obsessive-compulsive disorder, ADHD, autism, and addiction, among others.

What is treatment-resistant depression, and do you treat it?

Treatment-resistant mood disorders (also known as "difficult-to-treat" mood disorders) refer to depression or other mood disorders that have not responded adequately to standard treatments and may require special considerations and creative treatment approaches. This is a particular area of interest and expertise for our practice.

Will you work with my current therapist?

Yes, we prioritize close collaboration with your therapist, primary care doctor, or referring doctor as part of your treatment plan.

What should I expect at my first appointment?

Your initial evaluation includes a comprehensive diagnostic assessment, development of your individualized treatment plan, a clear explanation of medication management options, and medical workup when needed. Initial evaluations typically run 60-90 minutes.

How long are follow-up appointments?

Follow-up visits are typically 30 minutes and include ongoing medication management, review of lab tests and diagnostic studies, and continued care coordination with your therapist or referring provider.

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Book an Appointment

We strive to diagnose and treat all psychiatric concerns in an ethical, evidence-based, and collaborative manner. Recovery and ultimately flourishing is our goal.

Our Team

We look forward to working with you.

Thomas Pacheco, M.D.

Adult Psychiatrist

Dr. Thomas Pacheco, MD: adult psychiatrist in Washington, DC

Dr. Pacheco has experience treating all forms of mental illness. He works diligently with every individual to relieve distress and build towards flourishing. His guiding philosophy for care is the combination of partnership, humility, and shared goal-setting. He will work with you to find personalized solutions — beginning with a thorough history, then developing a treatment plan targeted towards achievable goals and sustained wellbeing. He is a curious and caring doctor who listens deeply and will take your concerns seriously. For Dr. Pacheco, judicious treatment will always be informed by his background in psychopharmacology and psychotherapy.Dr. Pacheco splits his time between Pacheco Family Psychiatry and Anchor Mental Health, a community psychiatric clinic through Catholic Charities. He has published in major medical journals including JAMA, maintains connections to Georgetown University Hospital and the NIH, and is an alumnus fellow of the Leonine Forum.

Education:

  • Psychiatric Residency: MedStar Georgetown University Hospital

  • Medical School: Georgetown University School of Medicine

  • Undergraduate: Georgetown University

Dr Pacheco, specialist in treatment-resistant depression in Dupont Circle

Amy Chen, M.D.

Adult Psychiatrist, Child & Adolescent Fellow

Dr Amy Chen: family psychiatrist in Washington, DC

Dr. Chen’s current focus is working with young adults, as well as adults of all ages with neurodevelopmental disorders such as ADHD and autism. She uses a developmental lens to best understand the impact of an individual’s upbringing, family dynamics, and major life transitions on their mental health. As part of a complete intake, she typically engages the family, school, therapist, or other key supports in developing a comprehensive treatment plan. She is excited to partner with families from the District, Maryland, and Virginia.

Education:

  • Fellowship: Children's National Medical Center

  • Psychiatric Residency: MedStar Georgetown University Hospital

  • Medical School: Virginia Tech Carilion School of Medicine

  • Undergraduate: Stanford University

Dr Chen, psychiatrist seeing patients in the DMV

Contact Us

Mental health is personal. We welcome you to contact us if you would like to speak more about potential treatment.

Fees & Service

  • We are out of network with insurance providers at this time. After each visit, we provide you with a "superbill" that you can submit to your insurance company for out-of-network reimbursement.

  • A superbill is a detailed receipt for your visit, which you may then submit directly to your insurance company as an out-of-network claim. Your insurer will then determine your reimbursement amount based on your specific plan.

  • If you have questions about reimbursement, we recommend contacting your insurance provider directly to understand your coverage before your first visit.

  • In the case of need for a home visit, an hourly rate will be used for travel.

  • Please visit our home page for a complete list of Frequently Asked Questions, and feel free to contact us as below for further inquiries.

    
Initial Psychiatric Evaluation (includes comprehensive diagnostic assessment, development of your individualized treatment plan, clear explanation of medication management options, and medical workup when needed)60-90 minIn-person & Telemedicine available$550
Psychiatric Follow-up Visit (includes ongoing medication management, interpretation of lab tests and diagnostic studies, and continued care coordination with your therapist/referring provider)30 minIn-person & Telemedicine available$275
Psychotherapy (offered on a case-by-case basis)Variable, typically 45 minIn-person & Telemedicine availableRates vary based on duration and modality

Contact Us

Our promise is high-quality psychiatric care, tailored treatment, and true partnership.

Book Your Appointment

We aim to treat all psychiatric conditions and do not require a pre-screening consultation for service.

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Questions?

Following booking, a provider will contact you to confirm your appointment.Returning patients without a follow-up appointment may also book through the patient portal.