Private ADHD Titration

There is a nationwide shortage of medications to treat ADHD symptoms. This is due to manufacturing issues and the growing demand for ADHD medications worldwide.

Our service is able to offer private ADHD treatment as an alternative to waiting for NHS funding through Right to Choose. Our assessment fees include the cost of one prescription.

Titration

A thorough assessment of your ADHD symptoms will be carried out by a highly experienced consultant psychiatrist. This includes a medical history and an assessment using the typical ADHD rating scales and questionnaires.

Following your assessment you will be informed if medication is considered to be beneficial in your case. This will be discussed during your follow-up appointment (which could be in person, via video link or over the phone). Your doctor will go over the various options for medications available. If you decide to start medication, we can help you the opportunity to increase your dosage to maximize the benefits/side effects balance for you.

This is a process which could take a few weeks. It requires adjusting your child's dosage gradually until the appropriate balance is reached. It's not uncommon to need to adjust two or three medicines before determining the most effective one for your child's ADHD symptoms. It is essential for parents to participate in this titration process and keep an watchful eye on their child's behavior, so that they can let the doctor know if the medicine is helping or causing side effects.

If you decide to return to NHS treatment, your medication will be issued with an individual prescription that you'll need to pay for at the pharmacy (this is not included in your consultation fee). You'll be required to attend every six months to check your medication. This includes blood pressure and pulse readings. Annual reviews are also required.

Follow-up appointments

After the evaluation is completed after the assessment is completed, you can make follow-up appointments with the psychiatrist. The appointment what is titration in adhd usually done through a zoom video call. In some cases, it may be possible to have an audio-only appointment to be scheduled (again with an additional cost).

We will then go over the options for treatment and then decide on an individualised, bespoke ADHD medication titration. This will include a review and discussion of your medication dosage, as well as any adverse effects you might be experiencing. These titrations cost PS150 for face-to-face sessions, and PS60 via telephone or video consultation. The pharmacy will be charged for any medication costs.

The psychiatrist will ask you questions regarding your family history, the impact of your ADHD symptoms on your daily life and any mental health issues that you might be suffering from. ADHD can be a genetic condition, and it's vital to assess your family history to determine if you are at chance of developing this condition.

It is important to be honest and transparent to the doctor during this assessment, as the information they gather will be used to determine whether your ADHD fits the diagnostic criteria. This is a vital step in the process, since a failure to do so could lead to an inaccurate diagnosis and therefore inappropriate prescribing of medication.

If you have decided that you would like to be treated for your ADHD We will set up a follow-up appointment with one of our psychiatrists who specialise in this field. This can be done at the time of your diagnosis if you are eager to begin treatment right away, or within two weeks if you would like more time to consider the implications of your diagnosis and the alternatives that are available to you.

We suggest that if you are unsure of your preferences, you talk to your GP prior to scheduling your private appointment. Some providers have different policies regarding whether they require a GP letter. We also recommend that you check whether your GP accepts a "Shared-Care Agreement which means that once discharged from the clinic you will be sent back to them to get the prescription for the medication.

Medication

For many who wish to obtain an individual diagnosis of ADHD treatment is an important part of their journey. Getting a prescription from an NHS psychiatrist can be a hassle and long-winded. NHS waiting lists are notoriously long, and GPs are often reluctant to refer patients to specialist services.

One method to avoid this is to request your GP to refer you to Right to Choose (see psychiatry-uk and ADHD 360). This means that you can select an organization that offers a private assessment and titration service. This can help you to save time and also be more convenient, especially if you have a busy work schedule.

After you have been referred, your clinician will evaluate you to determine if you require medication adjustment. You will need to fill out forms that vary by doctor but the most frequent ones are self-reporting forms and medical histories that go to childhood and adulthood. These forms will help your clinician determine if there are factors that could mean that you shouldn't be taking ADHD medication, if they have been prescribed.

If you are titrated on medication, it is likely to include a mix of non-stimulant and stimulant medications. These will be carefully trialled and monitored to find the most effective combination for you, taking into account any medical conditions you may have. The titration process may be lengthy and may require a few extra appointments before you are stable on your dose.

Based on the type of medication you are taking, follow up appointments could be scheduled monthly or quarterly. Your physician will make sure whether you are stable on the medication, note any adverse reactions you have experienced and make any necessary adjustments to ensure that you remain on a dose that is safe. You'll also have to attend a regular health check, which could include blood pressure and pulse readings, as well as weight and weight measurements and an annual check-up.

Some people may be satisfied with their medication, and do not require discussing their titration further. If, however, they do need further discussions about the titration process and treatment plan, it's possible to be passed back to the same private titration adhd clinic that made their initial assessment. In this instance the titration will be included in the consultation fee. The medication will be given via an individual prescription. This can cost more than an NHS prescription because the pharmacy will charge for the medication.