About Chacko
Chacko (James) Vadayil Varkey is a PACFA clinical psychotherapist who blends psychotherapy with insights from theology, criminology, psychology and family law. He has 12 years of experience and a history of helping people facing anxiety, stress, depression and relationship difficulties.
He offers sessions in English, Hindi and Malayalam and aims to make the first step easier for people who are unsure about therapy. James uses a mix of approaches including Acceptance and Commitment Therapy, Cognitive Behavioural Therapy and Attachment-Based Therapy.
Background and approach
In practice he focuses on practical steps - noticing unhelpful patterns, learning new skills and trying small changes between sessions. He often works with issues that arise from trauma, attachment wounds, and relationship breakdowns. He also brings experience with family dispute resolution and family law matters, and draws on that background when clients need guidance around separation or parenting concerns.
Sessions are delivered via video calls, phone, live chat or text-based messaging to suit different schedules and needs. He does not accept international clients. People who choose James can expect straightforward talk and a calm presence.
He aims to create a non-judgemental space where feelings and practical problems are named and worked through. Sessions use a subscription model that can be cancelled at any time and fees vary with location and therapist availability.
How James uses proven approaches online
Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting stuck in them, and then choose actions that match their values. It suits anxiety, stress and life-direction concerns. Cognitive Behavioural Therapy (CBT) focuses on identifying unhelpful thinking and testing new behaviours; it is often used for anxiety and depression. Attachment-Based Therapy looks at early relationship patterns and how they affect current trust and closeness, and can help with relationship and attachment wounds.Finding the right mix of approaches is part of the work. James will talk through what feels most helpful and tailor sessions to a person's needs, goals and preferences. He frames therapy as a collaboration where practical steps are chosen together and adjusted over time.
Online sessions are available by video call, phone, live chat or text-based messaging, which makes fitting therapy into busy days easier. Video calls allow face-to-face talk and shared exercises, phone sessions work well when bandwidth is limited, live chat supports quick check-ins, and messaging suits short updates or ongoing support between longer sessions. These options help people access therapy around work, family and other commitments.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Adoption and foster care
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Blended family issues
- Body image
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Emptiness
- Family problems
- Fatherhood issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Gottman Method
- Imago Relationship Therapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Experience
- 12 years
- Licensed
- Languages
- English, Hindi, Malayalam
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